Community-based group intervention for tobacco cessation in rural Tamil Nadu, India: A cluster randomized trial

Kumar, Muthusamy Santhosh; Sarma, P. S.; Thankappan, Kavumpurathu Raman

doi:10.1016/j.jsat.2011.10.026

Cited by 32 publications

(57 citation statements)

References 20 publications

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“…18% of subjects in the intervention area had reduced smoking by more than 50% which is also comparable to a study conducted in the southern state of Tamilnadu, India where 22% harm reduction was reported (Kumar et al, 2012). It is difficult to assess harm reduction because of the difficulty in quantifying the response of the person.…”

Section: Discussionsupporting

confidence: 72%

“…Similar results were observed in a study conducted in Tamil Nadu where group counselling sessions were given by a medical professional in the community. The self reported abstinence was 12.5% in the intervention area, 2 months after intervention (Kumar et al, 2012). A worksite intervention programme conducted in Mumbai, India with a multi component tobacco cessation intervention that included general awareness, individual and group counselling reported 17% quit rate after three rounds of intervention (Pimple et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…Very few studies were reported from India to understand the effectiveness of community based tobacco cessation (Kumar et al, 2012) and no study has been reported to understand the efficacy of community based intervention programmes targeting individuals for smoking cessation. In this background, an attempt was made to introduce community based individual targeted intervention programmes for smoking cessation in the southern state of Kerala which is being widely acclaimed for its high literacy and good health indicators.…”

Section: Smoking Cessation Intervention In Rural Kerala India: Findimentioning

confidence: 99%

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Smoking Cessation Intervention in Rural Kerala, India: Findings of a Randomised Controlled Trial

Jayakrishnan¹,

Uutela²,

Mathew³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Background: Prevalence of tobacco use is higher in the rural than urban areas of India. Unlike tobacco cessation clinics located in urban areas, community-based smoking cessation intervention has the potential to reach a wider section of the community to assist in smoking cessation in the rural setting. The present study aimed to assess the effectiveness of a cessation intervention in rural Kerala state, India. Materials and Methods: Current daily smoking resident males in the age group 18-60 years from four community development blocks in rural Kerala were randomly allocated to intervention and control groups. The intervention group received multiple approaches in which priority was given to face-to-face interviews and telephone counselling. Initially educational materials on tobacco hazards were distributed. Further, four rounds of counselling sessions were conducted which included a group counselling with a medical camp as well as individual counselling by trained medical social workers. The control group received general awareness training on tobacco hazards along with an anti-tobacco leaflet. Self-reported smoking status was assessed after 6 and 12 months. Factors associated with tobacco cessation were estimated using binomial regression method. Results: Overall prevalence of smoking abstinence was 14.7% in the intervention and 6.8% in the control group (Relative risk: 1.85, 95% CI: 1.05, 3.25). A total of 41.3% subjects in the intervention area and 13.6% in the control area had reduced smoking by 50% or more at the end of 12 months. Lower number of cigarettes/ bidi used, low nicotine dependence and consultation with a doctor for a medical ailment were the statistically significant predictors for smoking cessation. Conclusions: Rigorous approaches for smoking cessation programmes can enhance quit rates in smoking in rural areas of India.

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Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Smoking Cessation Intervention In Rural Kerala India: Findimentioning

confidence: 99%

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Smoking Cessation Intervention in Rural Kerala, India: Findings of a Randomised Controlled Trial

Jayakrishnan¹,

Uutela²,

Mathew³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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“…In the first two sessions of individual counselling, we used pictorial representation to illustrate the hazards of smoking particularly tobacco associated oral and lung cancers. The effective utilisation of pictures of smoking associated illness were reported by other studies as well (Pai and Prasad, 2012;Kumar et al, 2012). The wider acceptance of using the 5 A's approach in clinic settings to assess various smoking associated factors viz ask about the habit, advice to quit, assess willingness to quit, assist to quit and arrange follow up in clinical settings and the 5 R's approach (relevance to quit, risks of habit, rewards of quitting, road blocks in quitting, repetition of motivation) were demonstrated by other studies (Cornuz et al, 2007;Fiore et al, 2009;Thankappan et al, 2013).…”

