Effectiveness of advice from physician and nurse on smoking cessation stage in Taiwanese male smokers attending a community-based integrated screening program.
BACKGROUND
A screening program provides a teachable moment for primary prevention such as encouraging smoking cessation. However, little is known about the efficacy of smoking cessation intervention delivered to the general population through a community-based screening program.


METHODS
A quasi-experimental untreated control design with pre-test and post-test was conducted with 42 subjects receiving advice from physician and nurses (the PNA group), 39 receiving an informational leaflet (the leaflet group), and 308 control subjects.


RESULTS
The overall rate of reaching the action stage was 25 %, 5.7 %, and 7.8 in the PNA group, the leaflet group, and the control group, respectively. In approximately 45-60 % of all participants, the stage remained unchanged. Such an association between the intervention groups and stage changes was statistically significant (p = 0.02). The PNA group was more likely to have the improvement of stage (forward transition toward action stage) than the control group [adjusted odds ratio (aOR) = 2.27 (1.07-4.84)]. Deterioration (backward transition toward precontemplation) in the PNA intervention group was 37 % lower than that in the control group [aOR = 0.63 (0.20-2.01)].


CONCLUSIONS
This study demonstrated that smoking cessation advice from physician and nurse is conducive to smoking cessation, as shown by greater movement toward and less movement away from smoking cessation through a community-based integrated screening platform.
Department of Public Health, Chung Shan Medical University, No.110, Sec. 1, Chien-Kuo N. Road, Taichung, 40201 Taiwan ; Department of Family and Community Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan, ROC.
Dih-Ling
DL
Luh
School of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan.
Sam Li-Sheng
SL
Chen
School of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan.
Amy Ming-Fang
AM
Yen
Department of Health Care Management, College of Management, Chang Gung University, Taoyuan, Taiwan.
Sherry Yueh-Hsia
SY
Chiu
Department of Health Industry Management, Kainan University, Taoyuan, Taiwan.
Ching-Yuan
CY
Fann
Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Room 533, No. 17, Xuzhou Road, Taipei, 10002 Taiwan.
Hsiu-Hsi
HH
Chen
Community; Intervention; Smoking cessation; Transtheoretical model