RECYCLING OF CHRONIC SMOKERS TO SUSTAINED ABSTINENCE

拟议研究的主要目标是开发和测试一个简短的 门诊戒烟治疗后的电话干预。 吸烟是心血管疾病的主要原因， 残疾。根据先前的结果，绝大多数诊所 参与者将在治疗后的第一年内复发。的 电话干预费用相对较低， 让诊所的复吸者重新戒毒 一千名长期吸烟者将被随机分配到一个 传统的最先进的戒烟诊所或诊所 并辅以回收电话支持。电话外联将 包括三轮独立的干预3个月，9个月和21 戒烟目标日期后的几个月 诊所。 给禁欲受试者打电话会加强成功， 提供咨询和支持，以应对目前或预期的困难 situations.对复吸者和非戒断者的电话询问将涉及 复发事件（如适用），并鼓励受试者 开始具体的戒烟行动，包括设定戒烟日期。 受试者将获得自助材料以及更多的转介 密集的节目。 后续数据收集将与回收联系人分开， 发生在最初戒烟诊所后的6、12、24和34个月。 预计长期持续戒烟率为35%，回收和25%， 仅用于临床比较。如果结果如预测的那样， 将提供低成本电话外联协议， 显著帮助戒烟，从而大大减少 心血管疾病

The major goal of the proposed research is to develop and to test a brief telephone intervention following clinic treatment for smoking cessation. Cigarette smoking is a major cause of cardiovascular disease and disability. Based upon prior results, the substantial majority of clinic participants will relapse within the first year following treatment. The telephone intervention is relatively low cost and should be effective in recycling clinic relapsers into renewed abstinence. One thousand chronic smokers will be randomly assigned either to a traditional state-of-the-art smoking cessation clinic or to the clinic supplemented by telephone support for recycling. Telephone outreach will consist of three separate rounds of intervention 3 months, 9 months, and 21 months after the targeted date for quitting in the smoking cessation clinics. Telephone calls to abstinent subjects will reinforce success and will offer advice and support in coping with present or anticipated difficult situations. Calls to relapsers and nonabstainers will debrief concerning the relapse episode (as appropriate) and will encourage subjects to initiate concrete action toward quitting including setting a quit date. Subjects will be offered self-help materials as well as referrals to more intensive programs. Follow-up data collection will be separate from recycling contacts and will occur 6, 12, 24, and 34 months after the initial smoking cessation clinics. Projected longterm sustained abstinence rates are 35% for recycling and 25% for the clinic only comparison. If results are as predicted, an effective low-cost telephone outreach protocol will be available that could dramatically assist in smoking cessation and thereby substantially reduce cardiovascular disease.