Effectiveness of Behavioral Counselling with Nicotine Gum versus Behavioral Counselling alone for quitting tobacco usage among patients at a Tobacco Cessation Clinic in Delhi.
- Conditions
- Nicotine dependence, tobacco users,
- Registration Number
- CTRI/2018/03/012867
- Lead Sponsor
- Dr Neetu
- Brief Summary
Tobacco related diseases have emerged as a major public health in India.Nearly 3000 chemical constituents in smokeless tobacco and about 4000 chemicals in tobacco smoke have been identified of which many are known carcinogens.According to World Health Organization the current smokers across the world are 1.3 billion and 5 million in the world die annually due to smoking.Nearly two-thirds of the world’s tobacco users live in just 10 countries and >40% live in just 2 countries,that is, China and India. India is currently the second largest consumer of tobacco products in the world.Problems related to tobacco in India are very complex because of the relationship between huge burden of tobacco related diseases, deaths, economic interests and also cultural beliefs.
Unfortunately, very few people in India quit tobacco use. Lack of awareness of harm, ingrained cultural attitudes and lack of support for cessation maintains tobacco use in the community. The significant addictive property of nicotine makes quitting difficult and relapse common. Health professionals have received little training, and very few thus carry out proper assessments and interventions among tobacco users. Evidence from the developed countries suggests that brief interventions delivered by diverse health professionals are effective in tobacco cessation. Combining pharmacological approaches with behavioral counselling produces better results than a single strategy. Given the high global morbidity and mortality from tobacco use in India ,there is a need to develop evidence-based, cost-effective interventions for both smoking and smokeless tobacco.
Hence,the present study is planned among tobacco users visiting Tobacco Clinic Clinic to check the effectiveness of tobacco cessation interventions.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 120
- A daily smoker/smokeless/mixed form of tobacco user.
- Patients reporting to the TCC and found to be tobacco users.
- Those who will give informed consent and are able to read and write local language.
- Patients who have medium nicotine dependence score as per Fagerstrom scale for smoking and Modified Fagerstrom scale for smokeless tobacco.
- Patient not willing to participate, uncooperative and are edentulous/having TMJ problems/chewing difficulties and any dental emergencies.
- Patients who are medically compromised and have diseases which are contraindications for NRT use.
- Patients/Tobacco users who have not participated in any trial or intervention related to tobacco cessation.
- Patients who report past usage of NRT (with or without prescription) and have experienced side effects.
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,2nd week, 3rd week, 3rd month, 6th month
- Secondary Outcome Measures
Name Time Method Sociodemographic and other related factors, Nicotine dependence, Oral health status and Tobacco related Health Literacy. 1st week,2nd week, 3rd week, 3rd month, 6th month
Trial Locations
- Locations (1)
Maulana Azad Institute Of Dental Sciences
🇮🇳Central, DELHI, India
Maulana Azad Institute Of Dental Sciences🇮🇳Central, DELHI, IndiaDr NeetuPrincipal investigator7838230205neetusrdc@gmail.com