A cluster randomised controlled trial on effectiveness of carbon monoxide measurement feedback among college smoker : a study protocol

• Main Authors: Zainal Abidin, Muhammad 'Adil, Kadir@Shahar, Hayati, Abd Manaf, Rosliza
• Format: Article
• Language: English; English
• Published: Malaysia Medical Association 2019
• Subjects: RA Public aspects of medicine; RA0421 Public health. Hygiene. Preventive Medicine
• Online Access: http://irep.iium.edu.my/79331/1/79331_A%20cluster%20randomised%20controlled%20trial.pdf; http://irep.iium.edu.my/79331/2/79331_A%20cluster%20randomised%20controlled%20trial_SCOPUS.pdf; http://irep.iium.edu.my/79331/; http://www.e-mjm.org/2019/v74n1/college-smoker.pdf

Introduction: For the last 30 years, tobacco smoking has continued to be the leading cause of premature deaths in Malaysia. Majority of the smokers in Malaysia are at the pre- contemplation and contemplation stages. Therefore, for the purpose of increasing smoking cessation among this group, the strategies that motivate them to quit smoking have to be reviewed. Objective: This study aims to evaluate the effectiveness of carbon monoxide measurement feedback and the standard brief motivation adopted to encourage the smoker to quit. Methods: A single-blind, cluster randomised controlled trial was conducted at ten tertiary colleges in Selangor. The study recruited young adult smokers at the pre- contemplation and contemplation stages. The subjects in the control group received a standard brief motivational strategy. On the other hand, the intervention group received additional carbon monoxide measurement and a motivational feedback module. A follow up was conducted at the first, third and sixth month to measure changes in smoking cessation stage. Subsequently, the secondary outcomes of a mean number of cigarette consumption and quit smoking attempt were analysed. A total of 160 subjects were required to detect the expected difference of 17% in primary outcomes between the groups. This study utilised Generalised Estimating Equations (GEE) to handle the clustering effects. Conclusion: Biomedical risk assessment feedback mechanism by using carbon monoxide is a promising aid to motivate the smoker to quit. This mechanism is a relatively easy, quick and non-invasive technique. Thus, it can be utilised as a reinforcement relating to the harmful effect of smoking. Besides, it can also increase the smokers’ self- efficacy and decisional balance to adopt behavioural changes.