Helping younger smokers quit:

1
Helping younger smokers quit
Long term effects of telephone counseling for
18-25 year-olds
A Randomized Clinical Trial
Vance Rabius, ABD MA Alfred L. McAlister,
PhD Angela Geiger, MBA Joanne Pike, MA LPC Ronald
Todd, MSEd
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Study Phases

• Participant screening and randomization

• Baseline assessment

• Demographic Information
• Stage of Change
• Treatment Moderator

• Treatment phase

• Assessment of smoking status

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Telephone Counseling Protocol
5 Session Breakdown

• Session 1 Motivation Enhancement

• Session 2 Preparation for Quitting

QUIT DATE

• Session 3 Relapse Prevention Training

• Session 4 Relapse Prevention Training (Booster)

• Session 5 Relapse Prevention Training (Booster)

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CLINICAL TRIAL DATES JUNE 2000 MAY 2001

• 3522 Cases Randomized

- Approximately 12 of sample under 26 years of
age

• 420 18-25 years old

• 204 randomized to counseling

• 216 randomized to self help

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SAMPLE CHARACTERISTICS
Demographics

• 41 of sample from Texas

Smoking Status

• Gender
• 61 female
• 38 male
• 1 unspecified

• Average number of cigarettes smoked daily 18.4
• 6 previous quit attempts
• 68 have been smoking over 5 years

• Education
• 76 high school graduate or higher
• 5 college graduate

Response Rates

• Marital Status
• 66 single
• 29 married

• Counseling 25
• Self-help 26

• Ethnicity
• 73 Anglo
• 12 African-American
• 9 Hispanic

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• NRT was not used frequently Approximately 7
  of the sample used any form of NRT.

• Despite the small sample size there was still a
  trend for positive association between NRT use
  and quitting success (13 vs. 5, p0.09)

• Social Pressure vs. Social Support

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Counseling Clearly Benefited This Group

• QUIT RATES for those randomized to counseling
  ARE ABOUT TRIPLE those for the Self-help only
  group

• BUT DUE TO the low RESPONSE RATE this result
  further research is desirable.

• AT 1 YEAR DIFFICULTY IN FOLLOWING THIS AGE GROUP
  indicates future research should plan and budget
  for special contact strategies.

• HEALTH PSYC ARTICLE 3 6 MONTH RESULTS

• ACS is currently conducting a 7-arm trial to
  assess if varying duration or number of sessions
  impacts effectiveness among various subgroups.