RESEARCH ARTICLE


An Integrated Smoking Cessation Intervention in the Primary Care Service System: An Intervention Mapping



Kamollabhu Thanomsat1, Jintana Yunibhand1, *, Sunida Preechawong1
1 Faculty of Nursing, Chulalongkorn University, Borommaratchonani Srisataphan Building, 11th Floor, Rama 1 Road, Wang Mai Subdistrict, Pathum Wan District, Bangkok, Thailand


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Creative Commons License
© 2022 Thanomsat et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Faculty of Nursing, Chulalongkorn University, Borommaratchonani Srisataphan Building, 11th Floor, Rama 1 Road, Wang Mai Subdistrict, Pathum Wan District, Bangkok, Thailand; E-mail: yuni_jintana@hotmail.com


Abstract

Background:

Smoking cessation is beneficial for smokers of all ages. Moreover, smokers who quit tobacco use benefit from COVID-19 risk avoidance.

Objective:

This project aims to develop a smoking cessation intervention protocol in the primary care service system.

Methods:

Intervention Mapping guidelines for health promotion planning program was used as an instruction includes 1) need assessment, 2) aim determination, 3) selecting theory-based approaches selection and practical strategies and intervention design, 4) intervention development, 5) planning the implementation of the program and 6) planning the evaluation.

Results:

According to the needs, smoking cessation behavior was indicated as an outcome of the intervention. The socio-ecological model (Fig. 1) and the transtheoretical model were performed as the theoretical underpinning of the intervention. Moreover, the proactive multisession telephone counseling integrated with the smoking cessation service in the primary care service was used as an intervention for smokers. The average quit attempts after the quit date were 2.13 times (SD = 1.33), with an abstinence rate of 88.24 percent, according to early findings among the experimental group 30 days after the quit date.

Conclusion:

An intervention mapping can be used as a guideline to develop smoking cessation in the primary care setting. This study provides the smoking cessation protocol delivered for Thai smokers, particularly in the primary care service system, to promote sustainable well-being among Thais.

Keyword: Smoking cessation, Primary care, Intervention mapping, Smoking status, Telephone counseling, Smokers.