Abstract
OBJECTIVES: Transdermal nicotine patches have shown considerable promise in improving smoking cessation outcomes. The present study assessed telephone support as an adjunct to a managed care-based, single-session group orientation smoking cessation program with nicotine patch therapy. METHODS: The unit of randomization was the orientation session (n = 35). Subjects (n = 509) were randomly assigned to a group session without telephone support, the session plus access to a toll-free help line, or the session with telephone help line plus active telephone outreach. RESULTS: Contrary to hypothesis, there were no differences between treatment conditions. Overall abstinence rates were 22% at 6 months and 21% at 1 year. Fewer than 1% of eligible subjects called the toll-free help line. An average of 3.8 of a possible 4 calls were completed in the telephone outreach condition. CONCLUSIONS: Abstinence results obtained in this program were comparable to those obtained with more extensive counseling. However, there was no evidence of benefit from telephone support beyond the initial physician-led group orientation session.
Full text
PDF




Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Abelin T., Buehler A., Müller P., Vesanen K., Imhof P. R. Controlled trial of transdermal nicotine patch in tobacco withdrawal. Lancet. 1989 Jan 7;1(8628):7–10. doi: 10.1016/s0140-6736(89)91671-1. [DOI] [PubMed] [Google Scholar]
- Buchkremer G., Minneker E., Block M. Smoking-cessation treatment combining transdermal nicotine substitution with behavioral therapy. Pharmacopsychiatry. 1991 May;24(3):96–102. doi: 10.1055/s-2007-1014448. [DOI] [PubMed] [Google Scholar]
- Dubren R. Self-reinforcement by recorded telephone messages to maintain nonsmoking behavior. J Consult Clin Psychol. 1977 Jun;45(3):358–360. doi: 10.1037//0022-006x.45.3.358. [DOI] [PubMed] [Google Scholar]
- Eichelberg D., Stolze P., Block M., Buchkremer G. Contact allergies induced by TTS-treatment. Methods Find Exp Clin Pharmacol. 1989 Mar;11(3):223–225. [PubMed] [Google Scholar]
- Fiore M. C., Jorenby D. E., Baker T. B., Kenford S. L. Tobacco dependence and the nicotine patch. Clinical guidelines for effective use. JAMA. 1992 Nov 18;268(19):2687–2694. [PubMed] [Google Scholar]
- Fiore M. C., Novotny T. E., Pierce J. P., Giovino G. A., Hatziandreu E. J., Newcomb P. A., Surawicz T. S., Davis R. M. Methods used to quit smoking in the United States. Do cessation programs help? JAMA. 1990 May 23;263(20):2760–2765. [PubMed] [Google Scholar]
- Fiore M. C., Smith S. S., Jorenby D. E., Baker T. B. The effectiveness of the nicotine patch for smoking cessation. A meta-analysis. JAMA. 1994 Jun 22;271(24):1940–1947. [PubMed] [Google Scholar]
- Fortmann S. P., Rogers T., Vranizan K., Haskell W. L., Solomon D. S., Farquhar J. W. Indirect measures of cigarette use: expired-air carbon monoxide versus plasma thiocyanate. Prev Med. 1984 Jan;13(1):127–135. doi: 10.1016/0091-7435(84)90045-8. [DOI] [PubMed] [Google Scholar]
- Glasgow R. E., Lando H., Hollis J., McRae S. G., La Chance P. A. A stop-smoking telephone help line that nobody called. Am J Public Health. 1993 Feb;83(2):252–253. doi: 10.2105/ajph.83.2.252. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gourlay S. The pros and cons of transdermal nicotine therapy. Med J Aust. 1994 Feb 7;160(3):152–159. [PubMed] [Google Scholar]
- Hughes J. R., Hatsukami D. Signs and symptoms of tobacco withdrawal. Arch Gen Psychiatry. 1986 Mar;43(3):289–294. doi: 10.1001/archpsyc.1986.01800030107013. [DOI] [PubMed] [Google Scholar]
- Jarvis M. J., Russell M. A., Saloojee Y. Expired air carbon monoxide: a simple breath test of tobacco smoke intake. Br Med J. 1980 Aug 16;281(6238):484–485. doi: 10.1136/bmj.281.6238.484. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kottke T. E., Battista R. N., DeFriese G. H., Brekke M. L. Attributes of successful smoking cessation interventions in medical practice. A meta-analysis of 39 controlled trials. JAMA. 1988 May 20;259(19):2883–2889. doi: 10.1001/jama.259.19.2883. [DOI] [PubMed] [Google Scholar]
