The physician-delivered smoking intervention project: can short-term interventions produce long-term effects for a general outpatient population
Ockene, Judith K. ; Kristeller, Jean L. ; Pbert, Lori ; Hebert, James R. ; Luippold, Rose S. ; Goldberg, Robert J. ; Landon, Joan ; Kalan, Kathryn L.
Citations
Authors
Kristeller, Jean L.
Pbert, Lori
Hebert, James R.
Luippold, Rose S.
Goldberg, Robert J.
Landon, Joan
Kalan, Kathryn L.
Student Authors
Faculty Advisor
Academic Program
Document Type
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Keywords
Adult
Aged
Ambulatory Care
Chewing Gum
Cohort Studies
Counseling
Female
Follow-Up Studies
Humans
Male
Middle Aged
Nicotine
*Patient Education as Topic
*Physician-Patient Relations
Primary Health Care
Smoking Cessation
Treatment Outcome
Life Sciences
Medicine and Health Sciences
Women's Studies
Subject Area
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Abstract
Patterns of smoking cessation using 6- and 12-month follow-up data are reported for 1,261 primary care patients randomized to 3 physician-delivered smoking interventions: advice only (AO), counseling (CI), and counseling plus availability of nicotine-containing gum (CI + NCG). One-week-point-prevalence cessation rates at 12 months did not differ among the interventions: AO (15.2%), CI (12.9%) and CI + NCG (16.7%). However, maintained cessation rates (abstinent at both 6 and 12 months) increased with intervention intensity: AO (6.0%), CI (7.8%) and CI + NCG (10.0%): Test of trend chi 2 = 5.06, p = .02. CI + NCG was significantly higher than AO (p = .02). The findings support the following conclusions: Brief physician-delivered intervention with availability of nicotine-containing gum can have a beneficial long-term effect on smoking cessation, and cohort data as well as point-prevalence rates are important when assessing the long-term impact of lifestyle interventions.
Source
Health Psychol. 1994 May;13(3):278-81.