Interventions for smokeless tobacco use cessation

Ebbert, Jon O.; Elrashidi, Muhamad Y.; Stead, Lindsay F

doi:10.1002/14651858.cd004306.pub5

Cited by 83 publications

(33 citation statements)

References 102 publications

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“…In contrast, Nethan et al, (2018), in their systematic review indicates that behavioral interventions alone showed high efficacy in SLT cessation among adults with quit rate between 9 -51.5 per cent, at six months. Thus, these evidences are sufficient to initiate SLT/AN related behavioral interventions by nurses as a first step [22][23].…”

Section: Discussionmentioning

confidence: 97%

“…A Cochrane review by Rice et al, (2017) [21], showed moderate quality evidence to support that advice and support from nurses could increase people's success in quitting smoking, whether in hospitals or in community settings. Though, literature does not reveal any studies related to SLT/AN cessation programmes conducted by nurses, another Cochrane review by Ebbert et al, (2015) summarizes that both pharmacological and behavioral interventions may help SLT users to quit. In contrast, Nethan et al, (2018), in their systematic review indicates that behavioral interventions alone showed high efficacy in SLT cessation among adults with quit rate between 9 -51.5 per cent, at six months.…”

Section: Discussionmentioning

confidence: 99%

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Knowledge and Attitudes of Nursing Students Towards Smokeless Tobacco and Areca Nut Control in Central Province of Sri Lanka

Hettiarachchi

Jayasooriya

Amarasinghe

et al. 2020

Asian Pac J Cancer Care

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Background: Use of smokeless tobacco (SLT) and areca nut (AN) is widespread in Sri Lanka. Several workshops to train healthcare workers on SLT/ AN cessation programmes (SLT/AN-CP) were carried out. Objective of the study was to evaluate the enhancement of knowledge and attitudes related to SLT/AN-CP among nursing students following a workshop. Methods: A cross sectional study was conducted with the use of two questionnaires. A total of 212 nursing students were assessed and the study group included 184 females (86.8%). Results: Results were analyzed according to the 3 main areas of the assessment, i.e knowledge related to Oral cancer, knowledge related to SLT, its effects and cessation practices and attitudes regarding SLT cessation counselling. Out of the eight questions to assess the knowledge related to oral cancer, five questions demonstrated a statistically significant difference (P<0.05) following the workshop when compared to the pre workshop knowledge. Even though, majority had a good knowledge on harmful effects of SLT and AN, it was interesting to note that 14.15 % of the participants were unaware about the fact that the oral cancer is the commonest cancer among Sri Lankan males. 96.7% agreed that proper counseling would lead patient to quit the habit. Conclusions: This preliminary study showed that the knowledge and attitude towards SLT/AN-CP among nursing students were satisfactory and effective workshops can be used to improve their knowledge and attitudes towards SLT/AN-CP especially in low economical settings

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Knowledge and Attitudes of Nursing Students Towards Smokeless Tobacco and Areca Nut Control in Central Province of Sri Lanka

Hettiarachchi

Jayasooriya

Amarasinghe

et al. 2020

Asian Pac J Cancer Care

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“…Concern was raised about possible cardiovascular toxicity due to the nicotine-like effects of varenicline and anecdotal reports of adverse cardiovascular events, but several meta-analyses, a large retrospective cohort study, and clinical trials in smokers with cardiovascular disease, as well as the EAGLES trial, showed no increase in cardiovascular risk ( 147 , 148 ). Varenicline has also been found efficacious for cessation of smokeless tobacco use ( 149 ).…”

Section: Treating Nicotine Addiction In Adults With a Focus On Convementioning

confidence: 99%

Current advances in research in treatment and recovery: Nicotine addiction

2019

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The health harms of combusted tobacco use are undeniable. With market and regulatory pressures to reduce the harms of nicotine delivery by combustion, the tobacco product landscape has diversified to include smokeless, heated, and electronic nicotine vaping products. Products of tobacco combustion are the main cause of smokinginduced disease, and nicotine addiction sustains tobacco use. An understanding of the biology and clinical features of nicotine addiction and the conditioning of behavior that occurs via stimuli paired with frequent nicotine dosing, as with a smoked cigarette, is important for informing pharmacologic and behavioral treatment targets. We review current advances in research on nicotine addiction treatment and recovery, with a focus on conventional combustible cigarette use. Our review covers evidence-based methods to treat smoking in adults and policy approaches to prevent nicotine product initiation in youth. In closing, we discuss emerging areas of evidence and consider new directions for advancing the field.

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“…It admonishes that all health professionals should address tobacco cessation activities as a component of their standard of care service, serve as tobaccofree models for the public, assess exposure to passive smoking, and provide information about avoiding all forms of exposure to tobacco [12]. Literature regarding specific tobacco cessation interventions carried out in Africa is not comprehensive enough to conclude what works and what does not [7,13]. Studies have reported that cessation interventions are well established in developed countries with various literature on what services work through selected professionals on various groups of people [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

A systematic review of tobacco smoking cessation services in Africa: Practices and challenges faced by healthcare workers

2021

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Background: Tobacco smoking is a global public health challenge, resulting in an estimated loss of 1.4 trillion United States Dollars (USD), a preventable risk that can be achieved through tobacco cessation services. The study, therefore, aimed to review the most frequently used methods employed by healthcare workers (HCWs) in providing tobacco cessation services and reported challenges in Africa. Methods: A systematic review was conducted using five electronic databases (PubMed, Base, PsychInfo, Google Scholar, and African Journal Online) for published studies on HCW’s practices and challenges on tobacco cessation in Africa. We adopted a three-stage methodology to conduct the study, which identified articles using pre-defined key terms, screened articles to remove duplicates, and excluded irrelevant articles after reading the manuscripts’ titles and abstracts. Results: We reviewed articles and found that 35.0% to 83.0% of HCWs frequently asked their patients to quit smoking. Also, 14.9% of HCWs assisted smoking cessation among their patients, among whom 3.9% prescribed oral depressants and 2.8% prescribed Nicotine Replacement Therapy (NRT). Further, 17.0% of HCWs had guidelines to help patients to cease smoking. Challenges were lack of efficacy and training, lack of system support, low sense of responsibility by some physicians to incorporate the smoking cessation therapy to their patients, lack of attractive educational resources on smoking cessation, limited knowledge on effective intervention strategies, lack of guidelines, lack of specialists for smoking cessation, and unavailability of NRT. Conclusion: Follow-up should be commenced and intensified by HCWs for smoking cessation among tobacco smokers.

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Interventions for smokeless tobacco use cessation

Cited by 83 publications

References 102 publications

Knowledge and Attitudes of Nursing Students Towards Smokeless Tobacco and Areca Nut Control in Central Province of Sri Lanka

Knowledge and Attitudes of Nursing Students Towards Smokeless Tobacco and Areca Nut Control in Central Province of Sri Lanka

Current advances in research in treatment and recovery: Nicotine addiction

A systematic review of tobacco smoking cessation services in Africa: Practices and challenges faced by healthcare workers

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