Facilitating Smoking Cessation and Preventing Relapse in Primary Care: Minimizing Weight Gain by Reducing Alcohol Consumption
Abstract
A randomized controlled trial was conducted evaluating two smoking cessation interventions for use in primary care settings. Both included the nicotine patch and buproprion (Zyban) if desired. The Brief Counselor Assisted Program (BCAP; 2 in person and 2 telephone counseling sessions) combined motivational interviewing and behavioral counseling with an emphasis on reducing alcohol consumption to minimize weight gain. Participants in the Self-Guided Program (SGP) received a pamphlet discussing change strategies for tobacco cessation, minimizing weight gain, and how to plan for and deal with possible relapses. Current smokers at 3-month follow-up were randomized to receive no further counseling or an in person booster session focusing on obstacles to change. There were 317 participants, 158 in BCAP and 159 in SGP. Followup was completed on 92.1% of participants at 3-months, 90.9% at 6-months, and 84.5% at 12-months. Of those found at 3- months, 45.6% of BCAP and 32.7% of SGP participants were non-smokers in an intent to treat analysis (p=.019). The treatment conditions did not differ significantly at 6- and 12-month follow-up. Weight loss and alcohol reduction changes did not mediate the 3-month effect. Likewise, the analysis of booster session effects at 6- and 12-month follow-ups did not find significant difference between those who received and did not receive booster session.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jan 01, 2012
- Accession Number
- ADA571234
Entities
People
- Mark B. Sobell