Abstract
Background: Smokeless tobacco is one of the most common causes of preventable death. It is a big social and health issue. Smokeless tobacco utilization is a significant cause of morbidity and mortality in India, with more than 20% of the world's tobacco-related mortality occurring in India. The Chronic Care Model is a guide for the principal care management of higher-quality chronic diseases. The Chronic Care Model gives a structure that redirects health care resources to better meet the demands and issues of individual with chronic illness.
 Objectives: To explore the effectiveness of chronic care model for smokeless tobacco cessation in patients reporting to Sharad Pawar Dental College and Hospital.
 Methodology: The study will be conducted among patients reporting to Out Patient Department of Sharad Pawar Dental College and Hospital who are chronic smokeless tobacco users. This study will be conducted between two groups, in one of the groups chronic Care Model will be used and behavioural counselling will be given and in other group only behavioural counselling will be given. Urinary cotinine level test will be performed on both groups of patients consuming smokeless tobacco.
 Results: The chronic care model would be advantageous for the smokeless tobacco cessation. In India, there appears to be an immediate need for the promotion of awareness and informing people about the health problems associated with the use of smokeless tobacco through the model of chronic care.
 Conclusion: The utilization of Chronic Care Model (CCM) helps patient realize that not only it is a habit to use smokeless tobacco, but a chronic condition that requires long-term treatment to cure it.
Highlights
Several health issues are associated because of tobacco consumption
The aim of the study is to explore the effective usage of chronic care model for smokeless tobacco cessation in Indian scenario as compared to behavioural counselling
These data suggest that chronic care model would be advantageous for the smokeless tobacco cessation
Summary
Several health issues are associated because of tobacco consumption. In India, smokeless tobacco usage is a leading cause of disease and mortality. Today around 3,50,000 of worldwide tobacco related mortality occurs in India. In 140 countries nearly 356 million people consume smokeless tobacco from which 82% of which lies in Southeast Asia. Because of the consumption of smokeless tobacco more than 0.65 million people die every year [2]. Smokeless tobacco is one of the most common causes of preventable death. It is a big social and health issue. Objectives: To explore the effectiveness of chronic care model for smokeless tobacco cessation in patients reporting to Sharad Pawar Dental College and Hospital.
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