Article

Efficacy and Cost-Effectiveness of a Minimal Intervention to Prevent Smoking Relapse: Dismantling the Effects of Amount of Content Versus Contact.

Department of Psychology, University of South Florida, Tampa, FL 33617, USA. .
Journal of Consulting and Clinical Psychology (Impact Factor: 4.85). 11/2004; 72(5):797-808. DOI: 10.1037/0022-006X.72.5.797
Source: PubMed

ABSTRACT

Relapse prevention remains a major challenge to smoking cessation efforts. T. H. Brandon, B. N. Collins, L. M. Juliano, and A. B. Lazev (2000) found that a series of 8 empirically based relapse-prevention booklets mailed to ex-smokers over 1 year significantly reduced relapse. This study dismantled 2 components of that intervention: the amount of content (number of booklets) and the frequency of contact. Content and contact were crossed in a 2 X 2 factorial design. The criteria of at least 1 week of abstinence at baseline was met by 431 participants, 75%-85% of whom returned 12-, 18-, and 24-month follow-up questionnaires. Eight booklets produced consistently higher point-prevalence abstinence rates than did a single booklet, but frequency of contact did not affect outcome. Moreover, the high-content interventions were highly cost-effective.

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Available from: Monica Webb Hooper, Apr 07, 2015
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    • "After the conclusion of the 14-week exercise-aided NRT smoking cessation program, participants randomized to the exercise maintenance + smoking cessation maintenance and smoking cessation maintenance + contact control arms received a set of Brandon's " Forever Free " booklets[39,47,49]. The content of these booklets spoke to the behaviour of smoking cessation and relapse prevention. "
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    ABSTRACT: Background Exercise has been proposed as a useful smoking cessation aid. Purpose The purpose of the present study is to determine the effect of an exercise-aided smoking cessation intervention program, with built-in maintenance components, on post-intervention 14-, 26- and 56-week cessation rates. Method Female cigarette smokers (n = 413) participating in a supervised exercise and nicotine replacement therapy (NRT) smoking cessation program were randomized to one of four conditions: exercise + smoking cessation maintenance, exercise maintenance + contact control, smoking cessation maintenance + contact control or contact control. The primary outcome was continuous smoking abstinence. Results Abstinence differences were found between the exercise and equal contact non-exercise maintenance groups at weeks 14 (57 vs 43 %), 26 (27 vs 21 %) and 56 (26 vs 23.5 %), respectively. Only the week 14 difference approached significance, p = 0.08. Conclusions An exercise-aided NRT smoking cessation program with built-in maintenance components enhances post-intervention cessation rates at week 14 but not at weeks 26 and 56.
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    • "c o m / l o c a t e / c o n c l i n t r i a l self-help interventions have been found to be effective for reducing smoking relapse in motivated quitters [10] [11]. One such intervention, using a set of specially developed relapseprevention booklets, has been found to be efficacious and cost-effective among recently quit smokers [12] [13] [14]. This series of booklets, called Forever Free®, includes content that draws on empirical and theoretical research in relapse prevention [15] [16]. "
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    • "Hispanic women, however, are more likely to make a quit attempt during pregnancy, creating a " window of opportunity " (Fang et al., 2004) to assist them in remaining abstinent postpartum . Previous research has demonstrated the efficacy and cost-effectiveness of a self-help smoking relapse– prevention booklet series, entitled Forever Free: A Guide to Preventing Smoking Relapse (Brandon, Collins, Juliano, & Lazev, 2000;Brandon et al., 2004). Recently, a version of the Forever Free series tailored to pregnant women, Forever Free for Baby and Me, was developed by our research group (Lopez et al., 2008) and showed that effectiveness at extending abstinence, compared with a control condition, was dependent on the level of positive partner support reported at baseline (Brandon et al., 2010). "
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