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Cold Turkey. Reducing. Nicotine Base. Non Nicotine Base. Combination Therapy. CONCLUSION Achieved a 1 year quit rate of 28% among smokers who attended the smoking cessation clinic.

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Cold Turkey

Reducing

Nicotine Base

Non Nicotine Base

Combination Therapy

  • CONCLUSION

  • Achieved a 1 year quit rate of 28% among smokers who attended the smoking cessation clinic.

  • We are of the opinion that smokers who are older with no existing co-morbidities are more likely to successfully quit smoking.

AIM OF STUDY

Primary Objective

To determine the effectiveness of nurse-clinician led smoking cessation clinic.

Secondary Objective

To identify factors associated with successful quit attempts.

Effectiveness Of Nurse-clinician

Led Smoking Cessation Clinic In Singapore

PRABHAKARAN Lathy, *CHOO Yee Mun,* Pyng Lee,** A Earnest,***

Nursing Service*, Respiratory Medicine**, & Clinical Epidemiology Unit***, Tan Tock Seng Hospital, Singapore

DEMOGRAPHIC PROFILE

Number of Sticks Smoked per Day

Results

METHODOLOGY

Smoke Clinic

May 99 to Oct 01

430 Subject

Mean Years Smoking 30 (SD17)

  • Methods to Quit

3mth

6mth

12mth

Findings

Subjects who smoked less then 11 sticks per day had higher quit rates.

Follow -Up Visit 20mins

First Visit

45 mins

Nicotine Addiction Score

WEEK 2

WEEK 8

Tel F/U

WEEK 4

Results

Follow-up Assessment

Clinical Assessment

  • Relapse prevention counselling

  • Motivation

  • Identify smoke triggers

  • Coping response

  • Weight management

  • Medical & smoking history

  • Nicotine Dependence Score

  • Stage of readiness

  • Counselling

Base 423

Findings

Subject with low to moderate nicotine addiction score had higher quit rate.

  • 430 subjects were recruited by means of physician and self referral.

  • First visit consisted of clinical assessment on medical & smoking history, Nicotine Dependence score, stage of readiness to quit and behavioral modification.

  • Subjects were allowed to choose their preferred treatment method on their first visit.

  • 3 follow-up sessions over a two month period for relapse prevention counselling.

  • Quit rates were based on self-reports at 3, 6 and 12 month period via telephone calls.

Presence of Co-Morbidity

Results

DEMOGRAPHIC PROFILE

Results

Base 430

Gender

Findings

Quit rates were consistently higher in group with No co-morbid condition

Source Of Referral

Results

Base: 430

Findings

Quit rates were higher in female throughout the study.

Base: 430

Results

Age Group

Findings

Self referral had higher quit rates

Results

Previous Quit Attempt

Base: 430

Mean Age 48 (SD 17)

Findings

The quit rates were higher among those who were older (>60 years) throughout the study

Base: 430

Findings

Subjects with one and less quit attempt had higher quit rates.

Results

Race

Treatment Type

Results

Base 430

Finding

Quite rates were higher in Malays’ throughout the study

Base: 425

Findings

Subjects on non-pharmaceutical method had higher quit rate.

Results

Marital Status

PRIMARY OUTCOME

Base 430

Finding

Subjects who were married had higher quit rates then singles throughout the study.

FACTORS INFLUENCING SUCCESSFUL QUIT RATE

  • Significant Findings

  • Every year increase in age was associated with an odds ratio of 1.01 in terms of quitting. This was marginally significant (p= 0.077)

  • The odds of quitting was 62% lower among those with co-morbid conditions as compared to those without. This was statistically significant (p= 0.011)

  • None of the other covariates studies were found to be significant predictors of successful quitting at month 12

  • Logistic regression models were used. P-values were obtained from Wald tests.

Results

Educational Level

Base: 430

Finding

There were no clear relationship between education and successful quitting.


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