Effect of Cognitive Behavioral Therapy on tobacco usage and dependency among adult male tobacco users in Palam area of Delhi
DOI:
https://doi.org/10.47203/IJCH.2024.v36i01.006Keywords:
Adult Male, Cognitive Behaviour Therapy, India, Nicotine Dependence, Tobacco UsersAbstract
Background: Tobacco use is a recognized risk factor for many chronic diseases such as chronic obstructive pulmonary disease (COPD), hypertension, cardiovascular disease, atherosclerosis, diabetes, cancer and microbial infections (respiratory tract infections, bacterial meningitis), etc. Material and Methods: A community-based "One group" interventional study was conducted to see the effect of cognitive behavioural therapy in reducing tobacco usage and its dependency among all the adult males population aged 18 years and above residing in Palam area of Delhi. Data was collected using a semi-structured, self-designed interview schedule to collect information from study subjects. Fagerstrom and Modified Fagerstrom questionnaire was used to assess the subject’s nicotine dependence status. Result: The total population study was 274 out of which 105 were tobacco users. Out of 105,2 did not give consent for cognitive behaviour therapy.A total of 103 study subjects were given cognitive behavioral therapy and then followed at 2 weeks, 4 weeks, 3 months, and 6 months respectively, and analyzed for quitting at each follow-up. Study subjects who had quitted tobacco was 11 i.e. 10.6%. Change in Nicotine dependency was statistically significant. Conclusion: Cognitive behaviour therapy is found to be a very effective tool in reducing tobacco usage as well as nicotine dependency.
Downloads
References
World Health Organization. Global Adult Tobacco Survey: Fact Sheet, India 2016- 17[Internet][Cited 2022 August 17]. Available from: http//www.who.int/tobacco/surveillance/survey/gats/GATS_India_2016- 17_FactSheet.pdf.
World Health Organization. The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. Geneva: World Health Organization; 1992. ][Cited 2022 August 18].Available from : https://icd.who.int/browse10/2016/en
World Health Organisation global report on trends in prevalence of tobacco use 2000-2025. 3rd ed. World Health Organization; Geneva: 2019.
He H, Pan Z, Wu J, Hu C, Bai L, Lyu J. Health Effects of Tobacco at the Global, Regional, and National Levels: Results From the 2019 Global Burden of Disease Study. Nicotine Tob Res. 2022;24(6):864-70.
Jha P, Jacob B, Gajalakshmi V, Gupta PC, Dhingra N, Kumar R et al. A Nationally Representative Case Control Study of Smoking and Death in India. N Engl J Med 2008:358(11):1137-47.
John RM, Sung HY, Max W. Economic Cost of Tobacco Use in India, 2004. Tob Control2009;18: 138-43.
World Health Organization. WHO report on the global tobacco epidemic, 2011: Warning about the dangers of tobacco 2011[Internet][Cited 2022 17 August]. Available at: http://www.who.int/tobacco/global_report/2011/ en.
Sinha DN, Dobe M. Effectiveness of tobacco cessation intervention programs. Indian journal of public health. 2004; 48 (3):138-43.
Aghdam FB, Alizadeh N, Nadrian H, Augner C, Mohammadpoorasl A. Effects of a multilevel intervention on hookah smoking frequency and duration among Iranian adolescents and adults: an application of socio-ecological model. BMC Public Health. 2021;21(1):1-9.
Blocker J, Lazear J, Ridner SL. Tobacco Cessation and Referral to the National Quitline.Workplace Health Saf. 2020;68(6):257-62.
Fu SS, van Ryn M, Sherman SE, Burgess DJ, Noorbaloochi S, Clothier B, et al. Proactive tobacco treatment and population-level cessation: a pragmatic randomized clinical trial. JAMA Intern Med. 2014;174(5):671-7.
Sorensen G, Pednekar MS, Sinha DN, Stoddard AM, Nagler E, Aghi MB, et al. Effects of a tobacco control intervention for teachers in India: results of the Bihar school teachers study. Am J Public Health.2013;103(11):2035-40.
Martinez-Vispo C, Rodriguez-Cano R, Lopez-Duran A, Senra C, Fernandez Del Rio E, Becona, et al. Cognitive behavioral treatment with behavioral activation for smoking cessation: Randomized controlled trial.PLoS One. 2019;14(4):1-20.
Haas JS, Linder JA, Park ER, Gonzalez I, Rigotti NA, Klinger et al. Proactive tobacco cessation outreach to smokers of low socioeconomic status: a randomized clinical trial. JAMA Intern Med. 2015;175(2):218-26.
Rodriguez-Artalejo F, Lafuente Urdinguio P, Guallar Castillon P, Garteizaurrekoa Dublang P, Sainz Martínez O, Diez Azcárate JI, et al.One year effectiveness of an individualised smoking cessation intervention at the workplace: a randomised controlled trial. Occupational and Environmental Medicine. 2003;60(5):358-63.
Subedi K, Shrestha A, Bhagat T. Assessment of nicotine dependence among tobacco users visiting outreach programs in Dharan, Nepal: a cross sectional study. BMC Public Health. 2021;21(1):1-11.
Chellappa LR, Leelavathi L, Indiran MA, Rathinavelu PK. Prevalence and dependency of tobacco use among tribal gypsies in Thoothukudi district - A cross 514 sectional study. J Family Med Prim Care.2021;10(2):738-744.
Downloads
Published
How to Cite
License
Copyright (c) 2024 Rajindra Kumar, Manish Kumar Goel, Tanamaya Talukdar
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
