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Promoting repeat tobacco dependence treatment: are relapsed smokers interested?
Am J Manag Care. 2006 Apr; 12(4):235-43.AJ

Abstract

BACKGROUND

Promotion of repeat tobacco dependence treatment among relapsed smokers interested in "recycling" (repeat quit attempt) may be a promising approach to increase quit rates.

OBJECTIVE

To report relapsed smokers' interest in recycling and their treatment preferences.

STUDY DESIGN

Descriptive analysis of a population of relapsed smokers who were randomized to receive a recycling intervention strategy to increase tobacco dependence treatment rates, as part of a randomized controlled trial at 5 Veterans Affairs medical centers.

METHODS

Individuals prescribed a tobacco dependence medication in 2002 were eligible and were identified from the Department of Veterans Affairs Pharmacy Benefits Management database. Intervention group participants (n = 951) were contacted for a standardized telephone interview approximately 6 months after the prescription fill date to assess smoking status, interest in recycling, and treatment preferences. Bivariate analyses and generalized linear mixed-model regressions were used to describe outcomes.

RESULTS

The response rate to the intervention telephone call was 62% (586/951), at which 61% (357/586) of respondents had relapsed. Almost two thirds of relapsed smokers were interested in recycling within 30 days. Of these, 91% wanted behavioral or pharmacologic smoking cessation treatment, and 64% wanted behavioral and pharmacologic treatment. In multivariate analyses, independent predictors of interest in recycling within 30 days included black race, lower smoking level, and greater number of smoking-related medical conditions.

CONCLUSION

Most smokers who attempt to quit but relapse want to quit again right away, and most are interested in receiving behavioral and pharmacologic treatment.

Authors+Show Affiliations

Section of General Internal Medicine, Center for Chronic Disease Outcomes Research (VA Health Services Research & Development Center of Excellence), Veterans Affairs Medical Center (152/2E), Minneapolis, MN 55417, USA. steven.fu@va.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16610925

Citation

Fu, Steven S., et al. "Promoting Repeat Tobacco Dependence Treatment: Are Relapsed Smokers Interested?" The American Journal of Managed Care, vol. 12, no. 4, 2006, pp. 235-43.
Fu SS, Partin MR, Snyder A, et al. Promoting repeat tobacco dependence treatment: are relapsed smokers interested? Am J Manag Care. 2006;12(4):235-43.
Fu, S. S., Partin, M. R., Snyder, A., An, L. C., Nelson, D. B., Clothier, B., Nugent, S., Willenbring, M. L., & Joseph, A. M. (2006). Promoting repeat tobacco dependence treatment: are relapsed smokers interested? The American Journal of Managed Care, 12(4), 235-43.
Fu SS, et al. Promoting Repeat Tobacco Dependence Treatment: Are Relapsed Smokers Interested. Am J Manag Care. 2006;12(4):235-43. PubMed PMID: 16610925.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Promoting repeat tobacco dependence treatment: are relapsed smokers interested? AU - Fu,Steven S, AU - Partin,Melissa R, AU - Snyder,Annamay, AU - An,Lawrence C, AU - Nelson,David B, AU - Clothier,Barbara, AU - Nugent,Sean, AU - Willenbring,Mark L, AU - Joseph,Anne M, PY - 2006/4/14/pubmed PY - 2006/5/25/medline PY - 2006/4/14/entrez SP - 235 EP - 43 JF - The American journal of managed care JO - Am J Manag Care VL - 12 IS - 4 N2 - BACKGROUND: Promotion of repeat tobacco dependence treatment among relapsed smokers interested in "recycling" (repeat quit attempt) may be a promising approach to increase quit rates. OBJECTIVE: To report relapsed smokers' interest in recycling and their treatment preferences. STUDY DESIGN: Descriptive analysis of a population of relapsed smokers who were randomized to receive a recycling intervention strategy to increase tobacco dependence treatment rates, as part of a randomized controlled trial at 5 Veterans Affairs medical centers. METHODS: Individuals prescribed a tobacco dependence medication in 2002 were eligible and were identified from the Department of Veterans Affairs Pharmacy Benefits Management database. Intervention group participants (n = 951) were contacted for a standardized telephone interview approximately 6 months after the prescription fill date to assess smoking status, interest in recycling, and treatment preferences. Bivariate analyses and generalized linear mixed-model regressions were used to describe outcomes. RESULTS: The response rate to the intervention telephone call was 62% (586/951), at which 61% (357/586) of respondents had relapsed. Almost two thirds of relapsed smokers were interested in recycling within 30 days. Of these, 91% wanted behavioral or pharmacologic smoking cessation treatment, and 64% wanted behavioral and pharmacologic treatment. In multivariate analyses, independent predictors of interest in recycling within 30 days included black race, lower smoking level, and greater number of smoking-related medical conditions. CONCLUSION: Most smokers who attempt to quit but relapse want to quit again right away, and most are interested in receiving behavioral and pharmacologic treatment. SN - 1088-0224 UR - https://www.unboundmedicine.com/medline/citation/16610925/Promoting_repeat_tobacco_dependence_treatment:_are_relapsed_smokers_interested L2 - https://www.ajmc.com/pubMed.php?pii=3113 DB - PRIME DP - Unbound Medicine ER -