In-person and telephone treatment of tobacco dependence: A comparison of treatment outcomes and participant characteristics

C. Sheffer, M. Stitzer, Maurice Landes, S.L. Brackman and T. Munn

American Journal of Public Health, 2013, vol. 103, issue 8, e74-e82

Abstract: This article was accepted November 10, 2012. Objectives. We compared participant characteristics and abstinence outcomes of smokers who chose in-person or telephone tobacco dependence treatment. Methods. We provided the same treatment content to 7267 smokers in Arkansas between 2005 and 2008 who self-selected treatment modality; examined demographic, clinical, environmental, and treatment utilization differences between modalities; and modeled outcomes and participants' choice of modality with logistic regression. Results. At end of treatment, in-person participants were more likely to be abstinent than telephone participants, and smokers of higher socioeconomic status (SES) were more likely to be abstinent with telephone treatment than lower-SES smokers. Long term, modality had no effect on treatment outcomes. Higher-SES smokers and smokers exposed to more treatment content were more likely to achieve long-term abstinence, regardless of modality. Men and more recalcitrant smokers were more likely to choose in-person treatment; lower-SES, ethnic minority, and more dependent smokers were more likely to choose telephone treatment. Conclusions. Treatmentmodality attracts different groups of smokers, but has no effect on long-term abstinence. Multiple treatment modalities are needed to provide treatment to a heterogeneous population of smokers. More research is needed to understand the influences on treatment choice. © 2013 American Journal of Public Health.

Keywords: nicotine gum, adult; analysis of variance; article; behavior therapy; chi square distribution; comparative study; female; human; male; middle aged; sex difference; statistical model; telephone; tobacco dependence; treatment outcome; United States, Adult; Analysis of Variance; Arkansas; Behavior Therapy; Chi-Square Distribution; Female; Humans; Logistic Models; Male; Middle Aged; Sex Factors; Telephone; Tobacco Use Cessation Products; Tobacco Use Disorder; Treatment Outcome (search for similar items in EconPapers)
Date: 2013
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2012.301144_8

DOI: 10.2105/AJPH.2012.301144

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