Document Detail


Internet Versus In-Person Counseling for Patients Taking Varenicline for Smoking Cessation.
MedLine Citation:
PMID:  23707824     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
INTRODUCTION: Quit rates for smoking cessation attempts are maximized by using counseling with medication. Internet-based counseling might be a suitable replacement for in-person counseling. METHODS: Patients in a military medical system in the active phase of quitting presented for study intake. They were randomized to in-person counseling (n = 44) or Internet counseling (n = 173). In-person counseling consisted of four 1.5 hour classes based on the American Cancer Society's Freshstart program. Internet counseling consisted of daily e-mails with recommended activities through Pfizer's GetQuit program. Both groups were concomitantly treated with standard dose varenicline. The primary outcome was the quit rate at 12 weeks, defined as abstinence and an exhaled carbon monoxide level <10 ppm at the 12-week visit. All those lost to follow-up were considered persistent smokers. RESULTS: 217 smokers were randomized, of which 43% returned for the 12-week follow-up visit. Quit rates between the two groups were similar (Internet group: 21%, n = 36/173; in-person group: 18%, n = 8/44, p = 0.7). CONCLUSIONS: Internet-based counseling might be equivalent to in-person counseling for smoking cessation in patients taking varenicline. Additional studies with more complete and longer-term (≥1 year) follow-up are needed to confirm these findings.
Authors:
Kent J Dezee; Jennifer S Wink; Christopher M Cowan
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Military medicine     Volume:  178     ISSN:  0026-4075     ISO Abbreviation:  Mil Med     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-5-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2984771R     Medline TA:  Mil Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  401-405     Citation Subset:  -    
Copyright Information:
Reprint & Copyright © 2013 Association of Military Surgeons of the U.S.
Affiliation:
Department of Medicine, Uniformed Services University, 4301 Jones Bridge Road, Bethesda, MD 20814.
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