ORIGINAL RESEARCH
Organizational model for prevention of smoking among young adults in voronezh: regional experience
Burdenko Voronezh State Medical University, Voronezh, Russia
Correspondence should be addressed: Ignatiy A. Ulianov
9 Yanvarya, 148, Voronezh, 394019, Russia; ur.xednay@tangi.vonayli
Funding: the study was supported by the Federal Agency for Youth Affairs (grant No. 091-11-2023-021 gained through victory in the All-Russian Competition of Youth Projects among Individuals in 2023).
Author contribution: Ulianov IA — direct management of the smoking cessation groups, applying for grant support for implementation, bying medicines and carrying out the actions aimed to involve volunteers in the experiment, contributing to the organizational model development; Nehaenko NE, Ostroushko NI — organizational model development, methodological advising, administrative support; Meremyanin LV — organizational model development, scientific advising; Ulianova AV — direct management of the smoking cessation groups, informational support of the experiment; Petrova TN — administrative support of the experiment, coaching; Sharapova YuA — organizational model development.
Compliance with ethical standards: the study was approved by the Ethics Committee of the Burdenko Voronezh State Medical University (protocol No. 5 dated 19 September 2023). The informed consent to study participation and the consent to personal data processing were submitted by all subjects.
The issues of damage to health related to the spread of nicotine product consumption are global. At the initiative of the Department of Healthcare Management, Burdenko Voronezh State Medical University, the organizational model of medical measures to overcome nicotine dependence involving formation of the smoking cessation groups among young adults, management and enlightment of the participants on the issues related to damage from nicotine dependence and free provision of the medicines facilitating smoking cessation was implemented. The study was aimed to assess the organizational model effectiveness based on the nicotine cessation rates of young adults. The model participants (42 individuals) were divided into three groups and provided free medicines: tablets containing cytisine in group 1, nicotine sprays in group 2, nicotine patches in group 3. The experiment was conducted for 30 days, during which three follow-up questionnaire surveys were performed. In the experiment, 31.7% of subjects stopped smoking completely, while the total positive effect bringing together those, who ceased smoking, and those, who reduced smoking, was 66.7%. Furthermore, the tablets containing cytisine turned out to be the most effective option. Thus, the study results obtained within the framework of the proposed organizational model can be considered useful in terms of further practical use. It can be recommended to include the model in the target program involving provision of medicines for treatment of nicotine dependence at the expense of the regional budget and attracted funds of enterprises and organizations.
Keywords: smoking prevention, nicotine addiction, youth environment, nicotine replacement therapy, organizational model