419: Strategies to Promote Smoking Cessation in General Practice: Results of a Cluster-Randomized Trial

The study aimed to estimate the cost for developing and implementing 2 smoking cessation service delivery models that were evaluated in a 2-arm cluster randomized trial in Commune Health Centers (CHCs) in Vietnam. In the first model (4As) CHC providers were trained to ask about tobacco use, advise smokers to quit, assess readiness to quit, and assist with brief counseling. The second model included the 4As plus a referral to Village Health Workers (VHWs) who were trained to provide multisession home-based counseling (4As + R). An activity-based ingredients (ABC-I) costing approach with a healthcare provider perspective was applied to collect the costs for each intervention model. Opportunity costs were excluded. Costs during preparation and implementation phase were estimated. Sensitivity analysis of the cost per smoker with the included intervention’ activities were conducted. The cost per facility-based counseling session ranged from USD 9 to USD 11. Cost per home-based counseling session at 4As + R model was USD 4. The non-delivery cost attributed to supportive activities (eg, Monitoring, Logistic, Research, General training) was USD 107 per counseling session. Cost per smoker ranged from USD 6 to USD 451. The study analyzed and compared cost of implementing and scaling community-based smoking cessation service models in Vietnam.

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Effects of a multifaceted intervention on cardiovascular risk factors in high-risk hypertensive patients: the ESCAPE trial, a pragmatic cluster randomized trial in general practice

Trials ◽

10.1186/1745-6215-14-318 ◽

2013 ◽

Vol 14 (1) ◽

pp. 318 ◽

Cited By ~ 5

Author(s):

Denis Pouchain ◽

Michel Lièvre ◽

Dominique Huas ◽

Jean-Pierre Lebeau ◽

Vincent Renard ◽

...

Keyword(s):

Risk Factors ◽

General Practice ◽

Cardiovascular Risk ◽

High Risk ◽

Randomized Trial ◽

Cardiovascular Risk Factors ◽

Cluster Randomized Trial ◽

Escape Trial ◽

Hypertensive Patients ◽

Cluster Randomized

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Family Support and Readiness to Consider Smoking Cessation among Chinese and Vietnamese American Male Smokers

The Journal of Smoking Cessation ◽

10.1155/2021/6678219 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Joan A. Daniel ◽

Jin E. Kim-Mozeleski ◽

Krishna C. Poudel ◽

Angela Sun ◽

Nancy J. Burke ◽

...

Keyword(s):

Smoking Cessation ◽

Family Support ◽

Asian American ◽

Limited English Proficiency ◽

Healthy Lifestyle ◽

Cluster Randomized Trial ◽

Vietnamese American ◽

Promote Smoking Cessation ◽

Family Based ◽

Cluster Randomized

Introduction. Smoking prevalence is disproportionately high among Asian American immigrant men with limited English proficiency. Understanding the role of family support may provide insights into culturally acceptable strategies to promote smoking cessation. Aims. This study examined how family support was associated with readiness to consider smoking cessation among Chinese and Vietnamese American male daily smokers. Methods. We analyzed baseline data ( N = 340 ) from a cluster randomized trial of a family-based healthy lifestyle intervention. We assessed the frequency of receiving family support in various forms (encouraging use of cessation resources, praising efforts, checking in, and reminding of familial role). Multiple regression analysis was used to determine associations between family support areas and readiness to consider smoking cessation, controlling for covariates. Results/Findings. Reporting a higher frequency of receiving praise and encouragement for one’s efforts to quit was positively associated with readiness to consider cessation. Other areas of family support were not significant. Conclusions. These findings provide evidence to explore specific areas of family support in enhancing Asian American smokers’ readiness to consider cessation. As there is high interest from Asian American family members to support their smokers for quitting, culturally specific and acceptable strategies are needed to promote smoking cessation among Asian Americans.

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