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      Randomized controlled trial on the effect of Al-Quran recitation vs counseling on smoking intensity among Muslim men who are trying to quit smoking

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          Abstract

          Introduction

          Nicotine cravings and withdrawal symptoms are associated with higher rates of relapse. It has been shown that combining behavioral therapy and pharmacotherapy leads to a higher long-term abstinence rate in those who quit smoking. Al-Quran recitation has been proven to reduce anxiety among athletes before tournaments and pulse and heart rates among patients awaiting cardiac operations. As most of the patients who wish to stop smoking experience high-anxiety states, we postulate that Al-Quran recitation will also able to reduce craving among smokers attempting to quit smoking.

          Methods

          Fifty smokers from an outpatient clinic were randomly assigned to control and intervention groups. They were taught different ways of coping with smoking urges, i.e., counseling using the 12’M’ method (control group) versus Al-Quran recitation (intervention group). They met for four consecutive weeks of counselling and to fill out a withdrawal scale. Carbon monoxide (CO) levels were tested at baseline and at week 4. At week 12, the number of cigarettes smoked was measured again. The decrease in the number of cigarettes considered to be clinically significant for the calculation of sample size was based on expert opinion

          Results

          The reduction in the number of cigarettes smoked was 7 cigarettes in the counselling group and 9 cigarettes in Al-Quran recitation group over 12 weeks duration. There was a statistically significant difference in the number of cigarettes smoked between the groups. There was also a statistically significant difference in the change in cravings between the groups at week 4 (p-value = 0.005). However, the difference in the changes in CO levels between the two groups was not statistically significant.

          Conclusion

          Al-Quran recitation produced a statistically significant reduction in the number of cigarettes smoked at week 12 and a significant change in cravings at week 4 among smokers attempting to quit. Difference in smoking abstinence rates was not measured in this study.

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          Author and article information

          Journal
          Malays Fam Physician
          Malays Fam Physician
          MFP
          Malaysian Family Physician : the Official Journal of the Academy of Family Physicians of Malaysia
          Academy of Family Physician of Malaysia
          1985-207X
          1985-2274
          31 August 2018
          2018
          : 13
          : 2
          : 19-25
          Affiliations
          [1. ]MD, MMed Family Medicine Department of Pharmacology School of Medical Sciences Universiti Sains Malaysia Kubang Kerian, Kelantan Malaysia
          [2. ]MD, MMed Family Medicine Department of Family Medicine School of Medical Sciences Universiti Sains Malaysia Kubang Kerian, Kelantan Malaysia
          [3. ]MBBS, MMed Family Medicine Department of Family Medicine School of Medical Sciences Universiti Sains Malaysia Kubang Kerian, Kelantan Malaysia
          [4. ]MD, MMed Family Medicine Faculty of Medicine, Universiti Sultan Zainal Abidin, Kuala Terengganu, Terengganu Malaysia
          Author notes
          [1. ]MD, MMed Family Medicine Department of Pharmacology School of Medical Sciences Universiti Sains Malaysia Kubang Kerian, Kelantan Malaysia.
          Article
          PMC6173964 PMC6173964 6173964 jMFP.v13.i2.pg19
          6173964
          30302179
          © Academy of Family Physicians of Malaysia
          Categories
          Original Article

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