Section: Discussionsupporting

confidence: 53%

Multiple Approaches and Participation Rate for a Community Based Smoking Cessation Intervention Trial in Rural Kerala, India

Jayakrishnan

Mathew²,

Uutela³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Background: To illustrate multiple approaches and to assess participation rates adopted for a community based smoking cessation intervention programme in rural Kerala. Materials and Methods: Resident males in the age group 18-60 years who were 'current daily smokers' from 4 randomly allocated community development blocks of rural Thiruvananthapuram district, Kerala (2 intervention and 2 control groups) were selected. Smoking status was assessed through house-to-house survey using trained volunteers. Multiple approaches included awareness on tobacco hazards during baseline survey and distribution of multicolour anti-tobacco leaflets for intervention and control groups. Further, the intervention group received a tobacco cessation booklet and four sessions of counselling which included a one-time group counselling cum medical camp, followed by proactive counselling through face-to-face (FTF) interview and mobile phone. In the second and fourth session, motivational counselling was conducted. Results: Among 928 smokers identified, smokers in intervention and control groups numbered 474 (mean age: 44.6 years, SD: 9.66 years) and 454 respectively (44.5 years, SD: 10.30 years). Among the 474 subjects, 75 (16%) had attended the group counselling cum medical camp after completion of baseline survey in the intervention group, Among the remaining subjects (n=399), 88% were contacted through FTF and mobile phone (8.5%). In the second session (4-6 weeks time period), the response rate for individual counselling was 94% (78% through FTF and 16% through mobile phone). At 3 months, 70.4% were contacted by their mobile phone and further, 19.6% through FTF (total 90%) while at 6 months (fourth session), the response rate was 74% and 16.4% for FTF and mobile phone respectively, covering 90.4% of the total subjects. Overall, in the intervention group, 97.4% of subjects were being contacted at least once and individual counselling given. Conclusion: Proactive community centred intervention programmes using multiple approaches were found to be successful to increase the participation rate for intervention.

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“…Tobacco use annually kills over one million Indians [3]. However, quitting is not a common practice in India due to a lack of widely available cessation support resources and few social norms to support quitting [2, 4,[7][8][9][10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

The Prevalence of Tobacco Use among Manufacturing Workers: Findings from the Baseline Survey of the Mumbai Worksite Tobacco Control Study

S¹,

M²,

Pawar³

et al. 2016

J Prev Med

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Objectives: To explore the potential role of the work context associated with tobacco use patterns among manufacturing workers in India Methods: We used cross-sectional survey data from the Mumbai Worksite Tobacco Control Study. Workers from manufacturing worksites in the greater Mumbai region were surveyed from 20 worksites that were recruited between July 2012 and July 2013 on rolling basis for a randomized controlled trial.Results: A total of 6880 workers out of 7633 that employed in 20 manufacturing worksites were surveyed. Current tobacco use was higher among production (23.5%) than non-production (19.2%) workers. In contrast, past tobacco use was somewhat lower among production (6.2%) than non-production (8.4%) workers. Production workers who used smokeless tobacco were twice as likely to report their workplaces did not have a policy or rule prohibiting tobacco use as compared to smokers or non-tobacco users. The prevalence of past tobacco use -compared to current use -was associated with workers' education, economic index and number of co-workers using tobacco. Conclusions:The current study underscores the important role of co-workers and worksite tobacco control policies (that cover both smoking and smokeless forms) to support reductions in tobacco use among manufacturing workers.

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Community-based group intervention for tobacco cessation in rural Tamil Nadu, India: A cluster randomized trial

Cited by 32 publications

References 20 publications

Smoking Cessation Intervention in Rural Kerala, India: Findings of a Randomised Controlled Trial

Smoking Cessation Intervention in Rural Kerala, India: Findings of a Randomised Controlled Trial

Multiple Approaches and Participation Rate for a Community Based Smoking Cessation Intervention Trial in Rural Kerala, India

The Prevalence of Tobacco Use among Manufacturing Workers: Findings from the Baseline Survey of the Mumbai Worksite Tobacco Control Study

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