Multiple approaches and participation rate for a community based smoking cessation intervention trial in rural Kerala, India.
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Date
2013-06-27
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Abstract
BACKGROUND To illustrate multiple approaches and to assess participation rates adopted for a community based smoking cessation intervention programme in rural Kerala MATERIALS AND METHODS Resident males in the age group 18 60 years who were current daily smokers from 4 randomly allocated community development blocks of rural Thiruvananthapuram district Kerala 2 intervention and 2 control groups were selected Smoking status was assessed through house to house survey using trained volunteers Multiple approaches included awareness on tobacco hazards during baseline survey and distribution of multicolour anti tobacco leaflets for intervention and control groups Further the intervention group received a tobacco cessation booklet and four sessions of counselling which included a one time group counselling cum medical camp followed by proactive counselling through face to face FTF interview and mobile phone In the second and fourth session motivational counselling was conducted RESULTS Among 928 smokers identified smokers in intervention and control groups numbered 474 mean age 44 6 years SD 9 66 years and 454 respectively 44 5 years SD 10 30 years Among the 474 subjects 75 16 had attended the group counselling cum medical camp after completion of baseline survey in the intervention group Among the remaining subjects n 399 88 were contacted through FTF and mobile phone 8 5 In the second session 4 6 weeks time period the response rate for individual counselling was 94 78 through FTF and 16 through mobile phone At 3 months 70 4 were contacted by their mobile phone and further 19 6 through FTF total 90 while at 6 months fourth session the response rate was 74 and 16 4 for FTF and mobile phone respectively covering 90 4 of the total subjects Overall in the intervention group 97 4 of subjects were being contacted at least once and individual counselling given CONCLUSION Proactive community centred intervention programmes using multiple approaches were found to be successful to increase the participation rate for intervention