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Am J Prev Med. 2009 Aug;37(2):116-23. doi: 10.1016/j.amepre.2009.03.018. Epub 2009 Jun 12.

Impact of a brief motivational smoking cessation intervention the Get PHIT randomized controlled trial.

Author information

1
Group Health Center for Health Studies, Seattle, Washington, USA. mcclure.j@ghc.org

Abstract

BACKGROUND:

Few studies have rigorously evaluated whether providing biologically based health-risk feedback is more effective than standard interventions in increasing smokers' motivation to quit and their long-term abstinence.

DESIGN:

An RCT was conducted from 2005 to 2008. Data were analyzed in 2008.

SETTING/PARTICIPANTS:

Smokers (N=536) were recruited from the community, regardless of their interest in quitting smoking.

INTERVENTION:

Smokers either received brief ( approximately 20 minutes), personally tailored counseling sessions based on their lung functioning, carbon monoxide (CO) exposure, and smoking-related health conditions, or they received generic smoking-risk information and personalized counseling about their diet, BMI, and physical activity. All were advised to quit smoking and were offered access to a free phone-counseling program.

MAIN OUTCOME MEASURES:

Treatment utilization and abstinence at 6 and 12 months post-intervention.

RESULTS:

Participants who received the experimental treatment demonstrated no greater motivation to quit, use of treatment services, or abstinence compared to controls at either follow-up assessment. In fact, controls reported greater motivation to quit at 12 months (M 3.42 vs 3.20, p=0.03), greater use of pharmacotherapy at 6 months (37.8% vs 28.0%, p=0.02), and greater 30-day point prevalent abstinence at 6 months, after controlling for relevant covariates (10.8% vs 6.4%, adjusted p=0.04).

CONCLUSIONS:

The present study found no support for adding a personalized health-risk assessment emphasizing lung health and CO exposure to generic cessation advice and counseling for community-based smokers not otherwise seeking treatment.

TRIAL REGISTRATION:

NCT00169260.

PMID:
19524389
PMCID:
PMC2889910
DOI:
10.1016/j.amepre.2009.03.018
[Indexed for MEDLINE]
Free PMC Article
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