Health-Related Quality of Life among People Receiving Smoking Cessation Services
Keywords:
Health-related Quality of Life, Quit Smoking, Smoking Cessation, ThailandAbstract
Few studies have addressed health-related quality of life and smoking cessation although known improvements can encourage smokers to quit. This cross-sectional study examined smoking quit rates and health-related quality of life among smokers receiving cessation services in ten Quit Clinic Hospitals throughout Thailand. A random sample of 715 smokers participated in the study. Data were collected from medical records and via telephone interviews from March to July 2015. Research instruments included demographic questions, a smoking screening form, the Quit Smoking Questionnaire; and the EuroQol-5 Dimensions 5 Levels Questionnaire (Thai version). Data were analyzed using descriptive statistics, Chi-square, and independent sample t-test.
Most participants (97.1%) were male and between 25 and 64 years of age. Most had heaviness of smoking index scores less than four, indicating low nicotine dependence. The self-reported continuous abstinence rate at 6-months was 40.5%. The participants who stopped smoking by 6 months had higher average scores on the health-related quality of life than those who continued to smoke. As nurses are recognized as influential persons in the health care team, they can implement tobacco cessation interventions through a variety of strategies, such as providing brief advice, and referring for advanced treatment. Likewise, nurses need to consider assessing health-related quality of life of smokers and use such information to advocate smokers to quit.
References
2. Pitayarangsarit S, Chotibenjamaporn P, Pankrajang P. (Eds). A situation of tobacco control in Thailand 2016. Bangkok: Charoendee Munkong Publishing; 2016. (in Thai).
3. Pitayarangsarit S, Pankrajang P. (Eds). A report on tobacco consumption in Thailand 2018. Bangkok: Charoendee Munkong Publishing; 2018. (in Thai).
4. Karnjanapiboonwong A. NCDs situation: Kick off to the goals. Nonthaburi: International Health Policy Program; 2016. (in Thai).
5. Pitayarangsarit S, Garg R, Khunsri S, Thepsit S, Apiya T. Situation on NCDs prevention and control in Thailand. Nonthaburi: Department of Disease Control, Ministry of Public Health; 2018. [cited 2018 Nov 4]. Available from: http://www.thaincd.com/document/file/download/ paper-manual/NCDUNIATF61.pdf
6. Bundhamcharoen K, Aungkulanon S, Makka N, Shibuya K. Economic burden from smoking-related diseases in Thailand. Tob Control. 2016; 25(5): 532-7. doi.org/ 10.1136/tobaccocontrol-2015-052319
7. World Health Organization. WHO Framework convention on tobacco control: Guidelines for implementation Article 5.3; Article 8; Article 9 and 10; Article 11; Article 12; Article 13; Article 14 – 2013 edition. Switzerland: World Health Organization; 2013.
8. West R, Raw M, McNeill A, Stead L, Aveyard, P, Bitton J, et al. Health-care interventions to promote and assist tobacco cessation: a review of efficacy, effectiveness and affordability for use in national guideline development. Addiction. 2015; 110: 1388–1403. http://doi.org/10.1111/add.12998
9. World Health Organization. WHO report on the global tobacco epidemic, 2013: enforcing bans on tobacco advertising, promotion and sponsorship. Luxembourg: WHO Press, World Health Organization; 2013.
10. Kazemzadeh Z, Manzari Z, & Pouresmail Z. Nursing interventions for smoking cessation in hospitalized patients: a systematic review. Int Nurs Rev. 2017; 64(2): 263-75. doi: 10.1111/inr.12320.
11. Rice VH, Heath L, Livingstone-Banks J, Hartmann-Boyce JL. Nursing interventions for smoking cessation. Cochrane Database Syst Rev. 2017 Dec 15;12:CD001188. doi: 10.1002/14651858.CD001188.pub5.
12. International Council of Nurses. Tobacco use and health: ICN Position Statement. [cited 2019 Mar 19]. Available from: https://www.icn.ch/nursing-policy/position-statements
13. Preechawong S, Vateesatokit K, & Suwanratsamee S. Effects of tobacco cessation counseling training on Thai professional nurses’ self-efficacy and cessation counseling practices. Pacific Rim Int J Nurs Res. 2011; 15 (1): 3 – 12.
