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Randomized trial of an intervention to facilitate recycling for relapsed smokers.
Am J Prev Med. 2006 Oct; 31(4):293-9.AJ

Abstract

BACKGROUND

Tobacco dependence is a chronic condition requiring repeat treatment and long-term follow-up. However, current evidence regarding best approaches to providing these services is fairly limited. This study assessed the effectiveness of an intervention for increasing repeat tobacco-dependence treatment in a population of relapsed smokers.

DESIGN

The study was a multicenter randomized controlled trial.

SETTING/PARTICIPANTS

Patients aged 19 and older receiving a prescription for nicotine replacement therapy or bupropion for smoking cessation in 2002 at one of five participating Veterans Affairs (VA) facilities were eligible.

INTERVENTION

A total of 1900 eligible veterans were randomized to (1) patient phone call to assess smoking status, quit challenges, and treatment preferences, and computerized progress note to providers communicating this information (intervention); or (2) usual care (control).

MAIN OUTCOME MEASURES

Outcomes, assessed in 2003, included the proportion of patients receiving repeat pharmacologic or behavioral smoking-cessation treatment in the 6-month follow-up period (assessed from VA pharmacy and outpatient data), 7-day point prevalence abstinence, and satisfaction (assessed by patient survey).

RESULTS

Thirty-four percent of intervention participants versus 22% of controls received treatment for tobacco dependence in the follow-up period (p = 0.0001). Thirty-two percent of intervention participants versus 21% of controls received pharmacologic treatment (p = 0.0001), and 12% of intervention subjects versus 8% of controls received behavioral treatment (p = 0.005). Abstinence rates at follow-up were 25% for intervention subjects and 22% for controls (p = 0.15). Intervention subjects were more likely than controls to report being satisfied with the general smoking-cessation help (87% vs 82%, p = 0.01), as well as the pharmacologic help that they received from the VA (89 vs 84%, p = 0.01).

CONCLUSIONS

The intervention significantly increased repeat treatment rates and satisfaction with services but did not have a significant effect on abstinence rates.

Authors+Show Affiliations

Center for Chronic Disease Outcomes Research, Veterans Affairs Medical Center, Minneapolis, Minnesota 55417, USA. Melissa.Partin@va.govNo 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
Multicenter Study
Randomized Controlled Trial
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

16979453

Citation

Partin, Melissa R., et al. "Randomized Trial of an Intervention to Facilitate Recycling for Relapsed Smokers." American Journal of Preventive Medicine, vol. 31, no. 4, 2006, pp. 293-9.
Partin MR, An LC, Nelson DB, et al. Randomized trial of an intervention to facilitate recycling for relapsed smokers. Am J Prev Med. 2006;31(4):293-9.
Partin, M. R., An, L. C., Nelson, D. B., Nugent, S., Snyder, A., Fu, S. S., Willenbring, M. L., & Joseph, A. M. (2006). Randomized trial of an intervention to facilitate recycling for relapsed smokers. American Journal of Preventive Medicine, 31(4), 293-9.
Partin MR, et al. Randomized Trial of an Intervention to Facilitate Recycling for Relapsed Smokers. Am J Prev Med. 2006;31(4):293-9. PubMed PMID: 16979453.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Randomized trial of an intervention to facilitate recycling for relapsed smokers. AU - Partin,Melissa R, AU - An,Lawrence C, AU - Nelson,David B, AU - Nugent,Sean, AU - Snyder,Annamay, AU - Fu,Steven S, AU - Willenbring,Mark L, AU - Joseph,Anne M, Y1 - 2006/08/22/ PY - 2005/12/09/received PY - 2006/04/28/revised PY - 2006/06/02/accepted PY - 2006/9/19/pubmed PY - 2007/1/30/medline PY - 2006/9/19/entrez SP - 293 EP - 9 JF - American journal of preventive medicine JO - Am J Prev Med VL - 31 IS - 4 N2 - BACKGROUND: Tobacco dependence is a chronic condition requiring repeat treatment and long-term follow-up. However, current evidence regarding best approaches to providing these services is fairly limited. This study assessed the effectiveness of an intervention for increasing repeat tobacco-dependence treatment in a population of relapsed smokers. DESIGN: The study was a multicenter randomized controlled trial. SETTING/PARTICIPANTS: Patients aged 19 and older receiving a prescription for nicotine replacement therapy or bupropion for smoking cessation in 2002 at one of five participating Veterans Affairs (VA) facilities were eligible. INTERVENTION: A total of 1900 eligible veterans were randomized to (1) patient phone call to assess smoking status, quit challenges, and treatment preferences, and computerized progress note to providers communicating this information (intervention); or (2) usual care (control). MAIN OUTCOME MEASURES: Outcomes, assessed in 2003, included the proportion of patients receiving repeat pharmacologic or behavioral smoking-cessation treatment in the 6-month follow-up period (assessed from VA pharmacy and outpatient data), 7-day point prevalence abstinence, and satisfaction (assessed by patient survey). RESULTS: Thirty-four percent of intervention participants versus 22% of controls received treatment for tobacco dependence in the follow-up period (p = 0.0001). Thirty-two percent of intervention participants versus 21% of controls received pharmacologic treatment (p = 0.0001), and 12% of intervention subjects versus 8% of controls received behavioral treatment (p = 0.005). Abstinence rates at follow-up were 25% for intervention subjects and 22% for controls (p = 0.15). Intervention subjects were more likely than controls to report being satisfied with the general smoking-cessation help (87% vs 82%, p = 0.01), as well as the pharmacologic help that they received from the VA (89 vs 84%, p = 0.01). CONCLUSIONS: The intervention significantly increased repeat treatment rates and satisfaction with services but did not have a significant effect on abstinence rates. SN - 0749-3797 UR - https://www.unboundmedicine.com/medline/citation/16979453/Randomized_trial_of_an_intervention_to_facilitate_recycling_for_relapsed_smokers_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0749-3797(06)00232-7 DB - PRIME DP - Unbound Medicine ER -