Treatment development, implementation, and participant baseline characteristics: A randomized pilot study of a tailored quitline intervention for individuals who smoke and vape.
| Autor: | Vickerman KA; Optum Health, 11000 Optum Circle; Eden Prairie, MN, 55344, USA., Carpenter KM; Optum Health, 11000 Optum Circle; Eden Prairie, MN, 55344, USA., Miles LN; Optum Health, 11000 Optum Circle; Eden Prairie, MN, 55344, USA., Hsu JM; TSET Health Promotion Research Center, University of Oklahoma Health Sciences Center, 655 Research Parkway, Suite 400, Oklahoma City, OK, 73104, USA., Watt KA; Optum Health, 11000 Optum Circle; Eden Prairie, MN, 55344, USA., Brandon TH; H Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Drive, Tampa, FL, 33612-9497, USA., Hart JT; TSET Health Promotion Research Center, University of Oklahoma Health Sciences Center, 655 Research Parkway, Suite 400, Oklahoma City, OK, 73104, USA., Javitz HS; SRI International, 333 Ravenswood Avenue, Menlo Park, CA, 94025, USA., Wagener TL; University of Oklahoma Health Sciences Center, 655 Research Parkway, Suite 400, Oklahoma City, OK, 73104, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Contemporary clinical trials communications [Contemp Clin Trials Commun] 2021 Sep 08; Vol. 24, pp. 100845. Date of Electronic Publication: 2021 Sep 08 (Print Publication: 2021). |
| DOI: | 10.1016/j.conctc.2021.100845 |
| Abstrakt: | Background: Approximately 57,000 dual users of cigarettes and e-cigarettes call state tobacco quitlines in the U.S. each year. Methods: This paper describes a behavioral intervention for dual users of cigarettes and e-cigarettes designed to increase cigarette abstinence. It also presents baseline data from a randomized pilot comparing the Enhanced E-cigarette Coaching (EEC) intervention with quitline treatment as usual (TAU). Oklahoma Tobacco Helpline callers were recruited at registration and randomized to EEC ( n = 46) or TAU ( n = 50). Treatment included 5 coaching calls and free nicotine replacement therapy (NRT). EEC treatment included enhanced e-cigarette assessment, education, a shared decision-making quit plan development approach, and tailored behavioral support. Results: Participants averaged 40.6 years of age and 19.2 cigarettes per day; 85% smoked daily, 48% vaped daily, and 53% reported medium to high e-cigarette dependence. Most reported using e-cigarettes to quit (43%) or to cut down (26%) on smoking. Most had previously tried to quit smoking (91%) and had tried FDA-approved cessation medications (79%). Beliefs about vaping, NRT, and smoking included misinformation. After discussing the relative risks of NRT, vaping, and smoking, most EEC participants (89%) selected a quit plan that incorporated both NRT and vaping. Conclusions: At baseline, most participants reported a history of failed quit attempts with NRT and were vaping to quit or cut down on smoking, but they may need more support to completely quit smoking. If the EEC improves smoking outcomes, it would provide needed guidance on behavioral support best practices for individuals who vape and want to quit smoking. Competing Interests: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: KV, KC, LM, JH, and KW are employees of Optum, the provider of quitline services for the Oklahoma Helpline in this study. (© 2021 Published by Elsevier Inc.) |
| Databáze: | MEDLINE |
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