Evaluating the effectiveness of a single telephone contact as an adjunct to a self-help intervention for smoking cessation in a randomized controlled trial

Evaluating the effectiveness of a single telephone contact as an adjunct to a self-help intervention for smoking cessation in a randomized controlled trial
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DOI:
10.1080/14622200701767746
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发表时间:
2008-01-01
影响因子:
4.7
通讯作者:
Becona, Elisardo
Becona, Elisardo
中科院分区:
医学2区
文献类型:
--
作者:
Miguez, M. Carmen;Becona, Elisardo

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本研究评估了通过邮件进行的戒烟自助计划中包含一次简短的戒烟前电话咨询的效果,并与单独的自助计划的效果进行了比较。来自西班牙西北部的志愿者参与者 (N = 228) 被随机分配到两组之一:(a) 仅自助组(n = 110,平均年龄 = 37.4 岁,治疗前香烟消费量 = 26.5 支/天)或 (b) 电话支持组(n = 118,平均年龄 = 36.8 岁,治疗前香烟消费量 = 27.7 支/天)。使用保守的数据分析方法(缺失数据被视为治疗失败),我们发现在治疗结束时(44.9% vs. 21.8%)和 3 个月随访时(39.0% vs. 26.4%),电话支持组的点流行率戒断率显着高于仅自助组。同样,在 3 个月随访(33.9% vs. 13.6%)、6 个月随访(25.4% vs. 12.7%)和 12 个月随访(21.2% vs. 9.1%)中,电话支持组的持续戒烟率显着较高。这项随机对照试验的结果表明,这两种治疗方法都是戒烟的有效辅助手段,并且在戒烟日期之前打一个简短的电话是提高邮寄自助计划中戒烟率的低成本且有效的程序。
This study evaluated the effects of including a single brief prequit telephone counseling session in a self-help program for smoking cessation conducted through the mail, by comparison with the effects of the self-help program alone. Volunteer participants from northwestern Spain (N=228) were randomly assigned to one of two groups: (a) the self-help-only group (n=110, mean age=37.4 years, pretreatment cigarette consumption=26.5 cigarettes/day) or (b) the telephone-support group (n=118, mean age=36.8 years, pretreatment cigarette consumption=27.7 cigarettes/day). Using a conservative data analysis method (missing data considered as treatment failures), we found that the point-prevalence abstinence rate was significantly higher in the telephone-support group than in the self-help-only group at the end of treatment (44.9% vs. 21.8%) and at the 3-month follow-up (39.0% vs. 26.4%). Likewise, sustained abstinence was significantly higher in the telephone-support group at the 3-month follow-up (33.9% vs. 13.6%), the 6-month follow-up (25.4% vs. 12.7%), and the 12-month follow-up (21.2% vs. 9.1%). The results of this randomized controlled trial indicate that both treatments are an effective aid for smoking cessation, and that a single brief telephone call before the quit date is a low-cost and effective procedure for improving abstinence rates in a mailed self-help program.