Group Work Intervention Community-Based Group Intervention for Tobacco Cessation in

Rural Tamil Nadu

JOSE JOSEPH

2137804

Department of Social Work, Christ University Bangalore

Social Group Work, SWC134

Professor Cyril John

August 31, 2021

Introduction

The group is always a powerful instrument, that group members always have a sense for others.
If a group should be influential, it is always required to respect difference and individuality while
reinforcing shared concerns and common bonds. The group always focuses on reaching people
struggling with the typical life issues of growing up, getting along with others, sharing, working,
dealing with partners, adjusting to economic and health changes, and growing older and
consequently addressing the needs and difficulties faced by people.

Tobacco is addressed as one of the causes that increase the mortality rate in many
countries. The objective of the intervention done among the villages was to determine the
efficacy of a community-based Group intervention for tobacco termination. The practitioner
developed the sessions by including tobacco-related health problems, benefits of quitting, and
coping strategies for withdrawal symptoms. The steps and principles that he has taken stand
justified to group work intervention principles and methods[ CITATION Mut11 \l 1033 ].

What is group work?

"group work is a method of working with personal and social problems where there are three or more
people, towards some common end or purpose. Group work can involve self-help with all group members
nominally having the same 'status' or they can have leaders or facilitators who might be social workers."
[ CITATION Rob95 \l 1033 ]

Social Group Work is defined as a method of social work whose purpose is to enhance
the psychosocial functioning of individuals and improve their environments. Enhancement of
functioning includes both prevention and treatment. Group work reduces and eliminates the
roadblocks to social interaction and accomplishing socially desirable purposes. The social group
worker or the practitioner always uses the knowledge of group work interventions and their
functioning to affect the performance and adjustment of the individual. In group work, the
individual remains the focus of concern and the group the vehicle of growth and change. The
individual's Enhancement of social functioning through the use of the group is the primary aim
of group work. The process of group work can help a group reach effectiveness more quickly
and less painfully.[ CITATION Sin18 \l 1033 ]
An understanding of community based group intervention for tobacco cessation in rural
Tamil Nadu

In India, all kinds of tobacco usage were rising, with a tremendous substantial increase
within the 15 to 24-year-old age group. Tobacco usage was shown to be much higher in the rural
and uneducated people in the urban area, and more ignorant people are current smokers. The
study's primary goal was to see how effective community-based group intervention for tobacco
cessation wasn't the rural Tamilnadu. The secondary objective was to study the facilitators,
barriers, and acceptance for conducting group interventions [ CITATION Mut11 \l 1033 ]

With a population of 2.42 million, the district was divided into a taluk 14 community
development units and 479 villages. The bais objective of this study was to see if a community-
based group intervention for cigarette cessation was effective. The practitioner randomly
assigned 400 men from 20 villages in the Indian state of Tamil Nadu to intervention and control
groups. The intervention group received a cessation of health education five weeks apart, and
cigarette cessation materials from a physician were given to the control group. Three weeks
following the second section, two months after recruiting, the outcomes were measured using a
structured interview scheduled for two months after enrollment. The primary trial outcome was
self-reported. Ethical clearance was always obtained by the practitioners from the institutional
ethics committee of Sree Chitra Trinual Institute for Medical Sciences and Technology,
Trivandrum. The intervention and control group baseline characteristics were compared to see if
there was any statistically significant difference was examined 610 participants for the eligibility,
excluding 153 who refused to participate [ CITATION Sin18 \l 1033 ]

The first and sections had at 85 % and 60.5 percentage attendance respectively except for
the age of occupation and self-reported health state the intervention and control groups are
similar baseline characteristics the intervention and control group mean area square 30 1.7 and
29.2 respectively, the difference determined was to be statistically significant the intervention
group included several unskilled land levelers and individuals who said their health
was[ CITATION Sin18 \l 1033 ]

The community-based group intervention has the potential to tobacco cessation treatment
coverage in rural areas of Tiruchirapalli. After two months of the intervention groups quit rate
and harms reduction were significantly higher than the control groups. Even in the control group,
which nearly obtained leaflets, there was still a 6 % point prevalence of self-denial, illustrating
that some tobacco users are likely to quit even with minimal intervention. Tobacco cessation
treatments for most rural tobacco users should be improved, emphasizing group intervention and
incorporation with the Primary Health Care delivery system.[ CITATION Sin18 \l 1033 ]

