A Qualitative Exploration Of Perceptions Among Patients And Health Care Professionals Towards Smoking Cessation Treatment Failure And Process And Economic Outcome Assessment Of Pharmacist Managed Quit Smoking Clinic In The State Of Malacca, Malaysia

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Date
2012-05
Authors
Lee, Mei Lin
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Publisher
Universiti Sains Malaysia
Abstract
Treatment default among smokers hinders the effectiveness of cessation service delivery. While most studies predicted the defaulters’ characteristics, the reasons these smokers dropped out and remain smoking are seldom explored. Thus, this qualitative component of this study aimed to explore these reasons by examining the barriers encountered by such smokers and their respective healthcare providers (HCPs). Social Cognitive Theory was used as the conceptual framework for the phenomenological qualitative study. From May 2010 to March 2011, 15 current adult smokers and nine HCPs from two Quit Smoking Clinics (QSCs) in Melaka Tengah District, Malacca were interviewed. The interviews were audiorecorded and transcribed verbatim. The non-English transcripts were subsequently translated to English and analyzed using thematic content analysis framework. The barriers encountered were categorized as individual- and clinic-level. Both smokers and HCPs acknowledged that the smokers’ low intrinsic motivation was the individual-level barrier. The clinic-level barriers were the smokers’ and HCPs’ mismatched perceptions regarding the HCPs’ roles, skills and attitudes as well as the availability and efficacy of smoking cessation aids (SCAs). While the smokers viewed the programme as not helpful, the HCPs cited the lack of organizational support as their main barrier. The reasons for treatment default centred on the overall treatment dissatisfaction (the programme, HCP and SCA factors) intertwined with the smokers’ low intrinsic motivation.
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Examining the barriers encountered by such smokers , and their respective healthcare providers
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