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单的 临床戒烟治疗后的电话干预。 吸烟是心血管疾病的主要原因之一， 残疾。根据先前的结果，绝大多数临床 参与者将在治疗后第一年内复发。这个 电话干预的成本相对较低，应该在 让诊所旧病复发的人重新戒酒。 1000名长期吸烟者将被随机分配到 传统最先进的戒烟诊所或诊所 并辅之以电话支持回收。电话外展将 包括3个月、9个月和21个月的三轮干预 在戒烟的目标日期后几个月 诊所。 给禁欲的受试者打电话会加强成功，并将提供 应对当前或预期困难的建议和支持 情况。给复吸者和不戒烟者的电话将听取有关 复发插曲(视情况而定)，并将鼓励受试者 采取具体行动戒烟，包括设定戒烟日期。 将向受试者提供自助材料以及向更多人推荐 密集的项目。 后续数据收集将与回收联系人分开，并将 发生在最初戒烟诊所后6、12、24和34个月。 预计回收利用的长期持续禁酒率为35%，25% 仅供临床比较。如果结果如预期的那样，一个有效的 将提供低成本的电话外展协议，可以 极大地帮助戒烟，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.