Group Work Process,

Group Work should always be an evidence-based approach; the specific steps and
processes should be correctly correlated to extract the correct output. The following of the this
will allow us to illustrate some essential aspects that merge the creation.
The study was mainly addressing the cessation of tobacco use among the Tiruchirapalli
District of Tamil Nadu. The practitioner and the group who facilitated the preworked and they
have done proper literature study, and they have also done the pilot study to address and analyze
the exact problem that they are being faced there.
As the preliminary studies have addressed in a very competent manner aS the first stage
of the group work the practitioner concerned to form a Group. The practitioner characterized the
members by seeking their work assignment, the level of education, a status they are having in the
community etc were the essential factors that the practitioner analyzed while he created the
group. The district was organized into a taluk 14 community development units and 479 villages,
with a population of 2.42 million. The study's main goal was to explore if a community-based
group intervention for quitting smoking was beneficial. The practitioner randomized 400 men
from 20 villages
The members will have the tendency to resist the group's influence and struggle against
completing their obligations, conflicts ensue. Members must deal with their varied differences,
and conflict resolution is frequently the focus of attention. During this section, many were
feeling troubled, and they were not able to cope with the principles and rules that they were
asked to maintain while progressing the area. [ CITATION Bra18 \l 1033 ]

The growth of the group was Defined by a growing concern over uncompromising task
performance. The diads and triads are begun forming and seek out new group members atoms
were undertaken to establish a multiplicity of individual tasks. The members were asked to take
greater responsibility for their own group and connection while this stage is completed, the
intervention and control groups at random. The intervention group received five weeks of
cessation health education, while the control group received cigarette cessation materials from a
physician. The outcomes were measured using a structured interview scheduled two months after
enrollment, three weeks after the second section, and two months after recruitment. Self-reported
outcomes were the primary trial result. A clear picture of the leadership hierarchy also will be
energy the certification of the group structure as well as the sense of group identity and camera
the norming stage is completed.[ CITATION Sin18 \l 1033 ]

Finally, the group intervention is the development of a fully functional group in which
members recognize themselves as a unit and become actively involved in the task. Each
participant contributes to his needs, and also he takes into account the condition of his comate,
and the authoritative figure is considered as a member of the group as well. To ensure the group's
Process of Group effectiveness, group norms are followed, and collective pressure is applied.
The first and sections had at 85 % and 60.5 percentage attendance respectively except for the age
of occupation and self-reported health state the intervention and control groups are similar
baseline characteristics the intervention and control group mean area square 30 1.7 and 29.2
respectively, the difference determined was to be statistically significant the intervention group
included several unskilled land levelers and individuals who said their health was. In
Tiruchirapalli's rural areas, the community-based group intervention has the potential to increase
tobacco cessation treatment coverage. The intervention groups' quit rate and harm reduction were
significantly higher than the control groups after two months. Even in the control group, which
received nearly all of the leaflets, there was a 6% point frequency of self-denial, indicating that
even with limited assistance, some tobacco users are likely to stop[ CITATION Bra18 \l 1033 ].

The group practitioner and the members were pleased with the performance, and few
among them were dissatisfied with the cancellation of group meetings.. Tobacco cessation
treatments for most rural tobacco users should be improved, emphasizing group intervention and
incorporation with the Primary Health Care delivery system.[ CITATION Bra18 \l 1033 ]

Skills and Strategies

The group therapist was skillful in controlling the feelings of the group, and he was
studied each new situation that should be addressed with a high degree of objectivity. The group
therapist was helping the groups to release their own feelings, both positive and negative I think
that was because he was able to understand that this will really be influencing the result. The
therapist must be also was very much skillful in helping groups to analyze situations as a part of
working within the group and outside the group through group or intergroup conflicts. The Skills
that a therapist developed in program development was guided to address the group thinking
pattern and style so that interests and needs will be revealed and understood. The group
developed programs which they want as a means through which their needs and when the
intervention is completed [ CITATION Sin18 \l 1033 ]
The skill of the therapist in using agency and community resources the group therapist
located the most affected tobacco area of the state and then acquainting the group with various
helpful resources with the humanitarian wish that the cessation should be done for a healthy
community, and he utilized many programs with the aim for the same. The group therapist must
be much dedicated to individual members to make use of specialized services, and he made
several follow up plans for the client who is more affected by the same[ CITATION Bra18 \l 1033 ]
Tobacco use has been found to be substantially greater in rural and uneducated people in
urban areas, and existing smokers are more misinformed. The focus of the study was to
determine how effective community-based group intervention for tobacco cessation was in rural
Tamilnadu. The examination of facilitators, impediments, and acceptance for performing group
interventions was a secondary goal. The district was organized into a taluk 14 community
development units and 479 villages, with a population of 2.42 million. The study's main goal was
to explore if a community-based group intervention for quitting smoking was beneficial. The
practitioner randomized 400 men from 20 villages in Tamil Nadu, India, to intervention and
control groups at random. The intervention group received five weeks of cessation health
education, while the control group received cigarette cessation materials from a physician. The
outcomes were measured using a structured interview set for two months after the second
section, three weeks after the second section.[ CITATION Bra18 \l 1033 ]

