Effectiveness of 4T (Tanya, Telaah, Tolong nasehati dan Tindak lanjut) for Quit Smoking Rate in patient with Lung Tuberculosis at Persahabatan Hospital (Preliminary study)

Introduction:
The challenge that must be faced in lung tuberculosis treatment is patients who are still smoking or smoking again after quitting in few days until months after treatment of the anti-tuberculosis drug. Smoking cessation program in Indonesia is 4T that adapted from 5A (Ask, Advice Assess, Assist, Arrange).

Objectives:
Monitoring smoking cessation in lung tuberculosis.

Methods:
This study using randomized control trial design. Group case is receiving 4T method and control group receiving a self-help smoking cessation leaflet.

Results:
Total recruited patients were 20 males that diagnosed as new cases of lung tuberculosis. In case group, 20% (2) patients have high Brinkman index, 40% (4) moderate Brinkman index, 40% (4) have mild Brinkman index, 20% (2) have high Fargerstorm score, 20% moderate Fargerstorm score, 20% (2) mild Fargerstorm score and 40% (4) haven’t addicted to nicotine. In the control group, 10% (1) have high Brinkman index, 30% (3) have moderate Brinkman index, 60% (6) have mild Brinkman index, 60% (6) have mild Fargerstorm score, 30% (3) have high Fargerstorm score and 10% (1) have moderate fargerstrom score. In both groups, 80% (8) patients have stop smoking and 20% (2) are still smoking while in anti-tuberculosis drug therapy.

Conclusion(s):
Patient must receive advice, motivation, and education to stop smoking. Even there is no difference between the two groups, but 4T can reduce total cigarettes in patients who are smoking. This study needed more respondents and a longer observation time to see the effectiveness of 4T method.