The physician-delivered smoking intervention project: Can short-term interventions produce long-term effects for a general outpatient population?
Abstract
Patterns of smoking cessation using 6- and 12-month follow-up data are reported for 1,261 primary care patients randomized to 3 physician-delivered smoking interventions: advice only (AO), counseling (CI), and counseling plus availability of nicotine-containing gum (CI + NCG). One-week-point-prevalence cessation rates at 12 months did not differ among the interventions: AO (15.2%), CI (12.9%) and CI + NCG (16.7%). However, maintained cessation rates (abstinent at both 6 and 12 months) increased with intervention intensity: AO (6.0%), CI (7.8%) and CI + NCG (10.0%): Test of trend chi 2 = 5.06, p = .02. CI + NCG was significantly higher than AO (p = .02). The findings support the following conclusions: Brief physician-delivered intervention with availability of nicotine-containing gum can have a beneficial long-term effect on smoking cessation, and cohort data as well as point-prevalence rates are important when assessing the long-term impact of lifestyle interventions.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Greater improvement in health behaviors is produced by intensive behavioral treatments that incorporate multiple counseling sessions, each lasting ≥10 minutes.
“Greater improvement in health behaviors is produced by intensive behavioral treatments, that is, those that incorporate multiple counseling sessions, each lasting ≥10 minutes.18-20,22–24,29–31”
From Better Population Health Through Behavior Change in Adults: A Call to Action (2013) · cites this paper as [24]
Findings confirm modest but significant impacts of brief physician advice or intervention on smoking cessation, improved dietary quality, and increased physical activity.
“Findings confirm modest but significant impacts of brief physician advice or intervention on smoking cessation, improved dietary quality, and increased physical activity.14,15,19,22–27”
From Better Population Health Through Behavior Change in Adults: A Call to Action (2013) · cites this paper as [24]
Most individuals trust their provider's advice.
“Moreover, most individuals trust their provider’s advice, and the patient-provider relationship is longitudinal, which enables follow-up over an extended period of time.24”
From Better Population Health Through Behavior Change in Adults: A Call to Action (2013) · cites this paper as [24]
The patient-provider relationship is longitudinal, which enables follow-up over an extended period of time.
“Moreover, most individuals trust their provider’s advice, and the patient-provider relationship is longitudinal, which enables follow-up over an extended period of time.24”
From Better Population Health Through Behavior Change in Adults: A Call to Action (2013) · cites this paper as [24]
Cites
Kottke, T. E. (1988) · JAMA · doi:10.1001/jama.259.19.2883 · Cited by 745 · see citing works
A Randomized Trial of a Family Physician Intervention for Smoking Cessation
Wilson, D. (1988) · JAMA · doi:10.1001/jama.1988.03410110078031 · Cited by 236 · see citing works
Smoking cessation and severity of disease: The Coronary Artery Smoking Intervention Study.
