Long-term results of a smoking reduction program

Russell E. Glasgow, Bridget Gaglio, Paul A. Estabrooks, Alfred C. Marcus, Debra P. Ritzwoller, Tammy L. Smith, Arnold H. Levinson, Anna Sukhanova, Colin O'Donnell, Erica F. Ferro, Eric K. France

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Introduction: There have been few comprehensive evaluations of smoking reduction, especially in health care delivery systems, and little is known about its cost, maintenance of reduced smoking, or robustness across patient subgroups. Methods: A generally representative sample of 320 adult smokers from an HMO scheduled for outpatient surgery or a diagnostic procedure was randomized to enhanced usual care or a theory-based smoking reduction intervention that combined telephone counseling and tailored newsletters. Outcomes included cigarettes smoked, carbon monoxide levels, and costs. Results: Both intervention and control conditions continued to improve from 3- to 12-month assessments. Between-condition differences using intent-to-treat analyses on both self-report and carbon monoxide measures were nonsignificant by the 12-month follow-up (25% vs. 19% achieved 50% or greater reductions in cigarettes smoked). The intervention was implemented consistently despite logistical constraints and was generally robust across patient characteristics (eg, education, ethnicity, health literacy, dependence). Conclusions: In the absence of nicotine replacement therapy, the long-term effects of this smoking reduction intervention seem modest and nonsignificant. Future research is indicated to enhance intervention effects and conduct more comprehensive economic analyses of program variations.

Original languageEnglish (US)
Pages (from-to)115-120
Number of pages6
JournalMedical Care
Volume47
Issue number1
DOIs
StatePublished - Jan 1 2009

Fingerprint

Smoking
Carbon Monoxide
Tobacco Products
Delivery of Health Care
Health Literacy
Costs and Cost Analysis
Health Maintenance Organizations
Ambulatory Surgical Procedures
Nicotine
Telephone
Self Report
Counseling
Maintenance
Economics
Education
Therapeutics

Keywords

  • Mediators
  • RE-AIM
  • Randomized controlled trial
  • Smoking reduction

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Glasgow, R. E., Gaglio, B., Estabrooks, P. A., Marcus, A. C., Ritzwoller, D. P., Smith, T. L., ... France, E. K. (2009). Long-term results of a smoking reduction program. Medical Care, 47(1), 115-120. https://doi.org/10.1097/MLR.0b013e31817e18d1

Long-term results of a smoking reduction program. / Glasgow, Russell E.; Gaglio, Bridget; Estabrooks, Paul A.; Marcus, Alfred C.; Ritzwoller, Debra P.; Smith, Tammy L.; Levinson, Arnold H.; Sukhanova, Anna; O'Donnell, Colin; Ferro, Erica F.; France, Eric K.

In: Medical Care, Vol. 47, No. 1, 01.01.2009, p. 115-120.

Research output: Contribution to journalArticle

Glasgow, RE, Gaglio, B, Estabrooks, PA, Marcus, AC, Ritzwoller, DP, Smith, TL, Levinson, AH, Sukhanova, A, O'Donnell, C, Ferro, EF & France, EK 2009, 'Long-term results of a smoking reduction program', Medical Care, vol. 47, no. 1, pp. 115-120. https://doi.org/10.1097/MLR.0b013e31817e18d1
Glasgow RE, Gaglio B, Estabrooks PA, Marcus AC, Ritzwoller DP, Smith TL et al. Long-term results of a smoking reduction program. Medical Care. 2009 Jan 1;47(1):115-120. https://doi.org/10.1097/MLR.0b013e31817e18d1
Glasgow, Russell E. ; Gaglio, Bridget ; Estabrooks, Paul A. ; Marcus, Alfred C. ; Ritzwoller, Debra P. ; Smith, Tammy L. ; Levinson, Arnold H. ; Sukhanova, Anna ; O'Donnell, Colin ; Ferro, Erica F. ; France, Eric K. / Long-term results of a smoking reduction program. In: Medical Care. 2009 ; Vol. 47, No. 1. pp. 115-120.
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