Document Detail


Predictors of early versus late smoking abstinence within a 24-month disease management program.
MedLine Citation:
PMID:  21233256     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Standard smoking cessation treatment studies have been limited to 6- to 12-month follow-up, and examination of predictors of abstinence has been restricted to this timeframe. The KanQuit study enrolled 750 rural smokers across all stages of readiness to stop smoking and provided pharmacotherapy management and/or disease management, including motivational interviewing (MI) counseling every 6 months over 2 years. This paper examines differences in predictors of abstinence following initial (6-month) and extended (24-month) intervention.
METHODS: Baseline variables were analyzed as potential predictors of self-reported smoking abstinence at Month 6 and at Month 24. Chi-square tests, 2-sample t tests, and multiple logistic regression analyses were used to identify predictors of abstinence among 592 participants who completed assessment at baseline and Months 6 and 24.
RESULTS: Controlling for treatment group, the final regression models showed that male gender and lower baseline cigarettes per day predicted abstinence at both 6 and 24 months. While remaining significant, the relative advantage of being male decreased over time. Global motivation to stop smoking, controlled motivation, and self-efficacy predicted abstinence at 6 months but did not predict abstinence at Month 24. In contrast, stage of change was strongly predictive of 24-month smoking status.
CONCLUSIONS: While the importance of some predictors of successful smoking cessation appeared to diminish over time, initial lack of interest in cessation and number of cigarettes per day strongly predicted continued smoking following a 2-year program.
Authors:
Lisa Sanderson Cox; Jo A Wick; Niaman Nazir; A Paula Cupertino; Laura M Mussulman; Jasjit S Ahluwalia; Edward F Ellerbeck
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural     Date:  2011-01-13
Journal Detail:
Title:  Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco     Volume:  13     ISSN:  1469-994X     ISO Abbreviation:  Nicotine Tob. Res.     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-01     Completed Date:  2011-06-08     Revised Date:  2013-07-02    
Medline Journal Info:
Nlm Unique ID:  9815751     Medline TA:  Nicotine Tob Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  215-20     Citation Subset:  IM    
Affiliation:
Department of Preventive Medicine and Public Health, University of Kansas School of Medicine, Kansas City, KS 66160, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Disease Management
Female
Humans
Logistic Models
Male
Middle Aged
Smoking Cessation / psychology*,  statistics & numerical data
Grant Support
ID/Acronym/Agency:
1P60MD003422/MD/NIMHD NIH HHS; CA 1102390/CA/NCI NIH HHS
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