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

被引：19

作者：

Abdullah A.S.M. ^{[1
,2
]}

Lam T.-H. ^{[2
]}

Chan S.K.K. ^{[2
]}

Leung G.M. ^{[2
]}

Chi I. ^{[3
]}

Ho W.W.N. ^{[2
,5
]}

Chan S.S.C. ^{[4
]}

机构：

[1] Department of International Health, Boston University School of Public Health, Boston, MA

[2] Department of Community Medicine, School of Public Health, University of Hong Kong, Hong Kong

[3] School of Social Work, University of Southern California, Los Angeles, CA

[4] Department of Nursing Studies, Li Ka Sing Faculty of Medicine, University of Hong Kong, Hong Kong

[5] Department of Social Work, Hong Kong Baptist University, Hong Kong

来源：

BMC Geriatrics | / 8卷 / 1期

关键词：

Smoking Cessation; Nicotine Replacement Therapy; Cotinine; Mobile Service; Point Prevalence;

D O I：

10.1186/1471-2318-8-25

中图分类号：

学科分类号：

摘要：

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.

引用

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