TY - JOUR
T1 - In-person and telephone treatment of tobacco dependence
T2 - A comparison of treatment outcomes and participant characteristics
AU - Sheffer, Christine
AU - Stitzer, Maxine
AU - Landes, Reid
AU - Brackman, S. Laney
AU - Munn, Tiffany
PY - 2013/8
Y1 - 2013/8
N2 - 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.
AB - 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.
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U2 - 10.2105/AJPH.2012.301144
DO - 10.2105/AJPH.2012.301144
M3 - Article
C2 - 23763416
AN - SCOPUS:84880177983
SN - 0090-0036
VL - 103
SP - e74-e82
JO - American Journal of Public Health
JF - American Journal of Public Health
IS - 8
ER -