Long-Term Results of a Smoking Reduction Program
Autor: | Bridget Gaglio, Colin O'Donnell, Alfred C. Marcus, Erica F. Ferro, Paul A. Estabrooks, Anna Sukhanova, Arnold H. Levinson, Tammy L. Smith, Debra P. Ritzwoller, Russell E. Glasgow |
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Rok vydání: | 2009 |
Předmět: |
Adult
Diagnostic Imaging Male Program evaluation Colorado Time Factors Adolescent Directive Counseling Health literacy law.invention Young Adult Patient Education as Topic Randomized controlled trial Telephone counseling law Environmental health Intervention (counseling) Health care Humans Medicine Smoking Reduction Carbon Monoxide business.industry Public Health Environmental and Occupational Health Health Maintenance Organizations Middle Aged Nicotine replacement therapy Self Efficacy Telephone Outcome and Process Assessment Health Care Ambulatory Surgical Procedures Female Smoking Cessation Periodicals as Topic business Biomarkers Program Evaluation |
Zdroj: | Medical Care. 47:115-120 |
ISSN: | 0025-7079 |
Popis: | Introduction There have been few comprehensive evaluations of smoking reduction, especially in health care delivery systems, and little is known about its cost, maintenance of reduced smoking, or robustness across patient subgroups. Methods A generally representative sample of 320 adult smokers from an HMO scheduled for outpatient surgery or a diagnostic procedure was randomized to enhanced usual care or a theory-based smoking reduction intervention that combined telephone counseling and tailored newsletters. Outcomes included cigarettes smoked, carbon monoxide levels, and costs. Results Both intervention and control conditions continued to improve from 3- to 12-month assessments. Between-condition differences using intent-to-treat analyses on both self-report and carbon monoxide measures were nonsignificant by the 12-month follow-up (25% vs. 19% achieved 50% or greater reductions in cigarettes smoked). The intervention was implemented consistently despite logistical constraints and was generally robust across patient characteristics (eg, education, ethnicity, health literacy, dependence). Conclusions In the absence of nicotine replacement therapy, the long-term effects of this smoking reduction intervention seem modest and nonsignificant. Future research is indicated to enhance intervention effects and conduct more comprehensive economic analyses of program variations. |
Databáze: | OpenAIRE |
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