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Helping younger smokers quit:

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. Study Phases. Participant screening and randomization.

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Helping younger smokers quit:

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  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

  2. Study Phases • Participant screening and randomization • Baseline assessment • Demographic Information • Stage of Change • Treatment Moderator • Treatment phase • Assessment of smoking status

  3. 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)

  4. 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

  5. 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

  6. 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%, p=0.09) • Social Pressure vs. Social Support

  7. 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.

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