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Conference Paper: Comparing 2 different intensities of active referral to smoking cessation services: a cluster randomized controlled trial

TitleComparing 2 different intensities of active referral to smoking cessation services: a cluster randomized controlled trial
Authors
Issue Date2018
PublisherBioMed Central Ltd. The Journal's web site is located at http://isptid.globalink.org/journal/index.html
Citation
The 17th World Conference on Tobacco or Health (WCTOH 2018), Cape Town, South Africa, 7-9 March 2018. In Tobacco Induced Diseases, 2018, v. 16 n. suppl. 1, p. 134, abstract no. A351 How to Cite?
AbstractBackground and challenges to implementation: Studies found that actively referring smokers to smoking cessation (SC) services increased quitting. We compared 2 different intensities of SC active referral for community smokers in Hong Kong. Intervention or response: A single-blinded, parallel three-armed cluster randomized controlled trial was conducted among smokers who joined 2016 “Quit-to-Win” Contest organized by the Hong Kong Council on Smoking and Health. Biochemically validated (CO >4ppm) daily smokers were proactively recruited and randomly assigned to onsite SC active referral (Group A) (n= 395), text messaging on promoting and encouraging smokers to attend SC services (Group B) (n=385) and control group on general brief SC advice (Group C) (n=383). Group A and B also received model guided (AWARD) brief SC advice with a warning leaflet and a referral card at baseline and telephone brief advice at 1-month and 2-month. Telephone survey at 3-month (retention rate 63.4%) to assess primary outcome: self-reported 7-day point prevalence abstinence (PPA) and secondary outcomes: smoking reduction rate (SRR, daily cigarette consumption reduced by ≥50%; excluding quitters) and biochemically validated quit rate (CO < 4ppm). Analyses were done by intention to treat. Results and lessons learnt: Group A, B and C had self-reported PPA: 14.4%, 13.0% and 8.6% (A vs. C; B vs. C, p<0.05) and validated quit rates: 6.8%, 6.0% and 4.7% (all p>0.05), respectively. Corresponding SRRs were 18.7%, 16.9% and 16.2% (all p>0.05). Compared with Group C, Group A had a higher odds ratio (OR) of 1.65 (95% CI 1.08-2.52) and Group B smokers had a higher OR of 1.56 (95% CI 1.02 - 2.04) for self-reported PPA, adjusting for baseline intention to quit and clustering effect. Conclusions and key recommendations: Proactive intervention with AWARD guided brief SC advice and onsite active referral or text messaging may be effective in increasing quitting at 3-month compared with general brief SC advice in community smokers.
Description4.4. Tobacco dependence treatment and smoking cessation: Innovations in Practice and Opportunities for scaling (EP-185-4)
Persistent Identifierhttp://hdl.handle.net/10722/253523
ISSN
2019 Impact Factor: 1.434
2015 SCImago Journal Rankings: 0.802
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWang, MP-
dc.contributor.authorCheung, TY-
dc.contributor.authorLi, WHC-
dc.contributor.authorSuen, YN-
dc.contributor.authorKwong, A-
dc.contributor.authorLai, V-
dc.contributor.authorChan, SSC-
dc.contributor.authorLam, TH-
dc.date.accessioned2018-05-21T02:59:04Z-
dc.date.available2018-05-21T02:59:04Z-
dc.date.issued2018-
dc.identifier.citationThe 17th World Conference on Tobacco or Health (WCTOH 2018), Cape Town, South Africa, 7-9 March 2018. In Tobacco Induced Diseases, 2018, v. 16 n. suppl. 1, p. 134, abstract no. A351-
dc.identifier.issn1617-9625-
dc.identifier.urihttp://hdl.handle.net/10722/253523-
dc.description4.4. Tobacco dependence treatment and smoking cessation: Innovations in Practice and Opportunities for scaling (EP-185-4)-
dc.description.abstractBackground and challenges to implementation: Studies found that actively referring smokers to smoking cessation (SC) services increased quitting. We compared 2 different intensities of SC active referral for community smokers in Hong Kong. Intervention or response: A single-blinded, parallel three-armed cluster randomized controlled trial was conducted among smokers who joined 2016 “Quit-to-Win” Contest organized by the Hong Kong Council on Smoking and Health. Biochemically validated (CO >4ppm) daily smokers were proactively recruited and randomly assigned to onsite SC active referral (Group A) (n= 395), text messaging on promoting and encouraging smokers to attend SC services (Group B) (n=385) and control group on general brief SC advice (Group C) (n=383). Group A and B also received model guided (AWARD) brief SC advice with a warning leaflet and a referral card at baseline and telephone brief advice at 1-month and 2-month. Telephone survey at 3-month (retention rate 63.4%) to assess primary outcome: self-reported 7-day point prevalence abstinence (PPA) and secondary outcomes: smoking reduction rate (SRR, daily cigarette consumption reduced by ≥50%; excluding quitters) and biochemically validated quit rate (CO < 4ppm). Analyses were done by intention to treat. Results and lessons learnt: Group A, B and C had self-reported PPA: 14.4%, 13.0% and 8.6% (A vs. C; B vs. C, p<0.05) and validated quit rates: 6.8%, 6.0% and 4.7% (all p>0.05), respectively. Corresponding SRRs were 18.7%, 16.9% and 16.2% (all p>0.05). Compared with Group C, Group A had a higher odds ratio (OR) of 1.65 (95% CI 1.08-2.52) and Group B smokers had a higher OR of 1.56 (95% CI 1.02 - 2.04) for self-reported PPA, adjusting for baseline intention to quit and clustering effect. Conclusions and key recommendations: Proactive intervention with AWARD guided brief SC advice and onsite active referral or text messaging may be effective in increasing quitting at 3-month compared with general brief SC advice in community smokers.-
dc.languageeng-
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://isptid.globalink.org/journal/index.html-
dc.relation.ispartofTobacco Induced Diseases-
dc.relation.ispartofWorld Conference on Tobacco or Health (WCTOH)-
dc.rightsTobacco Induced Diseases. Copyright © BioMed Central Ltd.-
dc.titleComparing 2 different intensities of active referral to smoking cessation services: a cluster randomized controlled trial-
dc.typeConference_Paper-
dc.identifier.emailWang, MP: mpwang@hku.hk-
dc.identifier.emailLi, WHC: william3@hkucc.hku.hk-
dc.identifier.emailSuen, YN: suenyn@hku.hk-
dc.identifier.emailChan, SSC: scsophia@hku.hk-
dc.identifier.emailLam, TH: hrmrlth@hkucc.hku.hk-
dc.identifier.authorityWang, MP=rp01863-
dc.identifier.authorityLi, WHC=rp00528-
dc.identifier.authorityChan, SSC=rp00423-
dc.identifier.authorityLam, TH=rp00326-
dc.identifier.doi10.18332/tid/84183-
dc.identifier.hkuros285169-
dc.identifier.volume16-
dc.identifier.issuesuppl. 1-
dc.identifier.spage134, abstract no. A351-
dc.identifier.epage134, abstract no. A351-
dc.identifier.isiWOS:000431841800352-
dc.publisher.placeUnited Kingdom-
dc.customcontrol.immutablecsl 180524-

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