Effectiveness Of Nurse-clinician Led Smoking Cessation Clinic In Singapore

1. Cold Turkey Reducing Nicotine Base Non Nicotine Base Combination Therapy • 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. 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. 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 DEMOGRAPHIC PROFILE Number of Sticks Smoked per Day Results METHODOLOGY Smoke Clinic May 99 to Oct 01 430 Subject Mean Years Smoking 30 (SD17) • Methods to Quit 3mth 6mth 12mth Findings Subjects who smoked less then 11 sticks per day had higher quit rates. Follow -Up Visit 20mins First Visit 45 mins Nicotine Addiction Score WEEK 2 WEEK 8 Tel F/U WEEK 4 Results Follow-up Assessment Clinical Assessment • Relapse prevention counselling • Motivation • Identify smoke triggers • Coping response • Weight management • Medical & smoking history • Nicotine Dependence Score • Stage of readiness • Counselling Base 423 Findings Subject with low to moderate nicotine addiction score had higher quit rate. • 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. Presence of Co-Morbidity Results DEMOGRAPHIC PROFILE Results Base 430 Gender Findings Quit rates were consistently higher in group with No co-morbid condition Source Of Referral Results Base: 430 Findings Quit rates were higher in female throughout the study. Base: 430 Results Age Group Findings Self referral had higher quit rates Results Previous Quit Attempt Base: 430 Mean Age 48 (SD 17) Findings The quit rates were higher among those who were older (>60 years) throughout the study Base: 430 Findings Subjects with one and less quit attempt had higher quit rates. Results Race Treatment Type Results Base 430 Finding Quite rates were higher in Malays’ throughout the study Base: 425 Findings Subjects on non-pharmaceutical method had higher quit rate. Results Marital Status PRIMARY OUTCOME Base 430 Finding Subjects who were married had higher quit rates then singles throughout the study. FACTORS INFLUENCING SUCCESSFUL QUIT RATE • 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. Results Educational Level Base: 430 Finding There were no clear relationship between education and successful quitting.