Journal article
Step Care treatment for smoking cessation
Health education research, Vol.32(1), pp.1-11
02/01/2017
DOI: 10.1093/her/cyw051
PMCID: PMC5914340
PMID: 28158558
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.
Details
- Title: Subtitle
- Step Care treatment for smoking cessation
- Creators
- Jon O Ebbert - Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USAMelissa A Little - Center for Population Sciences, Department of Preventive Medicine, University of Tennessee Heath Science Center, 66 North Pauline Street, Suite 633, Memphis, TN 38163, USARobert C Klesges - Center for Population Sciences, Department of Preventive Medicine, University of Tennessee Heath Science Center, 66 North Pauline Street, Suite 633, Memphis, TN 38163, USAZoran Bursac - Center for Population Sciences, Department of Preventive Medicine, University of Tennessee Heath Science Center, 66 North Pauline Street, Suite 633, Memphis, TN 38163, USAKaren C Johnson - Department of Preventive Medicine, University of Tennessee Heath Science Center, 66 North Pauline Street, Suite 633, Memphis, TN 38163, USAFridtjof Thomas - Department of Preventive Medicine, University of Tennessee Heath Science Center, 66 North Pauline Street, Suite 633, Memphis, TN 38163, USAMark W Vander Weg - Comprehensive Access & Delivery Research and Evaluation (CADRE) Center, Iowa City VA Health Care System, Iowa City, IA 52246, USA
- Resource Type
- Journal article
- Publication Details
- Health education research, Vol.32(1), pp.1-11
- DOI
- 10.1093/her/cyw051
- PMID
- 28158558
- PMCID
- PMC5914340
- NLM abbreviation
- Health Educ Res
- ISSN
- 0268-1153
- eISSN
- 1465-3648
- Publisher
- England
- Grant note
- P30 CA086862 / NCI NIH HHS
- Language
- English
- Date published
- 02/01/2017
- Academic Unit
- Psychological and Brain Sciences; Injury Prevention Research Center; Community and Behavioral Health; Internal Medicine
- Record Identifier
- 9984064197002771
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