Telephone support as an adjunct to transdermal nicotine in smoking cessation

Transdermal nicotine patches have shown considerable promise in improving smoking cessation outcomes. The present study assessed telephone support as an adjunct to a managed care-based, single-session group orientation smoking cessation program with nicotine patch therapy. The unit of randomization...

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Bibliographic Details
Published in:American journal of public health (1971) 1997-10, Vol.87 (10), p.1670-1674
Main Authors: Lando, H A, Rolnick, S, Klevan, D, Roski, J, Cherney, L, Lauger, G
Format: Article
Language:English
Subjects:
Abstinence
Administration, Cutaneous
Adult
Biological and medical sciences
Cessation
Counseling
Factors
Female
Health maintenance organizations
HMOs
Humans
Male
Medical sciences
Middle Aged
Motivation
Nicotine
Nicotine - administration & dosage
Nicotine patches
Outcome and Process Assessment (Health Care)
Prescriptions
Public health
Questionnaires
Self-Help Groups
Smoking
Smoking cessation
Smoking Cessation - methods
Substance abuse treatment
Success
Telephone
Telephone hotlines
Telephone services
Tobacco, tobacco smoking
Toxicology
Transdermal medication
USA
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Summary:Transdermal nicotine patches have shown considerable promise in improving smoking cessation outcomes. The present study assessed telephone support as an adjunct to a managed care-based, single-session group orientation smoking cessation program with nicotine patch therapy. The unit of randomization was the orientation session (n = 35). Subjects (n = 509) were randomly assigned to a group session without telephone support, the session plus access to a toll-free help line, or the session with telephone help line plus active telephone outreach. Contrary to hypothesis, there were no differences between treatment conditions. Overall abstinence rates were 22% at 6 months and 21% at 1 year. Fewer than 1% of eligible subjects called the toll-free help line. An average of 3.8 of a possible 4 calls were completed in the telephone outreach condition. Abstinence results obtained in this program were comparable to those obtained with more extensive counseling. However, there was no evidence of benefit from telephone support beyond the initial physician-led group orientation session.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.87.10.1670