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Issue

Vol 123 No 1308: 29 January 2010

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Issue Summary

SUMMARY

A complex intervention to support ‘rest home’ care: a pilot study

Shankar Sankaran, Tim Kenealy, Allan Adair, Vivienne Adair, Heather Coster, Noeline Whitehead, Nicolette Sheridan, Matthew Parsons, Elaine Marshall, Leslie Bailey, Catherine Price, Dwayne Crombie, Harry Rea

This Counties Manukau DHB initiative from the Health of Older People Service resulted in positive benefits for frail elderly people living in a rest home, with reduction in use of inappropriate medicines, improved training for care givers in the rest home, and enhanced the relationship between primary care and secondary care services (which in this case are private and public health services). It also introduced the concept of Advance Care Planning, which needs to be much more widely used in rest homes and the community. It may have reduced the number of people admitted to hospital from the rest home, though this would need to be confirmed by a larger study.

SUMMARY

Characteristics and quitting success of roll-your-own versus tailor-made cigarette smokers

Judy Li, Michele Grigg, Deepa Weerasekera, Li-Chia Yeh

This study aimed to find out if roll-your-own tobacco smokers have an equal chance of quitting smoking 12 months after registering with the Quitline. We found that the type of tobacco smoked per se did not predict quit success. In other words, roll-your-own tobacco users were not more or less likely to quit smoking. However, certain callers were more likely to succeed in quitting, such as those who were older, less nicotine-dependent, had higher income and had received the full intervention from the Quitline, i.e. called to a Quitline Advisor, had read some of the written resources on quitting and had redeemed at least one voucher for subsidised nicotine replacement products. This finding would help the Quitline to identify gaps in their services in order to provide equitable quitting outcomes for all New Zealanders.

SUMMARY

Getting an outdoor smokefree policy: the case of Kapiti Coast District Council

Leigh Halkett, George Thomson

A case study of Kapiti Councils adoption of a smokefree parks policy illustrates ways to help local authorise make similar moves. A collaborative approach amongst health and community groups, with a council, can be very effective. Success can be aided by demonstrated public support, the relative simplicity and low cost of such policies, and by information on the success of similar policies elsewhere.

SUMMARY

Pacific solutions to reducing smoking around Pacific children in New Zealand: a qualitative study of Pacific policymaker views

Tolotea Lanumata, George Thomson, Nick Wilson

Families and churches were seen by Pacific health policymakers as the major avenues for the changing smoking around children. They also wanted specific interventions for each Pacific ethnic group, along with better resourcing of Pacific tobacco control. Their general reluctance to consider smokefree regulation extensions is lagging behind the surveyed attitudes of Pacific peoples in New Zealand.

SUMMARY

Few smokers in South Auckland access subsidised nicotine replacement therapy

Simon Thornley, Gary Jackson, Hayden McRobbie, Siniva Sinclair, James Smith

Nicotine replacement therapy or NRT (patch, gum or lozenge) is a life saving, effective treatment, that roughly doubles the chance of smokers quitting long term over cold turkey methods. Government subsidised use of such products are recorded in national health databases. Analysis of this information showed that few smokers (~4%) in South Auckland use this treatment to help them quit annually. Pacific peoples use of NRT is about four times lower than European after adjustment for smoking levels. From this information, we suggest that programmes to improve uptake of NRT among Pacific groups be prioritised. Offering quit smoking services to large manufacturing workplaces may be one approach to reducing this disparity.

ALL ARTICLES
SUMMARY

Reviewers for the New Zealand Medical Journal in 2009

Government paralysis? Stable tobacco prices mean preventable deaths and disease persist, along with health inequalities in New Zealand

George Thomson, Des ODea, Nick Wilson, Richard Edwards

The prevalence of lactose intolerance (adult hypolactasia) in a randomly selected New Zealand population

Jeff Upton, Peter George

A complex intervention to support ‘rest home’ care: a pilot study

Shankar Sankaran, Tim Kenealy, Allan Adair, Vivienne Adair, Heather Coster, Noeline Whitehead, Nicolette Sheridan, Matthew Parsons, Elaine Marshall, Leslie Bailey, Catherine Price, Dwayne Crombie, Harry Rea

Increasing delivery of smoking cessation treatments to Māori and Pacific smokers

Marewa Glover, Nathan Cowie

Ciguatera poisoning: an increasing occurrence in New Zealand

Leo J Schep, Robin J Slaughter, Wayne A Temple, D Michael G Beasley

Nicotine electronic cigarette sales are permitted under the Smokefree Environments Act

Murray Laugesen

Upali Manukulasuriya

Medical image. An unusual case of large bowel obstruction

Magdalena M Sakowska, Philip Bagshaw, Tim Eglinton

Additional benefits (beyond the benefits to global health) of New Zealand health services adopting a carbon reduction strategy

Rebecca Randerson

Characteristics and quitting success of roll-your-own versus tailor-made cigarette smokers

Judy Li, Michele Grigg, Deepa Weerasekera, Li-Chia Yeh

Tuberculosis verrucosa cutis in a Pacific island

Gilles Guierrier, Laurent Morisse

John Apthorp

Getting an outdoor smokefree policy: the case of Kapiti Coast District Council

Leigh Halkett, George Thomson

Pacific solutions to reducing smoking around Pacific children in New Zealand: a qualitative study of Pacific policymaker views

