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CANBEHAVIOURCHANGE
SUPPORTREDUCE
TOBACCOUSEINNEPAL?
Nepalhasthehighestratesoftobaccouse
inSouthAsia.Thismakestobaccousea
majorpublichealthconcern.Forpeople
withTBorlungproblems,therisksare
evengreater.Ourstudyinvolvedworking
withhealthcareworkersandsmokersto
developandtestabehaviourchange
packagethatnotonlyhelpedsmokersto
successfullyquit,butwasacceptableand
feasibleforhealthcareworkerstouseand
couldbeintegratedintoroutineprimary
healthcareservicesinNepal.
Cigarettesmokers
30%
9%
Othertobacco(egchewing)
Overallwefoundthatbehaviour
changeinterventionsdeliveredin
primarycaresettingscanbe
effective:37%ofsmokersinour
studywereabletoquitfollowingthe
intervention.
38%
6%
However,thereareimportantlessons
tolearnandsharearoundtailoring
materialstothelocalcontextand
trainingandsupportinghealthcare
workerstodelivertheintervention.
37
healthcareworkers
deliveringbehavioursupport
areessential.Basic
behaviourchangeskills,eg
reflectivelisteningand
tailoringadviceaccordingly
taketimetoacquire.We
foundamoveawayfrom
didacticclassroomstyle
trainingtowardsinteractive
roleplaytobehelpful.
Widespreadrespectfor
doctorsinNepalmeansthat
briefinitialsmokingcessation
advicefromthemcan
improvethepatient's
willingnesstoengageinthe
longertermbehaviour
supportprogramme.
Asupportivepolitical
environmentandaclear
governmentmandatearekey
factorsforthesmooth
implementationofsmoking
cessationinterventions,eg
theinclusionofsmoking
cessationindicatorsinthe
mainoutpatientregister.
Clickhereforourfullstudy
Clickhereforourfullstudy:Usingbehaviourchangeinterventionsto
decreasetobaccouseinNepal