Predictors of Re-engagement after Relapse in a Tobacco Quit Line Intervention

Abstract

Background: People who smoke often make several quit attempts before successfully maintaining abstinence. Therefore, incorporating re-engagement for people who fail to initially quit could increase quit attempts and ultimately increase cessation rates. Within the context of quit line-based interventions, it remains unknown what characteristics are associated with reengagement. Purpose: Assess associations between demographic and motivational characteristics, tobacco use, and initial intervention engagement with re-engagement in a tobacco quit line intervention. Methods: 372 adult smokers who reported smoking three months after initiating a quit line-facilitated quit attempt as part of a larger randomized clinical trial were included. Associations between personal characteristics (e.g., age, gender, nicotine dependence, self-efficacy to quit smoking) and initial intervention engagement (number of completed counseling sessions and use of nicotine replacement therapy (NRT)) with re-engagement (accepting an offer to re-initiate the quit line intervention) were determined using multivariable logistic regression modeling. Results: A majority of smokers (56.3%) re-engaged with the quit line intervention. Compared to non-white participants, white participants had lower odds of re-engaging (OR: 0.42, 95% CI: 0.23, 0.75). Number of completed counseling sessions was associated with re-engaging; NRT use during the initial intervention was not associated with re-engaging. Conclusions: Initial intervention engagement is important in the process of re-engagement, specifically participation in counseling sessions.

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Document Details

Document Type
Technical Report
Publication Date
Jul 31, 2022
Accession Number
AD1174254

Entities

People

  • Chase A. Aycock
  • Daniel G. Cassidy
  • G. W. Talcott
  • Indika Mallawaarachchi
  • Kara P. Wiseman
  • Marc A. Patience
  • Melissa A Little
  • Robert C Klesges
  • Xin-qun Wang

Organizations

  • 59th Medical Wing
  • University of Virginia

Tags

DTIC Thesaurus Topics

  • Active Duty
  • Air Force
  • Air Force Facilities
  • Clinical Trials
  • Counseling
  • Data Analysis
  • Department Of Defense
  • Education
  • Health
  • Human Behavior
  • Information Science
  • Intervention
  • Military Personnel
  • New York
  • Preventive Medicine
  • Public Health
  • Statistical Analysis
  • Text Messaging
  • Therapy
  • United States
  • United States Government
  • Universities

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