Physician's advice on quitting smoking in HIV and TB patients in south India: a randomised clinical trial

Kumar, S. Ramesh; Pooranagangadevi, N; Rajendran, Mahalakshmi; Mayer, Kenneth H.; Flanigan, Timothy P.; Niaura, Raymond; Balaguru, Sridhar; Venkatesan, P; Swaminathan, Soumya

doi:10.5588/pha.16.0045

Cited by 16 publications

(32 citation statements)

References 10 publications

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“…• Smokers who received smoking cessation intervention (SCI) from a TB health visitor trained to deliver the ABC package (A=ask, B=brief advice, C=cessation support) were more likely to quit smoking compared to those who received existing standard of care in TB case management in India 15 . • In the study by Kumar et al 16 , the quit rate in the intervention group (physicians' advice) was higher compared to the control group, but with no significant difference. However, the study evaluated only a 1-month abstinence period in a relatively small sample.…”

Section: Facilitators Of Smoking Cessation/tdt In Patients With Tb Ofmentioning

confidence: 86%

“…All studies but one (in French) were published in English. Eight of the included studies were RCS [13][14][15][16][17][18][19][20] , 28 articles reported on non-randomized studies . Characteristics of the studies and their main findings are presented in Tables 1 and 2.…”

Section: Characteristics Of Eligible Studiesmentioning

confidence: 99%

“…The most frequently described facilitators that foster smoking cessation/TDT in TB patients were repeated brief interventions (including motivation and brochures) [15][16][17]28,31 followed by personalized behavioural counselling incorporated into routine TB services 24,35,43,46 . The SCIDOT project showed that adding smoking cessation intervention (SCI) to conventional DOTS increased biochemically validated 6-month abstinence 24 .…”

Section: Facilitators Of Smoking Cessation/tdt In Patients With Tb Ofmentioning

confidence: 99%

“…*** *** Living in urban areas, office jobs, being single significantly increased the intention to quit smoking 22 Combined interventions 13,19,20 Brief, but repeated interventions, motivation, brochures [15][16][17]28,31 Tobacco-free healthcare facilities 25 Time from waking to first cigarette of >30 min, routine screening for smoking, having a smoke-free home and display of 'no smoking' sign at home, regular reminders and encouragement of by family members to quit smoking 25 Willingness to quit -higher in those with previous attempt(s) in the past year 32 Incorporating of training in brief advice into existing training of DOTS providers 33 Personalized behavioural counselling incorporated into routine TB services 24,35,43,46 High level of awareness regarding smoking risk for health 36 Multiple risk behaviour interventions 37 Repeated tobacco use intervention follow-up at a minimum of 6 months after end of TB treatment 30,43 Providing intervention not only at a health facility but also on a daily basis at community level by health volunteers 46…”

Section: Facilitators Of Smoking Cessation/tdt In Patients With Tb Ofmentioning

confidence: 99%

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A narrative review of facilitators and barriers to smoking cessation and tobacco-dependence treatment in patients with tuberculosis in low- and middle-income countries

Zvolská¹,

Pánková²,

Nohavová³

et al. 2020

Tob. Induc. Dis.

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INTRODUCTION Smoking is a substantial cause of premature death in patients with tuberculosis (TB), particularly in low-and middle-income countries (LMICs) with high TB prevalence. The importance of incorporating smoking cessation and tobacco-dependence treatment (TDT) into TB care is highlighted in the most recent TB care guidelines. Our objective is to identify the likely key facilitators of and barriers to smoking cessation for patients with TB in LMICs. METHODS A systematic search of studies with English-language abstracts published between January 2000 and May 2019 was undertaken in the EMBASE, MEDLINE, EBSCO, ProQuest, Cochrane and Web of Science databases. Data extraction was followed by study-quality assessment and a descriptive and narrative synthesis of findings. RESULTS Out of 267 potentially eligible articles, 36 satisfied the inclusion criteria. Methodological quality of non-randomized studies was variable; low risk of bias was assessed in most randomized controlled studies. Identified facilitators included brief, repeated interventions, personalized behavioural counselling, offer of pharmacotherapy, smoke-free homes and a reasonable awareness of smoking-associated risks. Barriers included craving for a cigarette, low level of education, unemployment, easy access to tobacco in the hospital setting, lack of knowledge about quit strategies, and limited space and privacy at the clinics. Findings show that the risk of smoking relapse could be reduced through consistent follow-up upon completion of TB therapy and receiving a disease-specific smoking cessation message. CONCLUSIONS Raising awareness of smoking-related health risks in patients with TB and implementing guideline-recommended standardized TDT within national TB programmes could increase smoking cessation rates in this high-risk population.