Ockene, J. K., Kristeller, J. L., Goldberg, R. J., Ockene, I. S., Merriam, P., Barrett, S., Pekow, P., Hosmer, D., & Gianelly, R. (1992) · Health Psychology · doi:10.1037//0278-6133.11.2.119 · Cited by 209 · see citing works
Self-citationA Residents' Training Program for the Development of Smoking Intervention Skills
Ockene, J. K. (1988) · Archives of Internal Medicine · doi:10.1001/archinte.1988.00380050045007 · Cited by 148 · see citing works
Self-citationNicotine Gum to Help Stop Smoking
Hughes, J. R. (1984) · JAMA · doi:10.1001/jama.1984.03350200041018 · Cited by 96 · see citing works
Ockene, J. K., Hymowitz, N., Sexton, M. J., et al. (1982) · Preventive Medicine · doi:10.1016/0091-7435(82)90025-1 · Cited by 60 · see citing works
Self-citationThe relationship of patient characteristics to physician delivery of advice to stop smoking
Ockene, J. K., Hosmer, D. W., Williams, J. W., Goldberg, R. J., Ockene, I. S., Biliouris, T., & Dalen, J. E. (1987) · Journal of General Internal Medicine · doi:10.1007/bf02596170 · Cited by 39 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Physician advice for smoking cessation
Stead, L. F., Buitrago, D., Preciado, N., Sanchez, G., Hartmann-Boyce, J., & Lancaster, T. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000165.pub4 · Cited by 1,955 · see citing works
Nicotine replacement therapy for smoking cessation
Silagy, C., Lancaster, T., Stead, L., Mant, D., & Fowler, G. (2004) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000146.pub2 · Cited by 972 · see citing works
Nicotine replacement therapy for smoking cessation
Stead, L. F., Perera, R., Bullen, C., Mant, D., & Lancaster, T. (2008) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000146.pub3 · Cited by 721 · see citing works
Nicotine replacement therapy versus control for smoking cessation
Hartmann-Boyce, J., Chepkin, S. C., Ye, W., Bullen, C., & Lancaster, T. (2018) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000146.pub5 · Cited by 697 · see citing works
Hopkins, D. P., Briss, P. A., Ricard, C. J., Husten, C. G., Carande-Kulis, V. G., Fielding, J. E., Alao, M. O., McKenna, J. W., Sharp, D. J., Harris, J. R., et al. (2001) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(00)00297-x · Cited by 453 · see citing works
Physician advice for smoking cessation
Stead, L. F., Bergson, G., & Lancaster, T. (2008) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000165.pub3 · Cited by 445 · see citing works
Aveyard, P., Begh, R., Parsons, A., & West, R. (2012) · Addiction · doi:10.1111/j.1360-0443.2011.03770.x · Cited by 390 · see citing works
Better Population Health Through Behavior Change in Adults: A Call to Action
Spring, B., Ockene, J. K., Gidding, S. S., Mozaffarian, D., Moore, S., Rosal, M. C., Brown, M. D., Vafiadis, D. K., Cohen, D. L., Burke, L. E., et al. (2013) · Circulation · doi:10.1161/01.cir.0000435173.25936.e1 · Cited by 195 · see citing works
Self-citationAdditional behavioural support as an adjunct to pharmacotherapy for smoking cessation
Hartmann-Boyce, J., Hong, B., Livingstone-Banks, J., Wheat, H., & Fanshawe, T. R. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009670.pub4 · Cited by 186 · see citing works
Human Immunodeficiency Virus Infection, AIDS, and Smoking Cessation: The Time is Now
Niaura, R., Shadel, W. G., Morrow, K., Tashima, K., Flanigan, T., & Abrams, D. B. (2000) · Clinical Infectious Diseases · doi:10.1086/314048 · Cited by 176 · see citing works
- Authors
- Ockene, J. K., Kristeller, J., Pbert, L., Hebert, J. R., Luippold, R., Goldberg, R. J., Landon, J., & Kalan, K.
- Affiliations
- University of Massachusetts Chan Medical School (US)
- Venue
- Health Psychology
- Published
- 1994
- Volume
- 13
- Issue
- 3
- Pages
- 278-281
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2034039469
- Cited by
- 114
- References
- 7
- Citations by year
- 2021: 2 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 1 · 2014: 2 · 2013: 4 · 2012: 9
- FWCI
- 3.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
- Scholar Commons (University of South Carolina) (submittedVersion)
- Funders
- National Institutes of Health (5r01ca038360-05)
- National Cancer Institute (CA38360)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- smoking cessation, nicotine gum, brief counseling, primary care, long-term abstinence, intervention intensity, lifestyle intervention
- MeSH terms
- Adolescent, Adult, Aged, Ambulatory Care, Chewing Gum, Counseling, Female, Follow-Up Studies, Humans, Male, Middle Aged, Nicotine, Patient Education as Topic, Physician-Patient Relations, Primary Health Care, Cohort Studies, Smoking Cessation, Treatment Outcome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
