Extended telephone counseling for smoking cessation: Does content matter?
ABSTRACT Telephone counseling is a popular modality for smoking cessation treatment; however, little attention has been paid to evaluating the efficacy of different contents of calls. This study compared 2 types of proactive telephone calls following a group program. Participants were randomized to receive either: (a) basic content, consisting primarily of support; or (b) enhanced content, tailored to the stage of cessation (still smoking, abstinent, or relapsed) and targeting factors hypothesized to be related to success (motivation, self-efficacy, and negative mood). There was a significant interaction between treatment condition and gender. For men, the enhanced condition produced better abstinence rates through 15 months and lower relapse rates. For women, the basic condition was better. History of depression did not interact with condition.
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- "may be the only way to reach these youth (McCuller et al., 2002; Mermelstein, Hedeker, & Wong, 2003; Míguez, 2002). Hence, a telephone-based intervention appeared to be the most promising modality to deliver booster pro- gramming. "
ABSTRACT: A brief motivational interviewing (MI) intervention may be a viable adjunct to school-based substance abuse prevention programs. This article describes the development and implementation of a brief MI intervention with 573 adolescents (mean age 16.8; 40.3% female, 68% Latino) enrolled in eight continuation high schools in Southern California. Study participants were assigned to the MI condition in a randomized controlled trial of Project Toward No Drug Abuse. Data are provided on dosage, topics discussed, and quality of MI determined with the Motivational Interviewing Skill Code (MISC). Results suggest that the protocol was feasible and implemented with adequate fidelity. The study's limitations are noted.Substance Use & Misuse 01/2012; 47(4):418-28. DOI:10.3109/10826084.2011.641057 · 1.23 Impact Factor
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- "No homework or manual All: 3 brief individual counseling sessions, nicotine patches, and S-H materials. Control: no further intervention 12 mo (PPA)/CO 0.67 (0.43-1.06) Mermelstein et al, 33 2003 United States/ 341 abstainers "
ABSTRACT: After initially successful quit attempts, many people return to smoking within a year, reducing the public health benefits of investment in smoking cessation. We aimed to assess whether interventions designed to prevent relapse after a successful quit attempt reduce the proportion of recent quitters who return to smoking. We searched the Cochrane Tobacco Addiction Review Group trials' register. We selected randomized or quasi-randomized controlled trials of relapse prevention interventions with a minimum follow-up of 6 months. We included people who quit on their own, underwent enforced abstinence, or were in treatment programs. We included trials comparing relapse prevention interventions with no intervention or cessation plus relapse prevention with cessation intervention alone. Two of us independently extracted data from each report, with disagreements referred to a third author. Forty-two studies met the inclusion criteria. The most common interventions were skills training to identify and resolve tempting situations and extended treatment contact. A few studies tested pharmacotherapy. We separately analyzed studies that randomized abstainers and those that randomized participants before their quit date. Within subgroups of trials, pooled odds ratios ranged from 0.86 to 1.30, and in most analyses, 95% confidence intervals included 1. Most studies had limited power to detect moderate differences between interventions. The evidence to date does not support the adoption of skills training or other specific interventions to help individuals who have successfully quit smoking to avoid relapse, but this is an important area for future study.Archives of Internal Medicine 05/2006; 166(8):828-35. DOI:10.1001/archinte.166.8.828 · 13.25 Impact Factor
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ABSTRACT: La prevalencia de tabaquismo sigue siendo muy elevada en nuestro país. Sin embargo no todos los usuarios tienen un acceso fácil a los tratamientos para dejar de fumar. El avance de las nuevas tecnologías ha permitido el desarrollo de programas de tratamiento de tabaquismo a distancia, tanto a través de intervenciones telefónicas o quitlines, como de Internet. La Unidad de Tabaquismo del Hospital Carlos III ha incorporado a su rutina asistencial este tipo de tratamientos. El presente trabajo tiene como objetivo revisar las publicaciones sobre estos nuevos tratamientos de tabaquismo a distancia, así como ver su aplicabilidad clínica en un hospital público con experiencia previa en tratamientos presenciales. Smoking prevalence is still elevated in our country. Nevertheless most of smokers do not have an easy acces to smoking cessation treatments. Development of non face-to-face programs though quitlines and internet has been possible thanks to new technologies advance. The objective of this paper is to review the research about new non face-to-face smoking cessation treatments and to analyse its clinic feasibility in a public hosptial with previous experience in actual treatments.