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Section: Facilitators Of Smoking Cessation/tdt In Patients With Tb Ofmentioning

confidence: 86%

Section: Characteristics Of Eligible Studiesmentioning

confidence: 99%

Section: Facilitators Of Smoking Cessation/tdt In Patients With Tb Ofmentioning

confidence: 99%

Section: Facilitators Of Smoking Cessation/tdt In Patients With Tb Ofmentioning

confidence: 99%

See 2 more Smart Citations

A narrative review of facilitators and barriers to smoking cessation and tobacco-dependence treatment in patients with tuberculosis in low- and middle-income countries

Zvolská¹,

Pánková²,

Nohavová³

et al. 2020

Tob. Induc. Dis.

View full text Add to dashboard Cite

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“…Some of the leading health problems are as follows: According to National Family Health Survey-3(NFHS-3) conducted in 2005-06, the percentage of men and women aged 15-49 years smoking bidis or cigarettes in India was 32.7% and 1.4% respectively. 2 Alcohol Prevalence in India among men varies from 23% to 74% and among women from 28% to 48% at different parts of India. 3 PEM is measured in terms of underweight (low weight for age), stunting (low height for age) and wasting (low weight for height).…”

Section: Introductionmentioning

confidence: 99%

Health Related Advertisements in Audiovisual Media: A Content Analysis in Karnataka, India

M.Sn¹,

An²,

Jayashree³

2019

IJMEDPH

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Introduction: Mass media provides information among people at large, so that there is acceptance of any idea to create interest. There are various types of mass media-magazines, television, internet, newspapers, etc. The media have the power to direct our attention towards certain issues. Thus it can be said that, mass media plays an important role in shaping the lifestyle and through that the habits-good or bad among the public. So, we have studied the different types of health awareness creating advertisements broadcasted in two types of mass media namely television (Audio-visual) and radio (Audio). Methods: A Content analysis of health related advertisements was done in selected channels from television and radio stations and a survey was conducted later to know the effect of those advertisements on public. Results: The major areas covered in health awareness were on DOTS, Clean drinking water, NACO-ICTC, Iodized Salt and Zinc tablet. It was found that the health related advertisements especially those aimed at raising awareness decreased during weekends. In the survey conducted, it was found that not many people were interested in looking at advertisements. And of those who watched or listened to advertisements only a few could recall any health message. Conclusion: Many of the government sponsored advertisements do not find their place in commercial channels which attract larger viewership. It's better to increase health awareness related advertisements during weekends and prime time..

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Interventions for tobacco use cessation in people living with HIV

Mdege,

Shah,

Dogar

et al. 2024

Cochrane Database of Systematic Reviews

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Physician's advice on quitting smoking in HIV and TB patients in south India: a randomised clinical trial

Cited by 16 publications

References 10 publications

A narrative review of facilitators and barriers to smoking cessation and tobacco-dependence treatment in patients with tuberculosis in low- and middle-income countries

A narrative review of facilitators and barriers to smoking cessation and tobacco-dependence treatment in patients with tuberculosis in low- and middle-income countries

Health Related Advertisements in Audiovisual Media: A Content Analysis in Karnataka, India

Interventions for tobacco use cessation in people living with HIV

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