Reducing relapse for smoking cessation using augmented callback telephone counselling

烟草使用仍然是澳大利亚疾病和过早死亡的最大可预防原因。虽然有大量关于吸烟对健康的影响的文献，以及关于一系列戒烟干预措施有效性的文献，但对影响成功戒烟的因素的了解仍然很少，了解得很少。关于烟草使用的成瘾性质(主要是由于尼古丁)的工作越来越多，虽然这显然发挥了核心作用，但认知和行为因素的贡献仍然很重要--烟草使用需要被概念化为一种生物-心理-社会现象。也许改变上瘾行为的最大挑战是复发问题。这项研究将通过测试一项基于改变这些因素的干预措施来测试一些关于影响戒酒第一周后复发的因素的有前景的理论。我们将测试在维多利亚有效的戒烟咨询服务中增加额外的生活方式改变策略是否会减少戒烟尝试的复发。如果干预成功，它将产生明显优越的戒烟方案，用于电话咨询和潜在的其他形式的干预，并导致更多的人永久戒烟，从而挽救许多人的生命。如果新的干预措施不能比标准的回拨计划改善戒烟情况，它将促进我们对复发预防的复杂性的理解，从而使未来更有可能制定成功的干预措施。

Tobacco use remains the largest preventable cause of disease and premature death in Australia. While there is an enormous literature on the health consequences of smoking and much literature on the effectiveness of a range of cessation interventions, understanding of the factors influencing successful cessation remain understudied and poorly understood. There is a growing body of work on the addictive nature of tobacco use (largely due to the nicotine) and, while this clearly plays a central role, the contribution of cognitive and behavioural factors remains important - tobacco use needs to be conceptualized as a bio-psycho-social phenomenon. Perhaps the greatest challenge in changing addictive behaviours is the problem of relapse. This research will test some promising theories about factors that influence relapse beyond the first week or so of abstinence through testing an intervention based on changing these factors. We will test whether the addition of extra lifestyle change strategies onto Quit Victoria's effective Callback counselling service reduces relapse from attempts to quit smoking. If the intervention is successful, it will result in demonstrably superior quit smoking protocols for use in telephone counselling and potentially other forms of intervention, and result in more people giving up smoking permanently, thus saving many lives. If the new intervention fails to improve cessation over the standard callback program, it will have advanced our understanding of the complexities of relapse prevention and thus make future development of successful interventions more likely.