Effects of a Counseling Program Combined with the Use of Ya Dok Khao Candy on Smoking Cessation Rates and Health Outcomes in Clients Who Want to Quit smoking: A pilot study

Authors

  • Jiraphan Suwannapheng Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute
  • Chiraphon Khammun Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute
  • Guekull Komhongsa Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute
  • Jitdapa Horee Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute
  • Jitchanok Phadungrat Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute
  • Jiranun Thukham Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute
  • Chiraphinya Phuasu Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute
  • Jiralak Photikun Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute
  • Juralak Jantharat Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute
  • Jetpreeya Mongkolkeha Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute
  • Thanyamat Sangkampa Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute
  • Thanyalak Boonmapila Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute
  • Anucha Taiwong Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute
  • Kamthorn Dana Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute
  • Yaowanat Khamkaew Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute
  • Bhubphaporn Fonjaimuang Nong Phai Subdistrict Health Promoting Hospital, Na Dun District, Maha Sarakham

Keywords:

Smoking cessation, Counseling, Ya Dok Khao candy innovation

Abstract

This study employed a quasi-experimental, one-group pretest-posttest design aimed to study the effects of a counseling program combined with white crane flower lozenges on smoking cessation rates and health outcomes in clients who want to quit smoking. The sample consisted of 18 smokers aged 18 years and older in the area of Nong Phai Subdistrict Health Promoting Hospital, Na Dun District, Mahasarakham Province. Research tools included a counseling program (IOC = 0.87), Ya Dok Khao candy innovation a smoking cessation manual, personal data and smoking behavior record form (IOC = 0.96), smoking follow-up record form, nicotine addiction assessment form, peak flow meter, urinary nicotine test kit, and clinical outcomes record form (IOC = 0.90). Data were analyzed using descriptive statistics, Wilcoxon signed-rank test and McNemar test.

The result found that after participating in the program, the sample had a 7-day point prevalence abstinence rate (PAR) and continuous abstinence rate (CAR) at week 6 of 44.44%. The nicotine addiction level significantly at .05 decreased compared to before joining the program. Additionally, lung capacity and 6-minute walk distance were significantly higher than before joining the program. However, no change in urinary nicotine levels was observed. Side effects included tongue numbness, dry throat, dizziness, headache, and nausea, but these were not severe. The study indicates that this program can help approximately one-third of the sample quit smoking, and clinical outcomes tend to improve within 6 weeks. However, continuous follow-up and evaluation should be conducted.

References

Bunditanukul, K. (2022). Effect of vernonia cinerea lozenges as a smoking cessation aid in patients with non-communicable diseases [Doctoral dissertation, Chulalongkorn University]. Chulalongkorn University Theses and Dissertations (Chula ETD). http://digital.car.chula.ac.th/chulaetd/5995

Caliri, A. W., Tommasi, S., & Besaratinia, A. (2021). Relationships among smoking, oxidative stress, inflammation, macromolecular damage, and cancer. Mutation Research, 787, 108365 –108365. https://doi.org/10.1016/j.mrrev.2021.108365

Chaboonmee, T., Kanlayalun, A., Srisa, S., & Utam, W. (2020). The effect of smoking cessation among counseling with the use of Vernonia cimerea tea and counseling with reflexology in smokers Chaturaphak Phiman Hospital. Journal of Medicine and Public Health, Ubon Ratchathani University, 3(2), 103 – 111. https://he01.tci-thaijo.org/index.php/jmpubu/article/view/240704

Chaikoolvatana, A., Sithibutra, C., Chandee, S., & Chaikoolvatana, C. (2015). A comparison of smoking cessation drug therapies related quality of life between Vernonia cinerea tea and 0.5% sodium nitrate mouthwash. Nursing Journal, 42, 178 - 192. https://scholar.google.com/citationsview_op=view_citation&hl=th&user=RhyxHwwAAAAJ&citation_for_view=RhyxHwwAAAAJ:3fE2CSJIrl8C

De Santi, O., Di Niro, C.A., Rungruanghiranya, S., & Greco, V. (2024). Evaluation of the effectiveness of Vernonia cinerea for the treatment of smoking cessation: A systematic review and meta-analysis. Research Square. https://doi.org/10.21203/rs.3.rs-5263865/v1

