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


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.
    Full-text · Article · Jan 2016 · Annals of Behavioral Medicine
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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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    ABSTRACT: Tobacco smoking is the leading preventable cause of mortality and morbidity. Although behavioral counseling combined with pharmacotherapy is the most effective approach to aiding smoking cessation, intensive treatments are rarely chosen by smokers, citing inconvenience. In contrast, minimal self-help interventions have the potential for greater reach, with demonstrated efficacy for relapse prevention, but not for smoking cessation. This paper summarizes the design and methods used for a randomized controlled trial to assess the efficacy of a minimal self-help smoking cessation intervention that consists of a set of booklets delivered across time. Baseline participant recruitment data are also presented. Daily smokers were recruited nationally via multimedia advertisements and randomized to one of three conditions. The Usual Care (UC) group received a standard smoking-cessation booklet. The Standard Repeated Mailings (SRM) group received 8 booklets mailed over a 12-month period. The Intensive Repeated Mailings (IRM) group received 10 booklets and additional supplemental materials mailed monthly over 18 months. A total of 2641 smokers were screened, 2349 were randomized, and 1874 provided data for analyses. Primary outcomes will be self-reported abstinence at 6-month intervals up to 30 months. If the self-help booklets are efficacious, this minimal, low cost intervention can be widely disseminated and, hence, has the potential for significant public health impact with respect to reduction in smoking-related illness and mortality.
    Full-text · Article · May 2014 · Contemporary Clinical Trials
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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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    ABSTRACT: HIV felt stigma is a major problem needing to be addressed because of its association with poor treatment adherence, decreases in help-seeking behaviors, high-risk sexual conduct, emotional discomfort, and the reduction of well-being in people with HIV/AIDS (PWHA). The aim of this study was to identify the frequency of felt stigma among PWHA in Puerto Rico. A cross-sectional study was conducted with 249 subjects (59% men, 41% women). Participants completed the Puerto Rico Comprehensive Center for HIV Disparities (PR-CCHD) Sociodemographic Questionnaire and the HIV Felt Sigma Scale. 80% of the subjects showed some level of felt stigma. Women showed significantly higher levels of HIV-related felt stigma than did men. Disclosure, negative self-image, and public attitude scores were also higher in women than in men. Sociodemographic variables such as age, marital status, employment status, income, and educational level showed significant associations with felt stigma and its dimensions. Results of this study evidence the need to develop culturally sensitive intervention models to reduce the felt-stigma burden in PWHA.
    Full-text · Article · Jun 2012 · Puerto Rico health sciences journal
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