Planning a Change Easily (PACE) for smokers who are not ready to quit: a telephone-based, randomized controlled trial.

Autor: Derefinko KJ; Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN, USA., Bursac Z; Department of Biostatistics, Florida International University, Miami, FL, USA., Hand SB; Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN, USA., Ebbert JO; Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA., Womack C; Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN, USA., Klesges RC; Department of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, VA, USA.
Jazyk: angličtina
Zdroj: Addiction (Abingdon, England) [Addiction] 2022 Jun; Vol. 117 (6), pp. 1748-1757. Date of Electronic Publication: 2022 Feb 01.
DOI: 10.1111/add.15796
Abstrakt: Aims: To compare brief advice (BA), motivational interviewing (MI), rate reduction (RR), and combined MI and RR (MI + RR) to promote smoking cessation in smokers not ready to quit.
Design: Randomized controlled trial with four parallel groups of smoking cessation intervention. Participants were randomly assigned 1:2:2:2 to receive one of the following interventions: BA (n = 128), MI (n = 258), RR (n = 257), and MI + RR (n = 260).
Setting: The United States. All participant contact occurred over the telephone to be consistent with the typical quit line format.
Participants: A total of 903 adult smokers. Participants had a mean age of 49 (SD = 13.3) years and were 28.9% male and 63.3% Caucasian.
Interventions: The BA group received advice similar to typical smoking cessation quit lines. The MI group received advice using basic MI principles to elicit language that indicates behavioral change. The RR group received behavioral skills training and nicotine gum. The MI + RR group combined elements of MI and RR conditions. All interventions were six sessions.
Measurements: The primary outcome measure was self-reported point prevalence at 12 months. The secondary outcome was self-reported prolonged abstinence at 12 months.
Findings: Intention to treat (ITT) point prevalence at 12 months indicated that BA (10.9%) had significantly lower point prevalence rates than RR (27.2%, OR = 3.17, 1.69-5.94), and MI + RR (26.9%, OR = 3.16, 1.68-5.93). BA did not have a significantly lower point prevalence rate than MI (15.5%, OR = 1.56, 95% CI = 0.81-3.02).
Conclusions: This randomized controlled trial provided evidence that rate reduction, which offers structured behavioral skills and nicotine gum, either alone or combined with motivational interviewing, is the most effective form of cessation intervention for smokers not ready to quit.
(© 2022 Society for the Study of Addiction.)
Databáze: MEDLINE
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