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The SCIDOTS Project: evidence of benefits of an integrated tobacco cessation intervention in tuberculosis care on treatment outcomes

Background: There is substantial evidence to support the association between tuberculosis (TB) and tobacco smoking and that the smoking-related immunological abnormalities in TB are reversible within six weeks of cessation. Therefore, connecting TB and tobacco cessation interventions may produce s...

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Main Authors:	Awaisu, Ahmed, Nik Mohamed, Mohamad Haniki, Mohamad Noordin, Noorliza, Abd Aziz, Noorizan, Syed Sulaiman, Syed Azhar, Muttalif, Abdul Razak, Ahmad Mahayiddin, Aziah
Format:	Article
Language:	English
Published:	BioMed Central 2011
Subjects:	Z004 Books. Writing. Paleography
Online Access:	http://irep.iium.edu.my/8744/1/10._SCIDOTS_in_Sub_Abuse_Tx_J_2011.pdf http://irep.iium.edu.my/8744/ http://www.substanceabusepolicy.com/content/6/1/26
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spelling	my.iium.irep.87442013-06-25T01:43:57Z http://irep.iium.edu.my/8744/ The SCIDOTS Project: evidence of benefits of an integrated tobacco cessation intervention in tuberculosis care on treatment outcomes Awaisu, Ahmed Nik Mohamed, Mohamad Haniki Mohamad Noordin, Noorliza Abd Aziz, Noorizan Syed Sulaiman, Syed Azhar Muttalif, Abdul Razak Ahmad Mahayiddin, Aziah Z004 Books. Writing. Paleography Background: There is substantial evidence to support the association between tuberculosis (TB) and tobacco smoking and that the smoking-related immunological abnormalities in TB are reversible within six weeks of cessation. Therefore, connecting TB and tobacco cessation interventions may produce significant benefits and positively impact TB treatment outcomes. However, no study has extensively documented the evidence of benefits of such integration. SCIDOTS Project is a study from the context of a developing nation aimed to determine this. Methods: An integrated TB-tobacco intervention was provided by trained TB directly observed therapy shortcourse (DOTS) providers at five chest clinics in Malaysia. The study was a prospective non-randomized controlled intervention using quasi-experimental design. Using Transtheoretical Model approach, 120 eligible participants who were current smokers at the time of TB diagnosis were assigned to either of two treatment groups: conventional TB DOTS plus smoking cessation intervention (integrated intervention or SCIDOTS group) or conventional TB DOTS alone (comparison or DOTS group). At baseline, newly diagnosed TB patients considering quitting smoking within the next 30 days were placed in the integrated intervention group, while those who were contemplating quitting were assigned to the comparison group. Eleven sessions of individualized cognitive behavioral therapy with or without nicotine replacement therapy were provided to each participant in the integrated intervention group. The impacts of the novel approach on biochemically validated smoking cessation and TB treatment outcomes were measured periodically as appropriate. Results: A linear effect on both 7-day point prevalence abstinence and continuous abstinence was observed over time in the intervention group. At the end of 6 months, patients who received the integrated intervention had significantly higher rate of success in quitting smoking when compared with those who received the conventional TB treatment alone (77.5% vs. 8.7%; p < 0.001). Furthermore, at the end of TB treatment (6 months or later), there were significantly higher rates of treatment default (15.2% vs. 2.5%; p = 0.019) and treatment failure (6.5% vs. 0%; p = 0.019) in the DOTS group than in the SCIDOTS group. Conclusion: This study provides evidence that connecting TB-tobacco treatment strategy is significant among TB patients who are smokers. The findings suggest that the integrated approach may be beneficial and confer advantages on short-term outcomes and possibly on future lung health of TB patients who quit smoking. This study may have important implications on health policy and clinical practice related to TB management among tobacco users. BioMed Central 2011-09-23 Article REM application/pdf en http://irep.iium.edu.my/8744/1/10._SCIDOTS_in_Sub_Abuse_Tx_J_2011.pdf Awaisu, Ahmed and Nik Mohamed, Mohamad Haniki and Mohamad Noordin, Noorliza and Abd Aziz, Noorizan and Syed Sulaiman, Syed Azhar and Muttalif, Abdul Razak and Ahmad Mahayiddin, Aziah (2011) The SCIDOTS Project: evidence of benefits of an integrated tobacco cessation intervention in tuberculosis care on treatment outcomes. Substance Abuse Treatment, Prevention, and Policy , 6 (26). pp. 1-13. ISSN 1747-597 http://www.substanceabusepolicy.com/content/6/1/26 DOI:10.1186/1747-597X-6-26
institution	Universiti Islam Antarabangsa Malaysia
building	IIUM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	International Islamic University Malaysia
