Abstract

In India, tobacco consumption is responsible for one of the highest rates of oral cancer in the world, the annual oral cancer incidence is steadily increasing among young tobacco users. Studies have documented efforts taken by physicians, doctors and even dentists, in the form of individual or group counseling to curb tobacco use in smoke or smokeless form. However, which one is more effective, still remains an unanswered question. The aim of the study was to compare the effectiveness of individual and group counseling for cessation of the tobacco habit amongst industrial workers in Pune and to compare quit rates. An interventional study design was selected for 150 industrial workers which were stratified randomly into three groups (control, individual and group counseling groups) and interventions were provided to individual and group counseling groups over a period of six months, which were then compared with the control group that received brief intervention at the start of the study. There was significant difference in the quit rates of the participants in the individual counseling group (ICG) and group counseling group (GCG) when compared at 6 months with the control counseling group (CCG). In the individual counseling group was 6% while in group counseling group it was 7.5% after six months of counseling. No conclusion could be drawn whether individual or group counseling were better interms of quit rates. Individual and group counseling groups were definitely better than the control group when compared at 3 and 6 months, respectively.

Highlights

  • In India, tobacco consumption is responsible for half of all the cancers in men and a quarter of all cancers in women

  • An interventional study design was carried among 150 industrial workers randomized into three groups which consisted of individual counseling (n=50), group counseling (n=53) and the third was the control group (n=47). 150 participants were randomized into three strata based on the tobacco dependence and with the use of SPSS Software 10, allocation concealment was done before the intervention started

  • Friedman test was applied to see if there was ay significant difference in between counseling sessions in the three counseling groups based on dependency and McNemar test statistics was applied at 1st session and 5th session for the (CCG, individual counseling group (ICG) and group counseling group (GCG)) to know whether the dentists were helpful in stopping the habit of tobacco consumption

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Summary

Introduction

In India, tobacco consumption is responsible for half of all the cancers in men and a quarter of all cancers in women. Studies have documented the efforts taken by the physicians, doctors or even the dentists who could help patients to curb tobacco use in smoke or smokeless form (Gonseth et al, 2010; Albert and Ward, 2012; Carr and Ebbert, 2012; Pai and Prasad, 2012; Venkatesh and Sinha, 2012). In India, tobacco consumption is responsible for one of the highest rates of oral cancer in the world, the annual oral cancer incidence is steadily increasing among young tobacco users. Studies have documented efforts taken by physicians, doctors and even dentists, in the form of individual or group counseling to curb tobacco use in smoke or smokeless form. The aim of the study was to compare the effectiveness of individual and group counseling for cessation of the tobacco habit amongst industrial workers in Pune and to compare quit rates. Individual and group counseling groups were definitely better than the control group when compared at 3 and 6 months, respectively

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