EFFECTIVENESS OF COMMITTED SMOKING CESSATION CLINIC PRODUCING EXCELLENT QUIT SMOKING RATE OUTCOME
Tobacco epidemic is a huge public health threat, killing more than 7 million people annually. Strengthening tobacco cessation is implemented through committed smoking cessation clinics.
To determine quit smoking rate achieved over 2 years period; 2016-2017 and to look at various methods used to assist smokers to achieve their quit rate and associated factors contributing to it.
This is a retrospective cohort review of patients recruited in the Quit Smoking Clinic, Buntong Health Clinic from 2016-2017. All patients were managed by a committed team which included a family medicine specialist, trained medical officer, pharmacist and nurse, on specific clinic days based on a schedule prepared. They were interviewed using the Modified Fagerström Test for Cigarette Dependence Questionnaire. Carbon Monoxide (CO) Analyser test was done to assess level of addiction. Patients were given counseling and/or pharmacological treatment which included Nicotine Replacement Therapy (NRT); Nicotine gums 2mg and 4mg, and/or Non-Nicotine Replacement Therapy (Non-NRT); Varenicline. Smoking cessation status was evaluated at the end of 6 months or beyond.
A total of 65 patients were recruited and followed up. 42 out of 65 patients managed to quit successfully, giving a quit rate of 65%. Of those who quit, majority, 24 (57.1%) used Varenicline therapy and least, 4 (9.5%) used combination of NRT and non-NRT. Method using medications with counseling were found to be more effective than counseling alone. (*p= 0.004; Fisher’s Exact test).
Smoking cessation clinic is challenging to manage; nevertheless, it is possible with a committed smoking cessation team.