Dehghani, M. H., Bashardoust, P., Nayeri, D., Ghalhari, M. R., Yazdi, N. B., Jajarmi, F., Karri, R. R., & Mubarak, N. M. (2024). A comprehensive review of the potential outcomes of exposure to tobacco smoke or secondhand smoke. In Mubarak, N. M. (Eds.), Health effects of indoor air pollution (pp. 167-189). https://doi.org/10.1016/B978-0-443-16090-5.00004-0

El-Sherbiny, N.A., & Elsary, A.Y. (2022). Smoking and nicotine dependence in relation to depression, anxiety, and stress in Egyptian adults: A cross-sectional study. Journal of Family and Community Medicine, 29(1), 8 - 16. https://journals.lww.com/jfcm/fulltext/2022/29010/smoking_and_nicotine_dependence_in_relation_to.2.aspx

Gallucci, G., Tartarone, A., Lerose, R., Lalinga, A. V., & Capobianco, A. M. (2020). Cardiovascular risk of smoking and benefits of smoking cessation. Journal of thoracic Disease, 12(7), 3866 - 3876. https://jtd.amegroups.org/article/view/37685/html

Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., & Fagerstrom, K. O. (1991). The Fagerström test for nicotine dependence: A revision of the Fagerstrom Tolerance Questionnaire. British journal of addiction, 86(9), 1119 - 1127. http://doi.org/10.1111/j.13600443.1991.tb01879.x

Itsariyapanan, D., Pitsachart, N., Choomjinda, U., & Nanna, W. (2023). The effect of little ironweed herbal candy in reducing smoking behavior of people in Bang Toey Community, Sam Khok District, Pathum Thani Province. Udonthani Hospital Medical Journal, 31(2), 142 - 152. https://he02.tci-thaijo.org/index.php/udhhosmj/article/view/265083

Jiang, C., Chen, Q., & Xie, M. (2020). Smoking increases the risk of infectious diseases: A narrative review. Tobacco Induced Diseases, 18, 60. https://doi.org/10.18332/tid/123845

Khan Minhas, A.M., Sedhom, R., Jean, E.D., Shapiro, M.D., Panza, J.A., Alam, M., Virani, S.S., Ballantyne, C.M., & Abramov, D. (2024). Global burden of cardiovascular disease attributable to smoking, 1990–2019: An analysis of the 2019 global burden of disease study. European Journal of Preventive Cardiology, 31(9), 1123 - 1131. http://doi.org/10.1093/eurjpc/zwae040

Khanpimai, D. (2021). The study of effectiveness of Vernonia cinera (L.) spray on quitting cigarettes [Master's thesis]. Dhurakij Pundit University.

Klinsophon, T., Janwantanakul, P., & Thaveeratitham, P. (2017). Reliability of the Thai Version of the Fagerstrom Test for Nicotine Dependence (FTND). Journal of the Medical Association of Thailand, 100(10), 1130-1134. https://ptnosmoke.com/images/pdf/15022024.pdf

Lertsinudom, S., Sawanyawisuth, K., Srisoi, S., Areemit, J., Hansuri, N., Tawinkan, N., Theeranut, A., Sripanidkulchai, B, & Pranboon, S. (2021). Vernonia cinerea pastilles is effective for smoking cessation. Journal of Traditional and Complementary Medicine, 11(2), 90 - 94. http://doi.org/10.1016/j.jtcme.2019.09.006

Mitra, R., Rai, A., Kumar, A., & Mitra, J.K. (2023). Role of herbal medication in tobacco cessation treatment: A Systematic review and meta-analysis. Addiction & Health, 15(1), 63 - 70. http://doi.org/10.34172/ahj.2023.1290

Phimarn, W., Sakhancord, R., Saramunee, K., & Sungthong, B. (2022). Efficacy of Vernonia cinerea (L) Less for smoking cessation: An updated meta-analysis of randomized controlled trials. Journal of Herbmed Pharmacology, 11(2), 143 - 153. https://herbmedpharmacol.com/Article/jhp-41236

Prochaska, J. O., & Prochaska, J. M. (2019). Transtheoretical model. In Prochaska, J. O., Prochaska, J. M. (Eds.), Lifestyle medicine (3rd ed., pp. 219-228). CRC Press.

