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Article: Effectiveness of a mobile smoking cessation service in reaching elderly smokers and predictors of quitting

TitleEffectiveness of a mobile smoking cessation service in reaching elderly smokers and predictors of quitting
Authors
Issue Date2008
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcgeriatr/
Citation
Bmc Geriatrics, 2008, v. 8 How to Cite?
AbstractBackground. 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.
Persistent Identifierhttp://hdl.handle.net/10722/60314
ISSN
2015 Impact Factor: 2.371
2015 SCImago Journal Rankings: 1.025
References

 

DC FieldValueLanguage
dc.contributor.authorAbdullah, ASMen_HK
dc.contributor.authorLam, THen_HK
dc.contributor.authorChan, SKKen_HK
dc.contributor.authorLeung, GMen_HK
dc.contributor.authorChi, Ien_HK
dc.contributor.authorHo, WWNen_HK
dc.contributor.authorChan, SSCen_HK
dc.date.accessioned2010-05-31T04:08:06Z-
dc.date.available2010-05-31T04:08:06Z-
dc.date.issued2008en_HK
dc.identifier.citationBmc Geriatrics, 2008, v. 8en_HK
dc.identifier.issn1471-2318en_HK
dc.identifier.urihttp://hdl.handle.net/10722/60314-
dc.description.abstractBackground. 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.en_HK
dc.languageengen_HK
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcgeriatr/en_HK
dc.relation.ispartofBMC Geriatricsen_HK
dc.rightsB M C Geriatrics. Copyright © BioMed Central Ltd.en_HK
dc.titleEffectiveness of a mobile smoking cessation service in reaching elderly smokers and predictors of quittingen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1471-2318&volume=8&issue=1&spage=25&epage=&date=2008&atitle=Effectiveness+of+a+mobile+smoking+cessation+service+in+reaching+elderly+smokers+and+predictors+of+quittingen_HK
dc.identifier.emailLam, TH: hrmrlth@hkucc.hku.hken_HK
dc.identifier.emailLeung, GM: gmleung@hku.hken_HK
dc.identifier.emailChan, SSC: scsophia@hku.hken_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.identifier.authorityLeung, GM=rp00460en_HK
dc.identifier.authorityChan, SSC=rp00423en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1186/1471-2318-8-25en_HK
dc.identifier.pmid18837985-
dc.identifier.scopuseid_2-s2.0-54249086108en_HK
dc.identifier.hkuros153150en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-54249086108&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume8en_HK
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridAbdullah, ASM=7102085860en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK
dc.identifier.scopusauthoridChan, SKK=24472757900en_HK
dc.identifier.scopusauthoridLeung, GM=7007159841en_HK
dc.identifier.scopusauthoridChi, I=7005697907en_HK
dc.identifier.scopusauthoridHo, WWN=15131610400en_HK
dc.identifier.scopusauthoridChan, SSC=7404255378en_HK
dc.identifier.citeulike3384624-

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