Facilitating Smoking Cessation and Preventing Relapse in Primary Care: Minimizing Weight Gain by Reducing Alcohol Consumption

摘要

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, 90.85% at 6-months, and 88.33% at 12-months. Of those found at 3- months, 46.8% of BCAP and 34.4% of SGP participants were non-smokers (p=.031). The difference lost significance when an intent to treat analysis was conducted, but more sensitive analyses (e.g., logistic regression) may still find the difference to be significant. Weight loss and alcohol reduction changes at 3 months were in the predicted direction, but will need to be statistically evaluated by multivariate methods. The current focus is on statistical analyses and dissemination of findings.