14. Sarna L, Bialous SA, Cooley ME, Jun HJ, Feskanich D. Impact of smoking and smoking cessation on health-related quality of life in women in the Nurses’ Health Study. Qual Life Res. 2008; 17(10): 1217–27. doi.org/10.1007/ s11136-008-9404-8
15. Rezaei S, Matin BK, Karyani AK, Woldemichael A, Khosravi F, Khosravipour M, et al. Impact of smoking on health-related quality of life: A general population survey in west Iran. Asian Pac J Cancer Prev. 2017; 18(11): 3179-85. doi.org/10.22034/APJCP.2017.18.11.3179
16. Levy DE, Chang Y, Regan S, Tindle HA, Singer DE, Rigotti NA. Improvements in health-related quality of life among smokers who quit after hospitalization. Prev Med. 2018; 110: 38-46. doi: 10.1016/j.ypmed.2018.02.006
17. Session 3. APSR6-0842: Setting up a successful smoking cessation program. Respirology. 2016; 21: 7-9. doi: 10.1111/resp.12939_4
18. Tomioka H, Sekiya R, Nishio C, Ishimoto G. Impact of smoking cessation therapy on health-related quality of life. BMJ Open Respir Res. 2014; 1(1): e000047. doi:10.1136/bmjresp-2014-000047
19. Goldenberg M, Danovitch I, IsHak WW. Quality of life and smoking. Am J Addict. 2014; 23 (6): 540-562. doi:10.1111/j.1521-0391.2014.12148.x
20. Yunibhand J, Preechawong S, Rojnawee S, Khongtor O, Wongsaita N, Khamrath J. Effects of follow-up support calls on quality of life and quit rate among smokers calling Thailand National Quitline. Research report. Chulalongkorn University. Bangkok; 2015.
21. Rojnawee S, Khongtor O, Preechawong S, Yunibhand J, Wongsaita N, Khamrath J. Predicting factors of smoking cessation among smokers calling Thailand National Quitline. Journal of Nurs Science & Health. 2016; 339(1): 37-47. (in Thai).
22. Chen PC, Kuo RN, Lai CK, Tsai ST, Lee YC. The relationship between smoking status and health-related quality of life among smokers who participated in a 1-year smoking cessation programme in Taiwan: a cohort study using the EQ-5D. BMJ Open. 2015; 5(5), e007249. doi.org/10.1136/bmjopen-2014-007249
23. Herdman M, Gudex C, Lloyd A, Janssen M, Kind P, Parkin D, et al. Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual Life Res. 2011; 20(10):1727-36. http://doi.org/10.1007/ s11136-011-9903-x
24. Sakthong P, Sonsa-Ardjit N, Sukarnjanaset P, Munpan W. Psychometric properties of the EQ-5D-5L in Thai patients with chronic diseases. Qual Life Res. 2015; 24(12): 3015-22. doi.org/10.1007/s11136-015-1038-z
25. EQ-5D-5L User Guide. Basic information on how to use the EQ-5D-5L instrument. [cited 2019 Mar 6]. Available from: https://euroqol.org/wp-content/uploads/ 2016/09/EQ-5D-5L_UserGuide_2015.pdf
26. Pattanaphesaj J. Health related quality of life measure (EQ-5D-5L): Measurement property testing and its preference-based score in Thai population. [Dissertation]. [Bangkok]: Mahidol University; 2014.
27. The Health Intervention and Technology Assessment Program (HITAP). Calculating the utility score. [cited 2019 March 17]. Available from http://www.hitap.net/documents/89762
28. Pattanaphesaj J, Thavorncharoensap M. Measurement properties of the EQ-5D-5L compared to EQ-5D-3L in the Thai diabetes patients. Health Qual Life Outcomes. 2015;13:14. doi: 10.1186/s12955-014-0203-3
29. Lim KH, Idzwan MF, Sumarni MG, Kee CC, Amal NM, Lim KK, Gurpreet K. Heaviness of smoking index, number of cigarettes smoked and the Fagerstrom test for nicotine dependence among adult male Malaysians. Asian Pac J Cancer Prev. 2012;13(1):343-6.
30. Zawertailo L, Voci S, Selby P. The Cigarette Dependence Scale and Heaviness of Smoking Index as predictors of smoking cessation after 10weeks of nicotine replacement therapy and at 6-month follow-up. Addict Behav. 2018; 78:223-227. doi: 10.1016/j.addbeh.2017.11.036.
31. Meeyai A, Yunibhand J, Punkrajang P, Pitayarangsarit S. An evaluation of usage patterns, effectiveness and cost of the national smoking cessation quitline in Thailand. Tob Control. 2015 Sep;24(5):481-8.
32. Jampaklay A, Borland R, Yong HH, Sirirassamee B, Fotuhi O, Fong GT. Predictors of Successful Quitting among Thai Adult Smokers: Evidence from ITC-SEA (Thailand) Survey. Int J Environ Res Public Health. 2015;12(10): 12095-109. doi:10.3390/ijerph1210 12095
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