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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA

Thursday, July 13, 2006 - 12:00 PM

Sri Lankan Patients' Responses to Doctors Advice to Quit

Manoj Fernando, MBBS, Mel Medura, Sri Lanka Sumithrayo Drug Demand Reduction Programme, No:60, Horton place, Colombo 7, Sri lanka, Colombo, -, Sri Lanka

Objective: Measuring the impact of doctors advice in quitting.

Methods: We present the preliminary results achieved by 2 Sri Lankan doctors during a period of 1 year. Both doctors spoke to every male patient regarding smoking. One invested a fair amount of time (average 5 - 10 min) in a more comprehensive manner advice. He used different levels of advice according to the patient's response and follow-up revealed the rate of quitting. Patients were followed up at each visit to the clinic as well as home visits in some occasions. The evidences from the family members were also considered.

Results: When followed up at each clinic visits the rate of quitting was around 40% and when followed up by occasional home visits the rate was around 30%, during that period. The other doctor used only simple advice which took less than 5 minute/s. The rate of quitting in this instance was around 25 %, when measured only at each clinic visit.

Overall both doctors have achieved quitting rates higher than the rates achieved in the west with similar interventions. A more comprehensive approach with different levels of advice to the patients and follow up has improved the quit rate.

(This is a very early draft to meet the deadline. I will send a more polished version later if needed.)

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