ArticleBMC health services research2014
Barriers and facilitators to expanding the role of community health workers to include smoking cessation services in Vietnam: a qualitative analysis.
Article in BMC health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Facilitators and barriers to smoking cessation support among professionals in social and community service settings: a systematic review and thematic synthesis.Health education research · 2025Pooled it
- How to assess and prepare health systems in low- and middle-income countries for integration of services-a systematic review.Health policy and planning · 2018Pooled it
- Effectiveness of a Multicomponent Strategy for Implementing Guidelines for Treating Tobacco Use in Vietnam Commune Health Centers.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022Trial
- A qualitative assessment of factors influencing implementation and sustainability of evidence-based tobacco use treatment in Vietnam health centers.Implementation science : IS · 2020Trial
- Impact of a tobacco cessation intervention on adherence to tobacco use treatment guidelines among village health workers in Vietnam.Global health promotion · 2020Trial
- Effectiveness of Village Health Worker-Delivered Smoking Cessation Counseling in Vietnam.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2019Trial
- Using behaviour change theory to train health workers on tobacco cessation support for tuberculosis patients: a mixed-methods study in Bangladesh, Nepal and Pakistan.BMC health services research · 2019Trial
- Introducing post-discharge malaria chemoprevention (PMC) for management of severe anemia in Malawian children: a qualitative study of community health workers' perceptions and motivation.BMC health services research · 2018Trial
- Efficacy of Communication Training of Community Health Workers on Service Delivery to People Who Inject Drugs in Vietnam: A Clustered Randomized Trial.American journal of public health · 2018Trial
- Multilevel barriers and facilitators to smoking cessation among men living with HIV in Vietnam: a qualitative study of male patients and healthcare providers.BMC health services research · 2026Article
- Review
- Behavioural interventions for tobacco cessation in India: A systematic review and meta-analysis.Journal of family medicine and primary care · 2023Review
- Telephone-Based Smoking Cessation Counseling Service: Satisfaction and Outcomes in Vietnamese Smokers.Healthcare (Basel, Switzerland) · 2022Article
- Tobacco cessation in Vietnam: Exploring the role of village health workers.Global public health · 2018Article
- Prevalence and Correlates of Smoking among Low-Income Adults Residing in New York City Public Housing Developments-2015.Journal of urban health : bulletin of the New York Academy of Medicine · 2017Article
- Application of the Consolidated Framework for Implementation Research to assess factors that may influence implementation of tobacco use treatment guidelines in the Viet Nam public health care delivery system.Implementation science : IS · 2017Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundDespite high smoking rates, cessation services are largely unavailable in Vietnam. This study explored attitudes and beliefs of community health workers (CHWs) towards expanding their role to include delivering tobacco use treatment (TUT), and potential barriers and facilitators associated with implementing a strategy in which health centers would refer patients to CHWs for cessation services.
methodsWe conducted four focus groups with 29 CHWs recruited from four district community health centers (CHCs) in Hanoi, Vietnam.
resultsParticipants supported expanding their role saying that it fit well with their current responsibilities. They further endorsed the feasibility of serving as a referral resource for providers in local CHCs expressing the belief that CHWs were "more suitable than their clinical colleagues" to offer cessation assistance. The most frequently cited barrier to routinely offering cessation services was that despite enacting a National Tobacco Control Action plan, cessation is not one of the national prevention priorities. As a result, CHWs have not been "assigned" to help smokers quit by the Ministry of Health. Additional barriers included lack of training and time constraints.
conclusionFocus groups suggest that implementing a systems-level intervention that allows providers to refer smokers to CHWs is a promising model for extending the treatment of tobacco use beyond primary care settings and increasing access to smoking cessation services in Vietnam. There is a need to test the cost-effectiveness of this and other strategies for implementing TUT guidelines to support and inform national tobacco control policies in Vietnam and other low-and middle-income countries.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.