{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:24:12Z","timestamp":1773563052767,"version":"3.50.1"},"reference-count":39,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T00:00:00Z","timestamp":1700697600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>This study estimated the cost-effectiveness of four strategies enhancing the quality and accessibility of Brief Intervention (BI) service for smoking cessation in Thailand during 2022\u20132030: (1) current-BI (status quo), (2) the effective-training standard-BI, (3) the current-BI plus the village health volunteers (VHV) mobilization, and (4) the effective-training BI plus VHV mobilization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>By interviewing five public health officers, nine healthcare professionals aiding these services, and fifteen BI service experts, we explored the status quo situation of the Thai smoking cessation service system, including main activities, their quantity assumptions, and activities\u2019 unit prices needed to operate the current cessation service system. Then, we modeled additional activities needed to implement the other three simulated scenarios. We estimated the costs and impacts of implementing these strategies over a nine-year operating horizon (2022\u20132030), covering 3\u2009years of service system preparation and 6\u2009years of full implementation. The modeled costs of these four strategies included intervention and program costs. The study focused on current smokers age 15\u2009years or older. The assessed impact parameters encompassed smoking prevalence, deaths averted, and healthy life-years gained. An Incremental Cost-Effectiveness Analysis compared the four simulated strategies was employed. Data analysis was performed using the One Health Tool software, which the World Health Organization developed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The findings of this investigation reveal that all three intervention strategies exhibited cost-effectiveness compared to the prevailing status quo. Among these strategies, Strategy 2, enhancing BI service quality, emerged as the most efficient and efficacious option. Therefore, the expansion of quality services should be synergistically aligned with augmented training, service delivery optimization, and managerial enhancements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This approach is particularly poised to enhance accessibility to and the efficacy of smoking cessation interventions across Thailand.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2023.1289561","type":"journal-article","created":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T09:15:35Z","timestamp":1700730935000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["The cost-effectiveness of improved brief interventions for tobacco cessation in Thailand"],"prefix":"10.3389","volume":"11","author":[{"given":"Rungrat","family":"Palakai","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bundit","family":"Sornpaisarn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yothin","family":"Sawangdee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sutthida","family":"Chuanwan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pairoj","family":"Saonuam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piyawat","family":"Katewongsa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00fcrgen","family":"Rehm","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,11,23]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-030-10616-4","volume-title":"Primordial prevention of non communicable disease","author":"Kelishadi","year":"2019"},{"key":"ref2","unstructured":"Noncommunicable diseases: mortality2021"},{"key":"ref3","volume-title":"World health statistics 2016: monitoring health for the sdgs sustainable development goals","year":"2016"},{"key":"ref4","unstructured":"Tobacco control for sustainable development: World Health Organization, regional Office for South-East Asia2017"},{"key":"ref5","volume-title":"Thailand tobacco atlas [in Thai]","author":"Pattanaprateep","year":"2021"},{"key":"ref6","volume-title":"The 2021 health behavior of population survey","year":"2021"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1030","DOI":"10.1016\/j.jacc.2018.06.036","article-title":"Prevention and treatment of tobacco use","volume":"72","author":"Kalkhoran","year":"2018","journal-title":"J Am Coll Cardiol"},{"key":"ref8","unstructured":"WHO framework convention on tobacco control2020"},{"key":"ref9","volume-title":"MPOWER: a policy package to reverse the tobacco epidemic","year":"2008"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1016\/j.lungcan.2019.02.028","article-title":"Lung cancer mortality in Australia in the twenty-first century: how many lives can be saved with effective tobacco control?","volume":"130","author":"Luo","year":"2019","journal-title":"Lung Cancer"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"466","DOI":"10.4103\/0019-5545.224352","article-title":"Brief intervention in substance use disorders","volume":"60","author":"Mattoo","year":"2018","journal-title":"Indian J Psychiatry"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1097\/NND.0000000000000465","article-title":"Brief intervention on nurses\u2019 knowledge and behavior regarding smoking cessation","volume":"34","author":"Hughes","year":"2018","journal-title":"J Nurses Prof Dev"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1300\/J465v28n03_02","article-title":"Screening and brief intervention enter their 5th decade","volume":"28","author":"Saitz","year":"2007","journal-title":"Subst Abus"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1018","DOI":"10.1080\/08870446.2017.1325890","article-title":"Tobacco smoking: health impact, prevalence, correlates and interventions","volume":"32","author":"West","year":"2017","journal-title":"Psychol Health"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"S364","DOI":"10.1016\/j.amepre.2009.11.016","article-title":"Modeling the impact of smoking-cessation treatment policies on quit rates","volume":"38","author":"Levy","year":"2010","journal-title":"Am J Prev Med"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"448","DOI":"10.1097\/PHH.0000000000000780","article-title":"The impact of implementing tobacco control policies: the 2017 tobacco control policy scorecard","volume":"24","author":"Levy","year":"2018","journal-title":"J Public Health Manag Pract."