Proactive, motivationally enhanced smoking cessation counseling among women with elevated cervical cancer risk

Jennifer B McClure; Emily Westbrook; Susan J Curry; David W Wetter

doi:10.1080/14622200500266080

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Proactive, motivationally enhanced smoking cessation counseling among women with elevated cervical cancer risk

Journal article

Peer reviewed

Proactive, motivationally enhanced smoking cessation counseling among women with elevated cervical cancer risk

Jennifer B McClure, Emily Westbrook, Susan J Curry and David W Wetter

Nicotine & tobacco research, Vol.7(6), pp.881-889

12/2005

DOI: 10.1080/14622200500266080

PMID: 16298723

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Abstract

Current treatment guidelines recommend that all smokers be given motivational or action-oriented counseling, as is appropriate to their readiness to quit smoking. The present study assessed the acceptability and impact of a proactively delivered, motivationally tailored phone counseling program targeted to women with elevated risk for cervical cancer. Female smokers with a recent abnormal pap exam or a colposcopy were contacted and invited to participate, regardless of their interest in quitting smoking. Participants were randomly assigned to usual care (UC) or UC plus motivationally enhanced phone counseling (MEC). The intervention was well received: 79% of eligible women enrolled (n = 275), and 90% completed at least three of four calls. Participation did not vary by baseline motivation to quit. Compared with control subjects, counseling participants were more likely to seek additional treatment services and had a higher 7-day point-prevalence abstinence rate at 6 months (20% MEC vs. 12% UC, p<.05). MEC impact was sustained at 12 months, but abstinence increased among the UC group (18% MEC vs. 20% UC, p = ns). There was no difference in repeated point-prevalence abstinence at 6 and 12 months (11% MEC vs. 10% UC, p = ns). Outcomes were similar in a subgroup of 229 women who, at baseline, were interested in quitting in the next 6 months.

Adult

Aged

Attitude to Health

Chi-Square Distribution

Counseling - methods

Female

Health Behavior

Humans

Middle Aged

Patient Education as Topic - methods

Risk Assessment

Smoking - psychology

Smoking Cessation - methods

Smoking Cessation - psychology

Smoking Prevention

Treatment Outcome

Uterine Cervical Dysplasia - prevention & control

Uterine Cervical Dysplasia - psychology

Uterine Cervical Neoplasms - prevention & control

Uterine Cervical Neoplasms - psychology

Women's Health

Details

Title: Subtitle: Proactive, motivationally enhanced smoking cessation counseling among women with elevated cervical cancer risk
Creators: Jennifer B McClure - Group Health Cooperative
Emily Westbrook - Group Health Cooperative
Susan J Curry - University of Illinois at Chicago
David W Wetter - Department of Health Disparities Research, University of Texas M. D. Anderson Cancer CenterHouston, TX
Resource Type: Journal article
Publication Details: Nicotine & tobacco research, Vol.7(6), pp.881-889
DOI: 10.1080/14622200500266080
PMID: 16298723
ISSN: 1462-2203
eISSN: 1469-994X
Grant note: K07 CA084603 / NCI NIH HHS DA11194 / NIDA NIH HHS CA84603 / NCI NIH HHS
Language: English
Date published: 12/2005
Academic Unit: Health Management and Policy; Community and Behavioral Health
Record Identifier: 9984366369002771

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