- Lando H. A., Hellerstedt W. L., Pirie P. L., McGovern P. G. Brief supportive telephone outreach as a recruitment and intervention strategy for smoking cessation. Am J Public Health. 1992 Jan;82(1):41–46. doi: 10.2105/ajph.82.1.41. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lando H. A., Kalb E. A., McGovern P. G. Behavioral self-help materials as an adjunct to nicotine gum. Addict Behav. 1988;13(2):181–184. doi: 10.1016/0306-4603(88)90009-3. [DOI] [PubMed] [Google Scholar]
- Lando H. A., McGovern P. G., Barrios F. X., Etringer B. D. Comparative evaluation of American Cancer Society and American Lung Association smoking cessation clinics. Am J Public Health. 1990 May;80(5):554–559. doi: 10.2105/ajph.80.5.554. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lando H. A., McGovern P. G., Kelder S. H., Jeffery R. W., Forster J. L. Use of carbon monoxide breath validation in assessing exposure to cigarette smoke in a worksite population. Health Psychol. 1991;10(4):296–301. doi: 10.1037//0278-6133.10.4.296. [DOI] [PubMed] [Google Scholar]
- Lando H. A., Pirie P. L., Roski J., McGovern P. G., Schmid L. A. Promoting abstinence among relapsed chronic smokers: the effect of telephone support. Am J Public Health. 1996 Dec;86(12):1786–1790. doi: 10.2105/ajph.86.12.1786. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lichtenstein E., Glasgow R. E., Lando H. A., Ossip-Klein D. J., Boles S. M. Telephone counseling for smoking cessation: rationales and meta-analytic review of evidence. Health Educ Res. 1996 Jun;11(2):243–257. doi: 10.1093/her/11.2.243. [DOI] [PubMed] [Google Scholar]
- McFall R. M. Smoking-cessation research. J Consult Clin Psychol. 1978 Aug;46(4):703–712. doi: 10.1037//0022-006x.46.4.703. [DOI] [PubMed] [Google Scholar]
- Ockene J. K. Physician-delivered interventions for smoking cessation: strategies for increasing effectiveness. Prev Med. 1987 Sep;16(5):723–737. doi: 10.1016/0091-7435(87)90054-5. [DOI] [PubMed] [Google Scholar]
- Orleans C. T., Schoenbach V. J., Wagner E. H., Quade D., Salmon M. A., Pearson D. C., Fiedler J., Porter C. Q., Kaplan B. H. Self-help quit smoking interventions: effects of self-help materials, social support instructions, and telephone counseling. J Consult Clin Psychol. 1991 Jun;59(3):439–448. doi: 10.1037//0022-006x.59.3.439. [DOI] [PubMed] [Google Scholar]
- Ossip-Klein D. J., Giovino G. A., Megahed N., Black P. M., Emont S. L., Stiggins J., Shulman E., Moore L. Effects of a smoker's hotline: results of a 10-county self-help trial. J Consult Clin Psychol. 1991 Apr;59(2):325–332. doi: 10.1037//0022-006x.59.2.325. [DOI] [PubMed] [Google Scholar]
- Ossip-Klein D. J., Shapiro R. M., Stiggins J. Freedom line: increasing utilization of a telephone support service for ex-smokers. Addict Behav. 1984;9(2):227–230. doi: 10.1016/0306-4603(84)90063-7. [DOI] [PubMed] [Google Scholar]
- Rose J. E., Levin E. D., Behm F. M., Adivi C., Schur C. Transdermal nicotine facilitates smoking cessation. Clin Pharmacol Ther. 1990 Mar;47(3):323–330. doi: 10.1038/clpt.1990.35. [DOI] [PubMed] [Google Scholar]
- Shiffman S. Relapse following smoking cessation: a situational analysis. J Consult Clin Psychol. 1982 Feb;50(1):71–86. doi: 10.1037//0022-006x.50.1.71. [DOI] [PubMed] [Google Scholar]
- Stookey G. K., Katz B. P., Olson B. L., Drook C. A., Cohen S. J. Evaluation of biochemical validation measures in determination of smoking status. J Dent Res. 1987 Oct;66(10):1597–1601. doi: 10.1177/00220345870660101801. [DOI] [PubMed] [Google Scholar]
- Tang J. L., Law M., Wald N. How effective is nicotine replacement therapy in helping people to stop smoking? BMJ. 1994 Jan 1;308(6920):21–26. doi: 10.1136/bmj.308.6920.21. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Tønnesen P., Nørregaard J., Simonsen K., Säwe U. A double-blind trial of a 16-hour transdermal nicotine patch in smoking cessation. N Engl J Med. 1991 Aug 1;325(5):311–315. doi: 10.1056/NEJM199108013250503. [DOI] [PubMed] [Google Scholar]
- Westman E. C., Levin E. D., Rose J. E. The nicotine patch in smoking cessation. A randomized trial with telephone counseling. Arch Intern Med. 1993 Aug 23;153(16):1917–1923. [PubMed] [Google Scholar]
