We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Relapse-Prevention Booklets as an Adjunct to a Tobacco Quitline: A Randomized Controlled Effectiveness Trial.
- Authors
Unrod, Marina; Simmons, Vani N.; Sutton, Steven K.; Cummings, K. Michael; Celestino, Paula; Craig, Benjamin M.; Ji-Hyun Lee; Meltzer, Lauren R.; Brandon, Thomas H.; Lee, Ji-Hyun
- Abstract
<bold>Introduction: </bold>Relapse prevention (RP) remains a major challenge to smoking cessation. Previous research found that a set of self-help RP booklets significantly reduced smoking relapse. This study tested the effectiveness of RP booklets when added to the existing services of a telephone quitline.<bold>Methods: </bold>Quitline callers (N = 3458) were enrolled after their 2-week quitline follow-up call and randomized to one of three interventions: (1) Usual Care: standard intervention provided by the quitline, including brief counseling and nicotine replacement therapy; (2) Repeated Mailings (RM): eight Forever Free RP booklets sent to participants over 12 months; and (3) Massed Mailings: all eight Forever Free RP booklets sent upon enrollment. Follow-ups were conducted at 6-month intervals, through 24 months. The primary outcome measure was 7-day-point-prevalence-abstinence.<bold>Results: </bold>Overall abstinence rates were 61.0% at baseline, and 41.9%, 42.7%, 44.0%, and 45.9% at the 6-, 12-, 18- and 24-month follow-ups, respectively. Although RM produced higher abstinence rates, the differences did not reach significance for the full sample. Post-hoc analyses of at-risk subgroups revealed that among participants with high nicotine dependence (n = 1593), the addition of RM materials increased the abstinence rate at 12 months (42.2% vs. 35.2%; OR = 1.38; 95% CI = 1.03% to 1.85%; P = .031) and 24 months (45% vs. 38.8%; OR = 1.31; 95% CI = 1.01% to 1.73%; P = .046).<bold>Conclusions: </bold>Sending self-help RP materials to all quitline callers appears to provide little benefit to deterring relapse. However, selectively sending RP booklets to callers explicitly seeking assistance for RP and those identified as highly dependent on nicotine might still prove to be worthwhile.
- Subjects
SMOKING cessation; NICOTINE replacement therapy; DRUG abstinence; DISEASE prevalence; RANDOMIZED controlled trials; HEALTH outcome assessment; SMOKING &; psychology; SUBSTANCE abuse &; psychology; SUBSTANCE abuse treatment; DISEASE relapse prevention; COMPARATIVE studies; COUNSELING; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; PAMPHLETS; RESEARCH; RESEARCH funding; SMOKING; DISEASE relapse; EVALUATION research; HELPLINES; TREATMENT effectiveness
- Publication
Nicotine & Tobacco Research, 2016, Vol 18, Issue 3, p298
- ISSN
1462-2203
- Publication type
journal article
- DOI
10.1093/ntr/ntv079