Tolotea Lanumata, George Thomson, Nick Wilson

Kiwi support for the end of tobacco sales: New Zealand governments lag behind public support for advanced tobacco control policies

George Thomson, Nick Wilson, Richard Edwards

William Grattan O’Connell

Hugh Douglas

Goitre in Fairlie

Smokefree parks in New Zealand: an important step towards the goal of a smokefree New Zealand in 2020

Ben Youdan

The good apprentice in medical education

Dale Sheehan, Warwick Bagg, Wayne de Beer, Stephen Child, Wayne Hazell, Joy Rudland, Tim J Wilkinson

Notice. Heart Foundation: 2015 Grant Applications

A survey of use and knowledge of vitamins and supplements in the Bay of Plenty, New Zealand

Shaun Holt, Avrille Holt, Pieter Erasmus, Maryann Watson, Tony Farrell, Gareth Blackshaw, Mogens Poppe, Mike Williams, Andrew Gilbey

Robert James Dallas

Medical image. Carotid dissection presenting as Horner’s syndrome

Bander Dallol, Hala Alsafadi

Omental torsion: a rare cause of acute abdomen

Rohit Sarvepalli, Stephen M Kyle

Medical student selection in New Zealand: looking to the future

Improving care for older people in residential care

Ngaire Kerse, Michal Boyd

A History of the ‘Unfortunate Experiment’ at National Women’s Hospital (Linda Bryder)

Barbara Heslop

Few smokers in South Auckland access subsidised nicotine replacement therapy

Simon Thornley, Gary Jackson, Hayden McRobbie, Siniva Sinclair, James Smith

SUMMARY

A complex intervention to support ‘rest home’ care: a pilot study

Shankar Sankaran, Tim Kenealy, Allan Adair, Vivienne Adair, Heather Coster, Noeline Whitehead, Nicolette Sheridan, Matthew Parsons, Elaine Marshall, Leslie Bailey, Catherine Price, Dwayne Crombie, Harry Rea

This Counties Manukau DHB initiative from the Health of Older People Service resulted in positive benefits for frail elderly people living in a rest home, with reduction in use of inappropriate medicines, improved training for care givers in the rest home, and enhanced the relationship between primary care and secondary care services (which in this case are private and public health services). It also introduced the concept of Advance Care Planning, which needs to be much more widely used in rest homes and the community. It may have reduced the number of people admitted to hospital from the rest home, though this would need to be confirmed by a larger study.

SUMMARY

Characteristics and quitting success of roll-your-own versus tailor-made cigarette smokers

Judy Li, Michele Grigg, Deepa Weerasekera, Li-Chia Yeh

This study aimed to find out if roll-your-own tobacco smokers have an equal chance of quitting smoking 12 months after registering with the Quitline. We found that the type of tobacco smoked per se did not predict quit success. In other words, roll-your-own tobacco users were not more or less likely to quit smoking. However, certain callers were more likely to succeed in quitting, such as those who were older, less nicotine-dependent, had higher income and had received the full intervention from the Quitline, i.e. called to a Quitline Advisor, had read some of the written resources on quitting and had redeemed at least one voucher for subsidised nicotine replacement products. This finding would help the Quitline to identify gaps in their services in order to provide equitable quitting outcomes for all New Zealanders.

SUMMARY

Getting an outdoor smokefree policy: the case of Kapiti Coast District Council

Leigh Halkett, George Thomson

A case study of Kapiti Councils adoption of a smokefree parks policy illustrates ways to help local authorise make similar moves. A collaborative approach amongst health and community groups, with a council, can be very effective. Success can be aided by demonstrated public support, the relative simplicity and low cost of such policies, and by information on the success of similar policies elsewhere.

SUMMARY

Pacific solutions to reducing smoking around Pacific children in New Zealand: a qualitative study of Pacific policymaker views

Tolotea Lanumata, George Thomson, Nick Wilson

Families and churches were seen by Pacific health policymakers as the major avenues for the changing smoking around children. They also wanted specific interventions for each Pacific ethnic group, along with better resourcing of Pacific tobacco control. Their general reluctance to consider smokefree regulation extensions is lagging behind the surveyed attitudes of Pacific peoples in New Zealand.

SUMMARY

Few smokers in South Auckland access subsidised nicotine replacement therapy

Simon Thornley, Gary Jackson, Hayden McRobbie, Siniva Sinclair, James Smith

Nicotine replacement therapy or NRT (patch, gum or lozenge) is a life saving, effective treatment, that roughly doubles the chance of smokers quitting long term over cold turkey methods. Government subsidised use of such products are recorded in national health databases. Analysis of this information showed that few smokers (~4%) in South Auckland use this treatment to help them quit annually. Pacific peoples use of NRT is about four times lower than European after adjustment for smoking levels. From this information, we suggest that programmes to improve uptake of NRT among Pacific groups be prioritised. Offering quit smoking services to large manufacturing workplaces may be one approach to reducing this disparity.

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