Tobacco cessation in Vietnam: Exploring the role of village health workers

Nam Nguyen, Trang Nguyen, Jessica Chapman, Linh Nguyen, Pritika Kumar, Nancy Van Devanter, Donna Shelley

Research output: Contribution to journalArticle

Abstract

The purpose of this study was to explore current tobacco use treatment (TUT) practice patterns, and attitudes and beliefs among Village Health Workers (VHWs) about expanding their role to include delivering smoking cessation interventions and the perceived barriers. We conducted a survey of 449 VHWs from 26 communes in Thai Nguyen province, Vietnam. We assessed TUT practice patterns including asking about tobacco use, advising smokers to quit, offering assistance (3As) and attitudes, self-efficacy, and norms related to TUT. Seventy two per cent of VHWs reported asking patients if they use tobacco, 78.6% offered advice to quit, and 41.4% offered cessation assistance to few or more patients in the past month. Self-efficacy was low, with 53.2% agreeing that they did not have the skills to counsel patients about smoking cessation. The most commonly reported barriers to offering TUT were a lack of training and perceived lack of patient interest. Greater awareness of their commune health centre’s smoke-free policy and higher levels of self-efficacy were associated with screening and offering cessation assistance. VHWs support an expanded role in tobacco cessation, but require additional resources and training to increase their self-efficacy and skills to provide effective treatment.

Original languageEnglish (US)
Pages (from-to)1-11
Number of pages11
JournalGlobal Public Health
DOIs
StateAccepted/In press - Aug 5 2017

Fingerprint

Tobacco Use Cessation
Vietnam
Tobacco Use
Self Efficacy
Smoking Cessation
Smoke-Free Policy
Therapeutics
Health

Keywords

  • evidence-based guidelines
  • smoking cessation
  • Tobacco use treatment
  • Vietnam
  • village health workers

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Nguyen, N., Nguyen, T., Chapman, J., Nguyen, L., Kumar, P., Van Devanter, N., & Shelley, D. (Accepted/In press). Tobacco cessation in Vietnam: Exploring the role of village health workers. Global Public Health, 1-11. https://doi.org/10.1080/17441692.2017.1360376

Tobacco cessation in Vietnam : Exploring the role of village health workers. / Nguyen, Nam; Nguyen, Trang; Chapman, Jessica; Nguyen, Linh; Kumar, Pritika; Van Devanter, Nancy; Shelley, Donna.

In: Global Public Health, 05.08.2017, p. 1-11.

Research output: Contribution to journalArticle

Nguyen, Nam ; Nguyen, Trang ; Chapman, Jessica ; Nguyen, Linh ; Kumar, Pritika ; Van Devanter, Nancy ; Shelley, Donna. / Tobacco cessation in Vietnam : Exploring the role of village health workers. In: Global Public Health. 2017 ; pp. 1-11.
@article{92833d71134c48dc953c88f1d2e0450f,
title = "Tobacco cessation in Vietnam: Exploring the role of village health workers",
abstract = "The purpose of this study was to explore current tobacco use treatment (TUT) practice patterns, and attitudes and beliefs among Village Health Workers (VHWs) about expanding their role to include delivering smoking cessation interventions and the perceived barriers. We conducted a survey of 449 VHWs from 26 communes in Thai Nguyen province, Vietnam. We assessed TUT practice patterns including asking about tobacco use, advising smokers to quit, offering assistance (3As) and attitudes, self-efficacy, and norms related to TUT. Seventy two per cent of VHWs reported asking patients if they use tobacco, 78.6{\%} offered advice to quit, and 41.4{\%} offered cessation assistance to few or more patients in the past month. Self-efficacy was low, with 53.2{\%} agreeing that they did not have the skills to counsel patients about smoking cessation. The most commonly reported barriers to offering TUT were a lack of training and perceived lack of patient interest. Greater awareness of their commune health centre’s smoke-free policy and higher levels of self-efficacy were associated with screening and offering cessation assistance. VHWs support an expanded role in tobacco cessation, but require additional resources and training to increase their self-efficacy and skills to provide effective treatment.",
keywords = "evidence-based guidelines, smoking cessation, Tobacco use treatment, Vietnam, village health workers",
author = "Nam Nguyen and Trang Nguyen and Jessica Chapman and Linh Nguyen and Pritika Kumar and {Van Devanter}, Nancy and Donna Shelley",
year = "2017",
month = "8",
day = "5",
doi = "10.1080/17441692.2017.1360376",
language = "English (US)",
pages = "1--11",
journal = "Global Public Health",
issn = "1744-1692",
publisher = "Routledge",

}

TY - JOUR

T1 - Tobacco cessation in Vietnam

T2 - Exploring the role of village health workers

AU - Nguyen, Nam

AU - Nguyen, Trang

AU - Chapman, Jessica

AU - Nguyen, Linh

AU - Kumar, Pritika

AU - Van Devanter, Nancy

AU - Shelley, Donna

PY - 2017/8/5

Y1 - 2017/8/5

N2 - The purpose of this study was to explore current tobacco use treatment (TUT) practice patterns, and attitudes and beliefs among Village Health Workers (VHWs) about expanding their role to include delivering smoking cessation interventions and the perceived barriers. We conducted a survey of 449 VHWs from 26 communes in Thai Nguyen province, Vietnam. We assessed TUT practice patterns including asking about tobacco use, advising smokers to quit, offering assistance (3As) and attitudes, self-efficacy, and norms related to TUT. Seventy two per cent of VHWs reported asking patients if they use tobacco, 78.6% offered advice to quit, and 41.4% offered cessation assistance to few or more patients in the past month. Self-efficacy was low, with 53.2% agreeing that they did not have the skills to counsel patients about smoking cessation. The most commonly reported barriers to offering TUT were a lack of training and perceived lack of patient interest. Greater awareness of their commune health centre’s smoke-free policy and higher levels of self-efficacy were associated with screening and offering cessation assistance. VHWs support an expanded role in tobacco cessation, but require additional resources and training to increase their self-efficacy and skills to provide effective treatment.

AB - The purpose of this study was to explore current tobacco use treatment (TUT) practice patterns, and attitudes and beliefs among Village Health Workers (VHWs) about expanding their role to include delivering smoking cessation interventions and the perceived barriers. We conducted a survey of 449 VHWs from 26 communes in Thai Nguyen province, Vietnam. We assessed TUT practice patterns including asking about tobacco use, advising smokers to quit, offering assistance (3As) and attitudes, self-efficacy, and norms related to TUT. Seventy two per cent of VHWs reported asking patients if they use tobacco, 78.6% offered advice to quit, and 41.4% offered cessation assistance to few or more patients in the past month. Self-efficacy was low, with 53.2% agreeing that they did not have the skills to counsel patients about smoking cessation. The most commonly reported barriers to offering TUT were a lack of training and perceived lack of patient interest. Greater awareness of their commune health centre’s smoke-free policy and higher levels of self-efficacy were associated with screening and offering cessation assistance. VHWs support an expanded role in tobacco cessation, but require additional resources and training to increase their self-efficacy and skills to provide effective treatment.

KW - evidence-based guidelines

KW - smoking cessation

KW - Tobacco use treatment

KW - Vietnam

KW - village health workers

UR - http://www.scopus.com/inward/record.url?scp=85026883044&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85026883044&partnerID=8YFLogxK

U2 - 10.1080/17441692.2017.1360376

DO - 10.1080/17441692.2017.1360376

M3 - Article

C2 - 28776481

AN - SCOPUS:85026883044

SP - 1

EP - 11

JO - Global Public Health

JF - Global Public Health

SN - 1744-1692

ER -