Rumjaun, A., & Narod, F. (2020). Social learning theory—Albert Bandura. In Akpan, B., Kennedy, T.J. (Eds), Science education in theory and practice: An introductory guide to learning theory (pp. 85-99). Springer Texts in Education. Springer, Cham. https://doi.org/10.1007/978-3-030-43620-9_7

Srisoi, S., Lertsinudom, S., Areemit, J., Hansuri, N., Nasatid, A., Tawinka, N., Pranboon, S., & Sripanidkulchai, B. (2018). Efficacy and safety of Vernonia cinerea pastilles for smoking cessation in low and moderate nicotine dependence. Isan Journal of Pharmaceutical Sciences, 14(4), 68 - 78. https://doi.org/10.14456/ijps.2018.40

Srithanee, K., Ruttanatam, P., Loachai, S., & Puchomkaeo, R. (2022). The effectiveness of Ya Dok Khao (Vernonia Cinerea (L.) Less.) herbal products in reducing smoking behavior of people in Ban Kham Pa-O community, Kuddon sub-district, Huai Mek district, Kalasin Province. Journal of Science and Technology, Rajabhat Maha Sarakham University, 5(1) 29 - 48. https://ph02.tcithaijo.org/index.php/jstrmu/article/view/246383

Tan, X., Vrana, K., & Ding, Z.-M. (2021). Cotinine: Pharmacologically active metabolite of nicotine and neural mechanisms for its actions. Frontiers in Behavioral Neuroscience, 15, 758252. https://doi.org/10.3389/fnbeh.2021.758252

Thai Nurses Network for Tobacco Control. (2020). Nursing practice guidelines for smoking cessation in the workplace. Seutawan.

Tipyawong, T. (2021). An efficacy study of 0.5% sodium nitrate compared with Vernonia cinerea (L.) Less. for reducing nicotine withdrawal symptom of smoking cessation in IPD at PMNDAT. Royal Thai Army Medical Journal, 74(1), 3 - 12. https://he02.tci-thaijo.org/index.php/rtamedj/article/view/245457

Trang, N. M., Vinh, L.B., Phong, N.V., & Yang, S.Y. (2024). Traditional uses, phytochemistry, and pharmacological activities of Vernonia cinerea (L.) Less.: An updated review. Nutrients, 16(9), 1396. https://doi.org/10.3390/nu16091396

Verachai, V., Nilabun, S., Suwanamajao, S., Khobthong, L., Thanatheerabunjong, R., Khonghom, S., & Prompruk, G. (2015). The pilot study of effectiveness of Vernonia cinerea (L) Less for 4 weeks in smoking cessation. Thai Journal of Addiction, 3(1), 1 - 15. https://he01.tci-thaijo.org/index.php/pmnidat/article/view/248707

Wei, H., Rui, J., You, M., Wang, X., Li, J., Zhu, C., & Ma, M. (2024). Materials for the selective removal of toxic compounds in cigarette smoke: A review. Separation and Purification Technology, 354, 128908. https://doi.org/10.1016/j.seppur.2024.128908

Downloads

Published

2025-05-14

How to Cite

Suwannapheng, J., Khammun, C., Komhongsa, G., Horee, J., Phadungrat, J., Thukham, J., Phuasu, C., Photikun, J., Jantharat, J., Mongkolkeha, J., Sangkampa, T., Boonmapila, T., Taiwong, A., Dana, K., Khamkaew, Y., & Fonjaimuang, B. (2025). Effects of a Counseling Program Combined with the Use of Ya Dok Khao Candy on Smoking Cessation Rates and Health Outcomes in Clients Who Want to Quit smoking: A pilot study. Princess of Naradhiwas University Journal, 17(2), 81–101. retrieved from https://li01.tci-thaijo.org/index.php/pnujr/article/view/266077

Issue

Section

Research Articles