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J Thai Trad Alt Med                                   Vol. 19  No. 2  May-Aug  2021  373




            to the control group. In addition, the result   diseases.
            of studies have shown that for patients with

            chronic non-communicable disease, indig-                 Methodology
            enous knowledge that is consistent with the
            social context can be utilised to promote Thai   Materials

            traditional medicine programmes to help quit      This study was approved by the Ethics
                    [5]
            smoking . Activities associated with the    Committee of Human Research, Surat Thani
            principles of nature, herbal steam, massage,   Hospital Institutional Review Board (IRB). Writ-

            reflexology and detoxification could be use   ten consent was obtained from all participants
            to help quit smoking. Thus, quitting smoking   and a full and detailed explanation of the pro-
            by using Thai traditional medicine programme   posed research was provided.

            could resulted in a significantly higher success.   Subjects
                 Many types of services are offered in       Patients with chronic non-communicable

            current Thai smoking cessation clinics. These   diseases who were smokers were enrolled at
            are based on cooperation between smokers,   Pak Nam Lang Suan Hospital, Chumphon
            relatives, society and service providers. Use of   Province, Thailand.

            the transtheoretical or stage of change model      Inclusion criteria:
            to regulate behavior change in smokers can be        - age over 18

                         [6-9]
            very successful . In 2017, non-communicable        - currently smoking or having quit
            chronic diseases, diabetes, stroke, heart dis-  smoking for no more than six months
            ease, chronic obstructive pulmonary disease,        - no serious physical or mental health

            cancer and hypertension accounted for 12% of   problems (can read and write)
            all diseases in Pak Nam Lang Suan Hospital.        - no hearing problems affecting par-
            Only 7.3% of the patients were admitted to the   ticipation in activities.

            smoking cessation clinic and only 2% were        Exclusion criteria:
            able to quit for more than six months.             - unable to continue the activities for
                 According to this data, the research team   assessment at the end of six months.

            was interested in testing the effectiveness of
            a designed Smoking Cessation Programme      Methods

            which integrating the concepts of modern         Study design
            medicine and Thai traditional medicine on        This research was a single-blinded ran-
            patients with chronic non-communicable      domized controlled trial with a pre-posttest.
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