We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Step Care treatment for smoking cessation.
- Authors
Ebbert, Jon O.; Little, Melissa A.; Klesges, Robert C.; Bursac, Zoran; Johnson, Karen C.; Thomas, Fridtjof; Weg, Mark W. Vander
- Abstract
We compared the effectiveness of a 'stepped care' approach with increasing treatment intensity ('Step Care') to one with repeated treatments ('Recycle') among cigarette smokers interested in quitting smoking. Step 1 of the Step Care intervention consisted of a single counseling session, nicotine patch for six weeks and telephonic contact. For smokers not achieving tobacco abstinence 6 months after randomization with Step 1, the intensity of the intervention increased to four counseling sessions, bupropion sustained-release, nine telephone calls and three mailings (Step 2). For those not achieving tobacco abstinence 12 months after randomization, smokers received six behavioral counseling sessions, nicotine patch and nicotine gum, nine telephone calls and three mailings (Step 3). The Recycle participants received one session of health behavior counseling, six weeks of the nicotine patch and a telephone call at each step. 270 cigarette smokers were randomized. At 24 months after randomization using an intention to treat analysis, no statistically significant difference was observed in prolonged smoking abstinence between the Step Care and Recycle condition (16.9% versus 9.4%; adjusted OR = 1.88; 95% CI 0.88-4.01; P = 0.10). Additional research is needed to explore whether a stepped care intervention increases long-term smoking abstinence rates compared with repeating the same intervention.
- Subjects
TENNESSEE; BEHAVIOR therapy; CHI-squared test; COMPARATIVE studies; CONFIDENCE intervals; COUNSELING; FISHER exact test; HEALTH behavior; INTENTION; POSTAL service; PROBABILITY theory; QUESTIONNAIRES; RESEARCH funding; SMOKING; SMOKING cessation; T-test (Statistics); TELEMEDICINE; TOBACCO; MULTIPLE regression analysis; RANDOMIZED controlled trials; DATA analysis software; BUPROPION; DESCRIPTIVE statistics; NICOTINE replacement therapy; ODDS ratio; MANN Whitney U Test; DRUG administration; DRUG dosage
- Publication
Health Education Research, 2017, Vol 32, Issue 1, p1
- ISSN
0268-1153
- Publication type
Article
- DOI
10.1093/her/cyw051