Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-29T00:38:49.989Z Has data issue: false hasContentIssue false

Are Single-session Smoking Cessation Groups a Feasible Option for Rural Australia? – Outcomes From a Pilot Study

Published online by Cambridge University Press:  19 March 2014

Gillian S. Gould*
Affiliation:
School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University (Cairns Campus) School of Health and Human Sciences, Southern Cross University (Coffs Harbour Campus)
Tracey Watters
Affiliation:
School of Health and Human Sciences, Southern Cross University (Coffs Harbour Campus)
*
Address for Correspondence: Dr Gillian S. Gould, PO Box 9077, Moonee Beach NSW 2450, Australia Email: [email protected]

Abstract

Introduction: Single-session group smoking cessation interventions have received little attention in the literature.

Aims: This study aimed to test the feasibility and outcomes of a single-session large group smoking cessation intervention in a rural area of New South Wales.

Methods: Participants from a smoking cessation course (N = 42) were asked about cigarette consumption, quit attempts, and readiness and confidence to quit at registration and six months. The two-hour intervention occurred in a group setting and comprised of cognitive behaviour therapy and pharmacotherapy advice.

Results: The analysis revealed a 26.2% (N = 11) quit rate based on self-report and/or carbon monoxide validation at 6 months (intention to treat). Those who quit all used pharmacotherapy: eight (73%) Nicotine Replacement Therapy (NRT); two (18%) varenicline and one (9%) bupropion with NRT. Seven people (17%) used medicines to reduce consumption of cigarettes. A paired samples t test of those still smoking showed a statistically significant decrease in the numbers of cigarettes smoked per day (p<.001).

Conclusion: The quit rate of 26.2% from this large single-session smoking cessation course is comparable to that expected from groups having multiple sessions. As a pilot study, these data suggest that a multi-faceted single-session two-hour smoking cessation intervention can successfully support quit attempts in a rural location.

Type
Articles
Copyright
Copyright © The Author(s), published by Cambridge University Press on behalf of Australian Academic Press Pty Ltd 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Centre for Epidemiology and Research. (2010). 2009 Summary Report on Adult Health from the New South Wales Population Health Survey. Sydney: NSW Department of Health.Google Scholar
Ellerman, A., Ford, C., & Stillman, S. (2012). Chapter 7 – Theories about smoking and quitting – Cognitive Behavioural Therapy (CBT). In Scollo, MM (ed.), Tobacco in Australia: Facts and Issues. 4th ed. Melbourne: Cancer Council Victoria.Google Scholar
Fiore, M.C., Bailey, W.C., Cohen, S.J., Dorfman, S.F., Goldstein, M.G., Gritz, E.R., et al. (1996). Smoking Cessation Clinical Practice Guidelines No. 18. Rockville, MD: U.S. Department of Human and Health Services, Public Health Service, Agency for Health Care Policy and Research.Google Scholar
Gould, G.S. (2014). Drug and Alcohol Review, 33 (1):9398. doi: 10.1111/dar.12082.Google Scholar
Gould, G.S., & McGechan, A. (2009). Group Smoking Cessation Programs in Rural Australia: how much is enough? Paper presented at the Oceania Tobacco Control Conference, Darwin.Google Scholar
Gould, G.S., McGechan, A., & van der Zwan, R. (2009). Give Up The Smokes – A Smoking Cessation Program for Indigenous Australians. Paper presented at the 10th National Rural Health Conference, Cairns. Available from: http://10thnrhc.ruralhealth.org.au/papers/docs/Gould_Gillian_D9.pdf Google Scholar
Hughes, J.R., & Carpenter, M.J. (2005). The feasibility of smoking reduction: an update. Addiction, 100 (8), 10741089. doi: 10.1111/j.1360-0443.2005.01174.x Google Scholar
Hutter, H.P., Moshammer, H., & Neuberger, M. (2006). Smoking cessation at the workplace: 1 year success of short seminars. International Archives of Occupational and Environmental Health, 79, 4248. doi: 10.1007/s00420-005-0034-y CrossRefGoogle ScholarPubMed
Kotz, D., & West, R. (2009). Explaining the social gradient: it's not in the trying, but in the succeeding. Tobacco Control, 18, 4346.Google Scholar
McEwen, A., West, R., & McRobbie, H. (2006). Effectiveness of specialist group treatment for smoking cessation vs. one-to-one treatment in primary care. Addictive Behaviours, 31, 16501660.Google Scholar
Mohamad, H.N.M. (2011). Group-based behavioural intervention for smoking cessation: Is it all in their heads? Journal of Smoking Cessation, 6 (1), 12. doi: 10.1375/jsc.6.1.1 Google Scholar
Moshammer, H., & Neuberger, M. (2007). Long term success of short smoking cessation seminars supported by occupational health care. Addictive Behaviors, 32, 14861493.Google Scholar
Mottillo, S., Filion, K.B., Belisle, P., Joseph, L., Gervais, A., O'Loughlin, J., et al. (2009). Behavioural interventions for smoking cessation: a meta-analysis of randomized controlled trials. European Heart Journal, 30 (6), 718730.Google Scholar
NSW Health. (2005). Let's take a moment - quit smoking brief intervention - a guide for all health professionals. Sydney: Tobacco & Health, NSW Department of Health.Google Scholar
PHIDU. (2007). Population health profile of the Mid North Coast Division of General Practice: supplement. Population Profile Series: No. 22a. Adelaide: Public Health Information Development Unit (PHIDU).Google Scholar
Rabkin, S.W., Boyko, E., Shane, F., & Kaufert, J. (1984). A randomized trial comparing smoking cessation programs utilizing behaviour modification, health education or hypnosis. Addictive Behaviors, 9, 151173.Google Scholar
Ramos, M., Ripoll, J., Estrades, T., Socias, I., Fe, A., Duro, R., et al. (2010). Effectiveness of intensive group and individual interventions for smoking cessation in primary health care settings: a randomized trial. BMC Public Health, 10, 89. doi: 10.1186/1471–2458–10–89 Google Scholar
Stead, L.F., & Lancaster, T. (2005). Group behaviour therapy programmes for smoking cessation. Cochrane Database of Systematic Reviews, Issue 2. Art. No.: CD001007. doi: 10.1002/14651858.CD001007.pub2 Google Scholar
Stead, L.F., & Lancaster, T. (2012). Behavioural interventions as adjuncts to pharmacotherapy for smoking cessation. Cochrane Database of Systematic Reviews, Issue 12 Art No: CD009670.Google Scholar
West, R. (2005). Assessing smoking cessation performance in NHS Stop Smoking Services: The Russell Standard (Clinical) - Version 2. April 2005. Available from: http://www.rjwest.co.uk/resources.php Google Scholar
Winstanley, M. (2012). Chapter 3: The health effects of active smoking in: Scollo, M.M., & Winstanley, M.H. (Eds). Tobacco in Australia: Facts and Issues. 4th ed. Melbourne: Cancer Council Victoria.Google Scholar