},{"key":"ref17","unstructured":"Promotion and prevention services National Health Security Office2022"},{"key":"ref18","unstructured":"Strategy and Planning Division of Office. Health Data center Thailand: The Ministry of Public Health2021"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"3357","DOI":"10.1017\/S0033291715001427","article-title":"Economic evaluations of internet interventions for mental health: a systematic review","volume":"45","author":"Donker","year":"2015","journal-title":"Psychol Med"},{"key":"ref20","first-page":"617","volume-title":"OneHealth Manual a system to create short and medium term plans for heath services","author":"Bollinger","year":"2022"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"462","DOI":"10.2471\/BLT.17.203737","article-title":"Estimating health plan costs with the OneHealth tool","volume":"96","author":"Cantelmo","year":"2018","journal-title":"Cambodia Bull World Health Organ"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1017\/S2045796016000408","article-title":"Scaling-up services for psychosis, depression and epilepsy in sub-Saharan Africa and South Asia: development and application of a mental health systems planning tool (OneHealth)","volume":"26","author":"Chisholm","year":"2017","journal-title":"Epidemiol Psychiatr Sci"},{"key":"ref23","volume-title":"Resource needs for the Kenya health sector strategic and investment plan: analysis using the OneHealth tool","author":"Perales","year":"2015"},{"key":"ref24","volume-title":"Sustainability implications for Tanzania\u2019s fourth health sector strategic plan, 2015\/16\u20132019\/20: financial, health system, and impact analyses using the OneHealth tool","author":"Barker","year":"2015"},{"key":"ref25","year":"2022"},{"key":"ref26","volume-title":"Health data center 2021. Nonthaburi: The ministry of public health: The ministry of public health","year":"2022"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"1223","DOI":"10.2105\/AJPH.85.9.1223","article-title":"Excess mortality among cigarette smokers: changes in a 20-year interval","volume":"85","author":"Thun","year":"1995","journal-title":"Am J Public Health"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"2654","DOI":"10.1001\/jama.298.22.2654","article-title":"Active smoking and the risk of type 2 diabetes: a systematic review and meta-analysis","volume":"298","author":"Willi","year":"2007","journal-title":"American Medical Association"},{"key":"ref29","volume-title":"Prevention of cardiovascular disease. Pocket guidelines for assessment and Management of Cardiovascular Risk. Africa: WHO\/ISH cardiovascular risk prediction charts for the African region","year":"2007"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1177\/070674370805300408","article-title":"A clinician\u2019s guide to correct cost-effectiveness analysis: think incremental not average","volume":"53","author":"Hoch","year":"2008","journal-title":"Can J Psychiatry"},{"key":"ref31","unstructured":"2022"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"947","DOI":"10.1136\/bmj.328.7445.947","article-title":"Economics of smoking cessation","volume":"328","author":"Parrott","year":"2004","journal-title":"BMJ"},{"key":"ref33","first-page":"23","volume-title":"The cost of smoking and the economics of smoking cessation. Smoking cessation: European respiratory monograph. European Respiratory Society journals ltd","author":"Lazzaro","year":"2008"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.18332\/tid\/141406","article-title":"Trends of smoking cessation status: the implementation of the 5A\u2019s smoking cessation model among smokers in Pathum Health Promoting Hospital","volume":"19","author":"Phulthong","year":"2021","journal-title":"Tob Induc Dis"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"58","DOI":"10.18332\/tid\/139024","article-title":"Impact of tobacco cessation education on behaviors of nursing undergraduates in helping smokers to quit smoking","volume":"19","author":"Zhang","year":"2021","journal-title":"Tob Induc Dis"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1016\/j.nedt.2012.03.002","article-title":"Improving nursing students\u2019 knowledge using online education and simulation to help smokers quit","volume":"33","author":"Shishani","year":"2013","journal-title":"Nurse Educ Today"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1093\/heapol\/5.3.246","article-title":"Evolution of primary health care in Thailand: what policies worked?","volume":"5","author":"Nitayarumphong","year":"1990","journal-title":"Health Policy Plan"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"34","DOI":"10.4103\/2224-3151.206162","article-title":"Services for depression and suicide in Thailand","volume":"6","author":"Kongsuk","year":"2017","journal-title":"WHO South East Asia J Public Health"},{"key":"ref39","doi-asserted-by":"publisher","DOI":"10.18332\/tid\/141388","article-title":"Effect of health literacy for smoking cessation assistance developing program on smoking cessation assistance abilities among village health volunteers","volume":"19","author":"Kamollabhu","year":"2021","journal-title":"Tob Induc Dis"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2023.1289561\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T09:15:48Z","timestamp":1700730948000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2023.1289561\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,23]]},"references-count":39,"alternative-id":["10.3389\/fpubh.2023.1289561"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2023.1289561","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,23]]},"article-number":"1289561"}}