EFFECTIVENESS OF BEHAVIORAL COUNSELLING VERSUS BEHAVIOURAL COUNSELLING WITH NICOTINE GUM ALONE FOR QUITTING TOBACCO USAGE AMONG TUBERCULOSIS PATIENTS VISITING DOTS CENTRES, DELHI.

Completed

Registration Number: CTRI/2019/08/020968

Lead Sponsor: SNEHA MALHOTRA

Brief Summary: **SUMMARY**

The present study was a randomized clinical trial conducted with the aim to assess the to assess the effectiveness oftwo methods of tobacco cessation among tuberculosis patients visiting DOTScentres, Delhi.

To summarise thefindings of the present study following points can be taken intoconsiderations:

1.    Atotal of 90 study subjects who used tobacco products in any form, were includedin the study, Group A consisted of 45 in behavioural counselling group andGroup B consisted of 45 in the behavioural counselling and Nicotine ReplacementTherapy.

2.    Thestudy comprised of 95.6% male subjects and 2.2% femalesubjects. Majority of them belonged to the upperlower socioeconomic status.

3.    Outof 90 subjects, 40% are of the age Group 18-29 yearsin Group A, whereas, the Group B consist of 28.9% of age Group 18-29 years.

4.    Pulmonary TB wasdiagnosed in 82.2% of the subjects in Group A and 62.2% in Group B werediagnosed with Pulmonary TB patients.

5.    Smokeform of tobacco was used by 24.4% study subjects in Group A and 13.3% in Group B.Smokeless form of tobacco was used among 55.6% and 48.9%study subjects in Group A and Group B respectively.

6.    Out of 45 subjects inGroup A, (46.7%) had initiated tobacco use at an age between 15-20 year. InGroup B, nearly 19 (42.2%) had initiated tobacco use at the same age as GroupA. A dominant reason for initiation oftobacco was peer pressure.

7.    Previousquit attempts were not made by 97.8% study subjects inGroup A and by 91.1%study subjects in Group B.

8.    With the help ofbehavioural counselling alone 57.8% study subjects were successful in quittingtobacco and 80% subjectshad quit the habit with the use of NicotineReplacement Therapy along with behavioural counselling after 6 monthsfollow up period.

9.    Study subjects in Group Bwho received Behavioural Counselling and Nicotine Replacement Therapy were moresuccessful in quitting tobacco use when compared to those who receivedBehavioural Counselling.

**CONCLUSION**

Behavioural counselling alone is found to effectiveand feasible in assisting tobacco cessation, but, in patients with higher dependenceBC+NRT is found to be more successful.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 90

Inclusion Criteria

1. All Pulmonary (smear positive and smear negative) and Extrapulmonary Tuberculosis Patients reporting to the Tuberculosis centres, consuming tobacco in any form.
1. All aged more than 18 years of either sex.

Exclusion Criteria

1. Patients having multi-drug resistant tuberculosis at diagnosis.
1. Patients who are medically compromised and have diseases which are contraindications for NRT use.
1. Patients who have received tobacco cessation counselling in the past.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Effectiveness of two methods on the basis of quit status: quit, reduction and status quo.	1st week, 1st month, 3rd month, 6th month

Secondary Outcome Measures

Name	Time	Method
To assess and compare biochemically verified cotinine levels using qualitative tests, to measure nicotine dependence and to know the predictors of tobacco cessation among tuberculosis patients	1st Week, 1st Month, 3rd Month, 6th Month

Trial Locations

Locations (2): Delhi Government Dispensary, Gokulpuri.
🇮🇳
East, DELHI, India
Tuberculosis chest clinic at Lok Nayak Hospital
🇮🇳
Central, DELHI, India
Delhi Government Dispensary, Gokulpuri.
🇮🇳East, DELHI, India
SNEHA MALHOTRA
Principal investigator
09711313558
snehamalhotra16@gmail.com