Does improved access and greater choice of nicotine replacement therapy affect smoking cessation success? Findings from a randomized controlled trial

• Published in: Addiction (Abingdon, England) England), 2011-06, Vol.106 (6), p.1176-1185
• Main Authors: Walker, Natalie, Howe, Colin, Bullen, Chris, Grigg, Michele, Glover, Marewa, McRobbie, Hayden, Laugesen, Murray, Jiang, Joy, Chen, Mei-Hua, Whittaker, Robyn, Rodgers, Anthony
• Format: Article
• Language: English
• Subjects: Abstinence; Access; Addiction; Addictive behaviors; Adult; Adult and adolescent clinical studies; Behavioural psychology; Biological and medical sciences; cessation; choice; Choice Behavior; Choices; Cigarettes; clinical trial; Clinical trials; Consumption; Cost; Drug addiction; Drug addicts; Drug Administration Routes; Female; Health Services Accessibility; Humans; Intention to Treat Analysis; Intervention; Kaplan-Meier Estimate; Male; Medical care; Medical Research; Medical sciences; Medical treatment; New Zealand; Nicotine; Nicotine - administration & dosage; Nicotine - economics; nicotine replacement therapy; Nicotinic Agonists - administration & dosage; Nicotinic Agonists - economics; Observation; Patient Preference; Psychological effects; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; randomized; Recurrence; Rehabilitation; Relapse; Risk; sexual behavior; Side effects; Smoking; Smoking - drug therapy; Smoking cessation; Smoking Cessation - methods; Smoking Cessation - psychology; Smoking Cessation - statistics & numerical data; Socioeconomic Factors; Success; Tobacco; Tobacco smoking; Tobacco, tobacco smoking; Toxicology; Treatment Outcome
• ISSN: 0965-2140; 1360-0443; 1360-0443
• DOI: 10.1111/j.1360-0443.2011.03419.x

ABSTRACT Aims  To determine the effect of offering smokers who want to quit easy access to nicotine replacement therapy (NRT), a period of familiarization and choice of product on smoking abstinence at 6 months. Design  Single‐blind, randomized controlled trial. Setting  New Zealand. Participants  A total of 1410 adult smokers who called the national Quitline for quitting support were randomized to usual Quitline care or a box containing different NRT products (patch, gum, inhaler, sublingual tablet, oral pouch) to try for a week prior to quitting, and then to choose one or two of these products for 8 weeks' use. Measurements  The primary outcome was 7‐day point prevalence smoking abstinence 6 months after quit day. Secondary outcomes included continuous abstinence, cigarette consumption, withdrawal, NRT choice and serious adverse events at 1 and 3 weeks and 3 and 6 months. Findings  No differences in 6‐month quit rates (7‐day point prevalence or continuous abstinence) were observed between the groups. However, smokers allocated to the intervention group were more likely to have quit smoking at 3 months [self‐reported point prevalence, relative risk (RR) = 1.17, 95% confidence interval (CI): 1.02, 1.35, P = 0.03], had a longer time to relapse (median 70 days versus 28 days, P