Clinical Medicine Journal
Articles Information
Clinical Medicine Journal, Vol.4, No.4, Dec. 2018, Pub. Date: Dec. 6, 2018
Clinical Effectiveness of Smoking Cessation Clinics at Primary Healthcare Facilities of Dubai Health Authority for the Period 2015-2017 Dubai, UAE
Pages: 52-59 Views: 25 Downloads: 16
Authors
[01] Hanan Ali Mubarak Obaid, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[02] Badreyya Ahmed Al Ehremi, Health Centers Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[03] Mohamed Ibrahim El Disouky, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[04] Salah Mohammed Ahmad Thabit, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[05] Laila Sulaiman Ismail, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[06] Irene Gocong Retuya, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[07] Olfat Zuhair Salem Ahmad, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[08] Salah Ahmed Mohamed Elbadawi, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[09] Nahed Abdul Khaleq Monsef, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[10] Moulham Saleh Ashtar, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
Abstract
Tobacco use is a leading preventable cause of non-communicable diseases. The current prevalence of smokers in UAE is (15.67%) in males and (2.40%) in females. Primary health care service sector in DHA started delivering smoking cessation services in January 2015 in two clinics by introduction of a cost effective smoking cessation package in order to help smokers to quit and consequently reduce its prevalence in Dubai. The package included counselling sessions with required investigations. An initial training of health care workers on Tobacco Cessation Management Guidelines prior implementation was conducted. Implementation was monitored by an annual audit against specific indicators and clinical outcomes, which include Smoking quitting rate. The main objective of the study was to monitor the clinical effectiveness of Smoking Cessation Clinics in improving quitting rate among tobacco users. A retrospective review of the electronic medical records of attendants of smoking cessation clinics from January 1st, 2015 until December 31st, 2017 was performed. All smokers who attended the clinics were included. The total number was 624. The audit used structured excel audit tool that included domains of sociodemographic data, smoking pattern, type of treatment received & quitting condition. Data was analyzed manually. Mean frequency and percentages were used for continuous data. The results showed that cigarette smoking was the most common type of tobacco used among smokers (64.9%), followed by pipe (18.1%) then by steam pipe (shisha) (7.3%). Counselling & Nicotine Replacement Therapy (NRT) was used in 42.1% compared to counselling & varenicline, which was used in 29.4%. Counseling alone was used in 28.5% of patients. Percentage of patients who attended the smoking cessation clinics increased from 31% in 2015 to 32% in 2016 and 37% in 2017. Quitting rate increased from 14% in 2015, to 16.3% in 2016 and to 16.6% in 2017. Quitting rate in smokers who received counseling without medicine treatment was 19%. In those who received counseling with medicine treatment was 40%, 28% with NRT and 53% with varenicline. In conclusion, an obvious increase in the percentage of smokers attendance to smoking cessation clinics in PHC is noted, with a progressive increase in quitting rate throughout the three years from 2015 until 2017. In recommendation, the results encourage expanding smoking cessation clinics in Dubai in order to combat the increasing numbers of smokers in the community and support smokers to quit.
Keywords
Smoking Cessation Services, Primary Health Care (PHC), Dubai Health Authority (DHA), United Arab Emirates (UAE), Nicotine Replacement Therapy (NRT), Varenicline
References
[01] The health consequences of smoking, 50 Years of Progress. Report prepared by the U.S. Department of Health and Human Services, office of the Surgeon General, Rockville, MD, 2014, under the general direction of the Centers for Disease Control and Prevention CDC. www.surgeongeneral.gov/library/reports/50-years-of-progress/full-report.pdf
[02] 2018 UAE Vision 2021, World Class Healthcare. https://www.vision2021.ae/en/national-agenda-2021/list/world-class-circle
[03] Dubai Noncommunicable Diseases policy 2018.
[04] The World Health Organization. Noncommunicable diseases country profiles 2018 http://www.who.int/nmh/publications/ncd-profiles-2018/en/
[05] McIvor A, Kayser J, Assaad JM, Brosky G, Demarest P, Desmarais P, Hampson C, Khara M, Pathammavong R, Weinberg R. Best practices for smoking cessation interventions in primary care. US National Library of Medicine National Institutes of Health.PubMed. 2009 Jul-Aug; 16 (4): 129-34. https://www.ncbi.nlm.nih.gov/pubmed/19707607
[06] Siu AL, Behavioral and Pharmacotherapy Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Women. U.S. Preventive Services Task Force Recommendation Statement. PubMed 2015 Oct 20; 163 (8): 622-34. doi: 10.7326/M15-2023.Epub 2015 Sep 22. U.S. Preventive Services Task Force https://www.ncbi.nlm.nih.gov/pubmed/26389730
[07] Patnode CD, Henderson JT, Thompson JH, et al. Behavioral Counseling and Pharmacotherapy Interventions for Tobacco Cessation in Adults, Including Pregnant Women: A Review of Reviews for the U.S. Preventive Services Task Force [Internet].NCBI. Evidence Syntheses, No. 134. Rockville (MD): Agency for Healthcare Research and Quality (US); 2015 Sep. https://www.ncbi.nlm.nih.gov/books/NBK321748/
[08] Agaku IT, King BA, Husten CG, Bunnell R, Ambrose BK, Hu SS, Holder-Hayes E, Day HR; Tobacco product use among adults--United States, 2012-2013.Centers for Disease Control and Prevention (CDC). PubMed, 2014 Jun 27; 63 (25): 542-7. https://www.ncbi.nlm.nih.gov/pubmed/24964880
[09] Michael V., Amy B. LaFrance, Steven P. Dehmer, Dana A. McGree, Thomas J. Flottemesch, Zack Xu, and Leif I. Solberg. Updated Priorities Among Effective Clinical Preventive Services. Annals of Family Medicine January/February 2017 vol. 15 no. 1 14-22. http://www.annfammed.org/content/15/1/14.full.
[10] Randah Ribhi Hamadeh, Jamil Ahmed, Maha Al-Kawari, and Sharifa Bucheeri, Quit tobacco clinics in Bahrain: smoking cessation rates and patient satisfaction, PMC US National Library of Medicine National Institutes of Health, Published online 2017 Jan 21. doi: 10.1186/s12971-017-0115-1 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5251216/
[11] Richard V. Milani, MD and Carl J. Lavie, MD, Smoking Cessation: The Importance of Medical Intervention, PMC US National Library of Medicine National Institutes of Health, Ochsner J. 1999 Jul; 1 (3): 141–144. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3145450/
[12] Brian A. King, Shanta R. Dube, Michael A. Tynan, BA. Current Tobacco Use among Adults in the United States: Findings from the National Adult Tobacco Survey. US national library of medicine, National Institute of health. AmJ Public Health. 2012 November; 102 (11): e93–e100. Published online 2012. November. doi: 10.2105/AJPH.2012.301002 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3477973/
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