Effectiveness of a mobile smoking cessation service in reaching elderly smokers and predictors of quitting
| Autor: | Gabriel M. Leung, Steve K.K. Chan, Iris Chi, Abu S. Abdullah, Sophia S. C. Chan, Winnie W. N. Ho, Tai Hing Lam |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2008 |
| Předmět: |
Program evaluation
Gerontology Male medicine.medical_specialty China Time Factors medicine.medical_treatment Pilot Projects Smoking Prevention Health Promotion lcsh:Geriatrics Risk Assessment chemistry.chemical_compound Sex Factors Reference Values medicine Humans Program Development Geriatric Assessment Aged Aged 80 and over business.industry Smoking Age Factors Nicotine replacement therapy Confidence interval lcsh:RC952-954.6 Health promotion Logistic Models Treatment Outcome chemistry Family medicine Multivariate Analysis Mobile clinic behavior and behavior mechanisms Smoking cessation Patient Compliance Female Smoking Cessation Geriatrics and Gerontology Cotinine business Risk assessment Mobile Health Units Program Evaluation Research Article |
| Zdroj: | BMC Geriatrics BMC Geriatrics, Vol 8, Iss 1, p 25 (2008) |
| Popis: | Background. Different smoking cessation programmes have been developed in the last decade but utilization by the elderly is low. We evaluated a pilot mobile smoking cessation service for the Chinese elderly in Hong Kong and identified predictors of quitting. Methods. The Mobile Smoking Cessation Programme (MSCP) targeted elderly smokers (aged 60 or above) and provided service in a place that was convenient to the elderly. Trained counsellors provided individual counselling and 4 week's free supply of nicotine replacement therapy (NRT). Follow up was arranged at 1 month by face-to-face and at 3 and 6 months by telephone plus urinary cotinine validation. A structured record sheet was used for data collection. The service was evaluated in terms of process, outcome and cost. Results. 102 governmental and non-governmental social service units and private residential homes for the elderly participated in the MSCP. We held 90 health talks with 3266 elderly (1140 smokers and 2126 non-smokers) attended. Of the 1140 smokers, 365 (32%) received intensive smoking cessation service. By intention-to-treat, the validated 7 day point prevalence quit rate was 20.3% (95% confidence interval: 16.2%-24.8%). Smoking less than 11 cigarettes per day and being adherent to NRT for 4 weeks or more were significant predictors of quitting. The average cost per contact was US$54 (smokers only); per smoker with counselling: US$168; per self-reported quitter: US$594; and per cotinine validated quitter: US$827. Conclusion. This mobile smoking cessation programme was acceptable to elderly Chinese smokers, with quit rate comparable to other comprehensive programmes in the West. A mobile clinic is a promising model to reach the elderly and probably other hard to reach smokers. © 2008 Abdullah et al; licensee BioMed Central Ltd. link_to_subscribed_fulltext |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|