Presentation on theme: "Effectiveness Of Nurse-clinician Led Smoking Cessation Clinic In Singapore Effectiveness Of Nurse-clinician Led Smoking Cessation Clinic In Singapore PRABHAKARAN."— Presentation transcript:
Effectiveness Of Nurse-clinician Led Smoking Cessation Clinic In Singapore 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 METHODOLOGY DEMOGRAPHIC PROFILE 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. 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. First Visit 45 mins WEEK 4 Tel F/UWEEK 2WEEK 8 Relapse prevention counselling Motivation Identify smoke triggers Coping response Weight management Non Nicotine Base Cold Turkey Nicotine Base Reducing Combination Therapy Follow -Up Visit 20mins 3mth6mth12mth Medical & smoking history Nicotine Dependence Score Stage of readiness Counselling Smoke Clinic May 99 to Oct 01 430 Subject Clinical Assessment Follow-up Assessment Methods to Quit 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. DEMOGRAPHIC PROFILE Findings Quit rates were higher in female throughout the study. Gender Results Base: 430 Findings The quit rates were higher among those who were older (>60 years) throughout the study Mean Age 48 (SD 17) Age Group Results 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. FACTORS INFLUENCING SUCCESSFUL QUIT RATE PRIMARY OUTCOME Finding Quite rates were higher in Malays’ throughout the study Race Base 430 Results Number of Sticks Smoked per Day Findings Subjects who smoked less then 11 sticks per day had higher quit rates. Mean Years Smoking 30 (SD17) Results Finding Subjects who were married had higher quit rates then singles throughout the study. Marital Status Results Finding There were no clear relationship between education and successful quitting. Educational Level Results Base: 430 Nicotine Addiction Score Findings Subject with low to moderate nicotine addiction score had higher quit rate. Results Presence of Co-Morbidity Findings Quit rates were consistently higher in group with No co-morbid condition Results Base 430 Findings Self referral had higher quit rates Base: 430 Source Of Referral Findings Subjects with one and less quit attempt had higher quit rates. Base: 430 Results Previous Quit Attempt Findings Subjects on non-pharmaceutical method had higher quit rate. Base: 425 Results Treatment Type Base: 430 Base 430 Base 423
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