Woolcock Institute of Medical Research, Hanoi, Vietnam.
South Western Sydney Clinical School, The University of New South Wales, Sydney, Australia.
BMC Public Health. 2022 Apr 13;22(1):739. doi: 10.1186/s12889-022-13203-y.
Limited evidence is available about the combination of multiple smoking cessation modalities in low- and middle-income countries. The study aimed to assess the feasibility of a smoking cessation intervention that integrates follow-up counselling phone calls and scheduled text messages with brief advice from physicians in Vietnam.
This was a single-arm intervention study. Smokers were referred to the study Quitline after brief advice by physicians at three rural district hospitals in Hanoi, Vietnam. Following referral, participants received nine counselling phone calls in 12 months and a scheduled text message service that lasted for three months. Participants who reported smoking cessation for at least 30 days at the 12-month follow-up were invited for a urinary cotinine test to confirm cessation.
The Quitline centre had 431 referrals from participating hospitals. Among them, 221 (51.3%) were enrolled. After the baseline phone call, 141 (63.8%) participated in all 4 follow-up calls within the first month and 117 (52.9%) participated in all phone calls in 12 months. The median number of successful phone calls was 8 (interquartile range: 6 - 8). At the end of the study, 90 (40.7%) self-reported abstinence from smoking over the previous 30 days. Among them, 22 (24.4%) submitted a sample for cotinine test, of which 13 (59.1% of those tested) returned a negative result. The proportion of biochemically-verified quitters was 5.9%.
The integration of brief advice and referral from healthcare facilities, Quitline counselling phone calls, and scheduled text messaging was feasible in rural health facilities in northern Vietnam.
ACTRN12619000554167 .
在中低收入国家，有限的证据表明多种戒烟方式的结合。本研究旨在评估一种戒烟干预措施在越南的可行性，该措施将医生提供的简短建议与随访咨询电话和定期短信相结合。
这是一项单臂干预研究。在越南河内的三家农村地区医院，医生提供简短建议后，吸烟者被转介到研究戒烟热线。转介后，参与者在 12 个月内接受了 9 次咨询电话，并且接受了为期 3 个月的定期短信服务。在 12 个月的随访中报告至少 30 天戒烟的参与者被邀请进行尿液可替宁检测以确认戒烟。
戒烟热线中心收到来自参与医院的 431 次转介。其中，221 人（51.3%）入组。在基线电话后，141 人（63.8%）在第一个月内参加了所有 4 次随访电话，117 人（52.9%）在 12 个月内参加了所有电话。成功电话次数的中位数为 8 次（四分位距：6-8）。研究结束时，90 人（40.7%）报告在过去 30 天内完全戒烟。其中，22 人（24.4%）提交了可替宁检测样本，其中 13 人（检测人数的 59.1%）检测结果为阴性。生物化学验证的戒烟者比例为 5.9%。
在越南北部农村卫生机构中，将简短建议与医疗设施转介、戒烟热线咨询电话和定期短信相结合是可行的。
ACTRN12619000554167。