Principles Employed 

The Principles employed in the planning of group formation The group practitioner
created the strategies and other factors that will inherit the group situation that will give the given
group a positive potential for individual growth and for meeting recognizable needs, and the
group practitioner made the strategies, and other factors that will inherit the group situation The
practitioner characterized the members by seeking their work assignment, the level of education,
a status they are having in the community, etc. were the essential factors that the practitioner
analyzed while he created the group[ CITATION Bra18 \l 1033 ][ CITATION Sin18 \l 1033 ]
The objectives will always stand as a fundamental entity in determining individual as
well as group development. The worker much consciously formulated it to harmonize the group's
wish and its capacities. The intention of the study was to do an effective community-based group
intervention for tobacco cessation wasn't the rural Tamil Nadu. The secondary objective of the
study intended to the facilitators, barriers, and acceptance for conducting group interventions
[ CITATION Sin18 \l 1033 ][ CITATION Mut11 \l 1033 ]

The practitioner and the group members have always had a good connection based on the
worker's acceptance. The group members will develop the cessation from the tobacco the
acceptance aid from the worker because the members trusted in him and the agency.

4onGroup work is always a tool for the individual's development. It is always understood that
those groups are the part form where individuals utilize group experience for the product or
rehabilitation. Many among the members of the group gained cessation, and they were
individually rehabilitated. Individual attention was given, and this always helped to achieve the
task more successfully.
The group members were basically from the remote area of Tamil Nadu, and many
among them were illiterate. The Principle of guided group interaction was applied in these cases
that fostered their development at all levels. Social group work is a pathology in social work that
always attempts a continuous evaluation process and program because often the results are
essential. The experts continuously monitored the group, and the follow-up program was done
perfectly.
 
An analysis of the study Community-based group intervention for tobacco cessation in
Rural Tamil Nadu

Tobacco is addressed as one of the causes that increase the mortality rate in many
countries. The objective of the intervention done among the villages was to determine the
efficacy of a community-based Group intervention for tobacco termination. The practitioner
developed the sessions by including tobacco-related health problems, benefits of quitting, and
coping strategies for withdrawal symptoms.
 The study done can be analyzed from all different perspectives of the group works, taking
into Consideration the stages of group formation, skills, and methods along with that the
principles of the same.

Group Formation

Forming, Norming, Storming, Performing, and Adjourning while examining the stages of
group formation, the four levels have been done in a very good manner. The practitioner has
tried to keep justice to the fundamental aspects of group formation. The document which I
refereed gave no details about the adjourning part of the group formation. The practitioner puts
up a hint that there are follow-ups happening, so I understand that the intervention is still
happening in the case.

Skills and Strategies

The facilitator was much aware, and this part tells about the proficiency that he gained in
this field. The skills which he possesses are clearly visible throughout the entire document. Skills
on pre-understanding the group culture, Skills towards the group, as wells as skills in taking
Consideration about the individuals in the group. Since the strategies and skills were clear from
the very beginning, the group members have gained a great reward from the group.

Principles Of Group Work

Many of the principles of group work have been taken into account by the facilitator of
the group. To be considering mainly, the ethical Consideration that always keeps the information
about the clients was very much focused. The group members were given ample opportunity to
exhibit their troubles during they were treated or controlled. Individual care and support always
made a clear impact on the development and the result of the group.

Learning points

The importance and purpose of focusing individuals in groups are having a more
significant part while considering the result. If the facilitator is providing a space for the group
members to be themselves also will help the formation of the group. The group and the group
worker should always have a personal relationship that fosters the development of the group, and
also, it can have a positive side on the objective of the group intervention.
 Conclusion

The critical reflection on the article made an idea towards the Group intervention in social work.
The opportunity gave an understanding of community interventions. The section made an
understanding of many facts that were underestimated by society.

Bibliography
Barker, R. L. (1995). The Social Work Dictionary . New York : Library of Congress.
Brandler, S. (2018 ). GROUP WORK Skills and Strategies for Effective Interventions. New
York : Routledge.
Ezhumalai, S. (2018). Indian Journal of Psychiatry. Bengaluru,: NIMHANS).
Kumar, M. S. (2011). Community-based group intervention for tobacco cessation in rural area.
Journal of Substance Abuse Treatment, 12.
.