Evaluation of Treatment Project for Tobacco Cessation with Varinnicline in Pakthongchai Hospital

Abstract

The objective of this research was to evaluate the effectiveness of tobacco cessation program by using Varenicline in Pakthongchai hospital. The study used Stufflebeam’s CIPP evaluation model including Contexts, Input, Process and Product. The data were collected from 8 health professionals and 22 smokers and 3 relatives. Researchers also collected information from 204 patients of medical records, in-depth interviews, focus group discussions and observations. The data were analyzed by using descriptive statistics: frequencies and percentages and qualitative analysis using content analysis with triangulation of data. Data from the context evaluation showed that, at the beginning of the program, meetings were held to prepare all related personnel at all levels to clarify their professional roles. The hospital already provided tobacco cessation clinic named “Smokeless Lungs” under Psychiatric and Narcotic Division but service flow and service points were quite complicated for clients. The follow-up guideline was not clear. Some clients who experienced side effects that affect their daily activities decided to discontinue their medications. Some clients experienced relapses. The Results from the program showed that the samples who received the treatment were male (95.57 percent), ages 61 years and above (27.94 percent), married (58.82 percent), completed primary education (48.04 percent), were employee (57.35 percent), started smoking during ages 11-20 years old (91.18 percent), had chronic illness (67.65 percent) with hypertension were found the most (20.10 percent). The samples wanted to quit smoking because of their illness and health issues (76.96 percent). Their nicotine addiction was at a moderate level (55.88 percent). Outcome of the program showed that the samples were able to quit smoking for three months (n = 21, 10.29%), six months (n = 68, 33.33%) and twelve months (n = 42, 20.58%). About one-third of the samples were able to reduce tobacco consumption (n= = 59, 28.92%) while a few were unable to stop smoking (n = 14, 6.68). Suggestion: Screening smoker in all other chronic disease clinic should be done in every case. The providing motivational   advice on tobacco cessation one-stop service and tracking after therapy by local networks and enhancing motivation skill for the follow-up team.