This study evaluated the relative efficacy and cost-effectiveness of a stop smoking clinic and self-help kit, and characteristics of those who benefited most from each approach.
Employees attended an orientation of quit smoking programs that included a brief description of the American Lung Association's “Freedom From Smoking” clinic and “Freedom From Smoking in 20 Days” self-help kit. Seventy registrants provided both baseline and 18-month follow-up information by questionnaire.
The two methods attracted smokers with somewhat different socio-demographic characteristics. The combined quit rate for the two groups was 17 percent at 18 months. Cost per participant was twice as high for the clinic method ($32 vs. $16), but cost per successful quitter was similar in both groups (about $150). In light of these results, employees should continue to be offered a choice of self-help and clinic approaches to smoking cessation in order to reach the largest potential number of participants.
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References
1.
MogielnickiR.NeslinS.DulacJ.BalestraD.GillieE.CorsonJ.Tailored media can enhance the success of smoking cessation clinics. Journal of Behavioral Medicine, 1986; 9(2):141–161.
2.
HamburgD.ElliottG.ParronD. (Eds.). Frontiers of Research in the Biobehavioral Sciences. National Academy Press, Washington, D.C., 1982.
3.
JaffeJ.JarvikM.Tobacco use and tobacco use disorder. LiptonM.DiMasciaA.KillanK. (Eds.). Psychopharmacology: A Generation of Progress. Raven Press, New York, 1978.
4.
SchwartzJ.The multistep process of stopping smoking — The multitude intervention needs. World Conference on Smoking and Health (Fourth). Almquist and Wiksell, Stockholm, 1980.
5.
JeffreyR.DanaherB.KillenJ.FarquharJ.KinnierR.Self-administered programs for health behavior change: Smoking cessation and weight reduction by mail. Addictive Behaviors, 1982; 7(7):57–63.
6.
Department of Health, Education, and Welfare: Smoking and Health: A Report of the Surgeon General, DHEW Publication No. (PHS) 79-50066. Washington, D.C., 1979.
7.
WarnerK.WickizcrT.WolfeR.SchildrothJ.SamuelsonM.Economic implications of workplace health promotion programs: Review of the literature. Journal of Occupational Medicine, February1988; 30(2):106–112.
8.
GreenL.Toward cost-benefit evaluations of health education: Some concepts, methods, and examples. Health Education Quarterly, 1974; 2, Supplement 1.
9.
FieldingJ.Effectiveness of employee health improvement programs. Journal of Occupational Medicine, November1982; 24(11):907–916.
10.
BantaH.LuceB.Assessing the cost-effectiveness of prevention. Journal of Community Health, Winter1983; 9(2):145–165.
11.
Federal Trade Commission. Report of Tar, Nicotine, and Carbon Monoxide of the Smoke of 187 Varieties of Cigarettes. Federal Trade Commission, March 1981.
12.
VogtT.SelvinS.WiddowsonG.HulleyS.Expired air carbon monoxide and serum thiocyanate as objective measures of cigarette exposure. American Journal of Public Health, 1977; 67:545–549.
13.
VogtT.SelvinS.HulleyS.Comparison of biochemical and questionnaire estimates of tobacco exposure. Preventive Medicine, 1979; 8:23–33.
14.
AaronsonN.ErshoffD.DanaherB.Smoking cessation in pregnancy: A self-help approach. Addictive Behavior, 1985; 10(1):103–108.
15.
PetittiD.FriedmanG.KahnW.Accuracy of information on smoking habits provided on self-administered research questionnaires. American Journal of Public Health, 1981; 71(3):308–311.
16.
NorusisM.SPSS/PC + SPSS for the IBM PC/XT/AT. SPSS, Inc., Chicago, Illinois, 1986; C102–106.
17.
NoetherG.Introduction to Statistics: A Nonparametric Approach. Houghton Mifflin Company, Boston, 1976. P. 154.
18.
ShumanL.Patterns of smoking behavior. Research and Smoking Behavior. JarvikM.CullenJ.GritzE.VogtT.WestL. (Eds.). NIDA Research Monograph, No. 17, DHEW, Washington, D.C., 1977.
19.
FisherE.BishopD.GoldmuntzJ.JacobsA.Implications for the practicing physician of the psychosocial dimensions of smoking. Chest, February1988; 93(2 Suppl):69s–79s.
20.
ProchaskaJ.CrimiP.LapsanskiD.Self-change processes, self-efficacy, and self-concept in relapse and maintenance of cessation of smoking. Psychology Reports, 1982; 51:983–990.
21.
SnedecorG.CochranW.Statistical Methods. The Iowa State University Press, Ames, Iowa, 1967.
22.
DavisA.FaustR.OrdenlichM.Self-help smoking cessation and maintenance programs: A comparative study with 12-month follow-up by the American Lung Association. American Journal of Public Health, 1984; 74(11):1212–1217.
23.
MermelsteinR.LichtensteinE.McIntyreK.Partner support and relapse in smoking-cessation programs. Journal of Consulting and Clinical Psychology, 1983; 51:465–466.
24.
SallisJ.HillR.KillenJ.TelchM.FloraJ.GirardJ.TaylorC.Efficacy of self-help behavior modification materials in smoking cessation. American Journal of Preventive Medicine, 1986; 2(6):342–344.
25.
GlasgowR.SchaferL.O'NeillH.Self-help books and amount of therapist contact in smoking cessation programs. Journal of Consulting and Clinical Psychology, 1981; 49:659–667.
26.
OckeneJ.HymowitzN.SextonM.BrosteS.Comparison of patterns of smoking behavior change among smokers in the Multiple Risk Factor Intervention Trial (MRFIT). Preventive Medicine, 1982; 11:621–638.
27.
HardesG.DobsonA.LloydD.Coronary heart disease mortality trends and related factors in Australia. Cardiology, 1985; (1/2):23–28.
28.
Multiple Risk Factor Intervention Trial Research Group. Coronary heart disease death, nonfatal acute myocardial infarction and other clinical outcomes in the MRFIT. American Journal of Cardiology, 1986; 58(1):1–13.
29.
CohenS.SymeS.Issues in the Study and Application of Social Support. Social Support and Health. CohenS.SymeS. (Eds.). Academic Press, New York, 1985. Pp. 3–22.
30.
KristeinM.How much can business expect to profit from smoking cessation?Preventive Medicine, 1983; 12:358–381.
