Document Detail


Does extended proactive telephone support increase smoking cessation among low-income women using nicotine patches?
MedLine Citation:
PMID:  15533544     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: It is unclear whether proactive telephone support enhances smoking cessation beyond the provision of nicotine replacement therapy alone. METHODS: We randomly assigned 330 low-income women smokers to receive either free nicotine patches (control condition) or free nicotine patches with up to 16 weeks of proactive telephone support (experimental condition). All participants were assessed by telephone at baseline and at 2 weeks, 3 months, and 6 months post-baseline to determine smoking status. RESULTS: Results revealed a significant effect for the telephone support at 3 months, with 43% of experimental versus 26% of control condition women reporting 30-day point prevalent abstinence (P = 0.002). The difference was no longer significant at 6 months. A metaanalysis conducted with five randomized studies revealed a slight but non-significant long-term benefit of proactive telephone support when added to the provision of free nicotine patches for smoking cessation. CONCLUSIONS: This is the second study to demonstrate a short-term effect for proactive telephone support added to free nicotine replacement therapy; however, neither the current study, nor the metaanalysis including the four other published trials, confirmed a longer-term benefit.
Authors:
Laura J Solomon; Theodore W Marcy; Kathleen D Howe; Joan M Skelly; Kyndaron Reinier; Brian S Flynn
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Publication Detail:
Type:  Clinical Trial; Journal Article; Meta-Analysis; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Preventive medicine     Volume:  40     ISSN:  0091-7435     ISO Abbreviation:  Prev Med     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2004-11-09     Completed Date:  2005-04-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0322116     Medline TA:  Prev Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  306-13     Citation Subset:  IM    
Affiliation:
Department of Family Practice, University of Vermont, Burlington, VT 05401, USA. Laura.Solomon@uvm.edu
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MeSH Terms
Descriptor/Qualifier:
Administration, Cutaneous
Adolescent
Adult
Female
Follow-Up Studies
Humans
Logistic Models
Middle Aged
Nicotine / administration & dosage*
Nicotinic Agonists / administration & dosage*
Outcome and Process Assessment (Health Care)
Patient Compliance / statistics & numerical data
Poverty*
Smoking Cessation / methods*,  psychology,  statistics & numerical data
Social Support
Telemedicine / methods*,  statistics & numerical data
Treatment Outcome
Chemical
Reg. No./Substance:
0/Nicotinic Agonists; 54-11-5/Nicotine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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