content_source	IIUM Repository (IREP)
url_provider	http://irep.iium.edu.my/
language	English
topic	Z004 Books. Writing. Paleography
spellingShingle	Z004 Books. Writing. Paleography Awaisu, Ahmed Nik Mohamed, Mohamad Haniki Mohamad Noordin, Noorliza Abd Aziz, Noorizan Syed Sulaiman, Syed Azhar Muttalif, Abdul Razak Ahmad Mahayiddin, Aziah The SCIDOTS Project: evidence of benefits of an integrated tobacco cessation intervention in tuberculosis care on treatment outcomes
description	Background: There is substantial evidence to support the association between tuberculosis (TB) and tobacco smoking and that the smoking-related immunological abnormalities in TB are reversible within six weeks of cessation. Therefore, connecting TB and tobacco cessation interventions may produce significant benefits and positively impact TB treatment outcomes. However, no study has extensively documented the evidence of benefits of such integration. SCIDOTS Project is a study from the context of a developing nation aimed to determine this. Methods: An integrated TB-tobacco intervention was provided by trained TB directly observed therapy shortcourse (DOTS) providers at five chest clinics in Malaysia. The study was a prospective non-randomized controlled intervention using quasi-experimental design. Using Transtheoretical Model approach, 120 eligible participants who were current smokers at the time of TB diagnosis were assigned to either of two treatment groups: conventional TB DOTS plus smoking cessation intervention (integrated intervention or SCIDOTS group) or conventional TB DOTS alone (comparison or DOTS group). At baseline, newly diagnosed TB patients considering quitting smoking within the next 30 days were placed in the integrated intervention group, while those who were contemplating quitting were assigned to the comparison group. Eleven sessions of individualized cognitive behavioral therapy with or without nicotine replacement therapy were provided to each participant in the integrated intervention group. The impacts of the novel approach on biochemically validated smoking cessation and TB treatment outcomes were measured periodically as appropriate. Results: A linear effect on both 7-day point prevalence abstinence and continuous abstinence was observed over time in the intervention group. At the end of 6 months, patients who received the integrated intervention had significantly higher rate of success in quitting smoking when compared with those who received the conventional TB treatment alone (77.5% vs. 8.7%; p < 0.001). Furthermore, at the end of TB treatment (6 months or later), there were significantly higher rates of treatment default (15.2% vs. 2.5%; p = 0.019) and treatment failure (6.5% vs. 0%; p = 0.019) in the DOTS group than in the SCIDOTS group. Conclusion: This study provides evidence that connecting TB-tobacco treatment strategy is significant among TB patients who are smokers. The findings suggest that the integrated approach may be beneficial and confer advantages on short-term outcomes and possibly on future lung health of TB patients who quit smoking. This study may have important implications on health policy and clinical practice related to TB management among tobacco users.
format	Article
author	Awaisu, Ahmed Nik Mohamed, Mohamad Haniki Mohamad Noordin, Noorliza Abd Aziz, Noorizan Syed Sulaiman, Syed Azhar Muttalif, Abdul Razak Ahmad Mahayiddin, Aziah
author_facet	Awaisu, Ahmed Nik Mohamed, Mohamad Haniki Mohamad Noordin, Noorliza Abd Aziz, Noorizan Syed Sulaiman, Syed Azhar Muttalif, Abdul Razak Ahmad Mahayiddin, Aziah
author_sort	Awaisu, Ahmed
title	The SCIDOTS Project: evidence of benefits of an integrated tobacco cessation intervention in tuberculosis care on treatment outcomes
title_short	The SCIDOTS Project: evidence of benefits of an integrated tobacco cessation intervention in tuberculosis care on treatment outcomes
title_full	The SCIDOTS Project: evidence of benefits of an integrated tobacco cessation intervention in tuberculosis care on treatment outcomes
title_fullStr	The SCIDOTS Project: evidence of benefits of an integrated tobacco cessation intervention in tuberculosis care on treatment outcomes
title_full_unstemmed	The SCIDOTS Project: evidence of benefits of an integrated tobacco cessation intervention in tuberculosis care on treatment outcomes
title_sort	scidots project: evidence of benefits of an integrated tobacco cessation intervention in tuberculosis care on treatment outcomes
publisher	BioMed Central
publishDate	2011
url	http://irep.iium.edu.my/8744/1/10._SCIDOTS_in_Sub_Abuse_Tx_J_2011.pdf http://irep.iium.edu.my/8744/ http://www.substanceabusepolicy.com/content/6/1/26
_version_	1643606185321955328
score	13.211869

The SCIDOTS Project: evidence of benefits of an integrated tobacco cessation intervention in tuberculosis care on treatment outcomes

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