Cited by 337Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesBehavioral Health and Interventions

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Relapse and maintenance issues for smoking cessation

Ockene, Judith K., Mermelstein, Robin J., Bonollo, Debra S., Emmons, Karen M., Perkins, Kenneth A., Voorhees, Carolyn C., Hollis, Jack F.·2000·Health Psychology

DOI 10.1037/0278-6133.19.suppl1.17

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Abstract

This article reviews short-term (6 months) and longer term (12-24 months) maintenance of cessation and relapse in adult smokers and the factors and treatments that affect these outcomes. MedLine and PsycLIT searches were done for research published in English between 1988 and 1998 meeting a defined set of criteria. Intensive intervention, telephone counseling, and use of pharmacotherapy were found to improve outcomes; however, compared with public health approaches, they reach relatively few smokers. Brief interventions during medical visits are cost-effective and could potentially reach most smokers but are not consistently delivered. Predictors of relapse include slips, younger age, nicotine dependence, low self-efficacy, weight concerns, and previous quit attempts. Potential areas for research, recommendations for longer follow-up assessments, and standard definitions for slip, relapse, and long-term maintenance are discussed.

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Authors: Ockene, J. K., Mermelstein, R. J., Bonollo, D. S., Emmons, K. M., Perkins, K. A., Voorhees, C. C., & Hollis, J. F.
Affiliations: University of Massachusetts Chan Medical School (US)
University of Massachusetts Boston (US)
Harvard University (US)
University of Pittsburgh (US)
National Cancer Institute (US)
Kaiser Permanente (US)
ORCID: Ockene, Judith K.
Mermelstein, Robin J.
Emmons, Karen M.
Perkins, Kenneth A.
Venue: Health Psychology
Publisher: American Psychological Association (APA)
Published: 2000-01
Volume: 19
Issue: 1, Suppl
Pages: 17-31
ISSN: 0278-6133 (ISSN-L)
1930-7810
DOI: 10.1037/0278-6133.19.suppl1.17
OpenAlex: W2096002727
Cited by: 337
References: 117
Citations by year: 2026: 3 · 2024: 2 · 2023: 4 · 2022: 11 · 2021: 15 · 2020: 6 · 2019: 9 · 2018: 17 · 2017: 8 · 2016: 9 · 2015: 14 · 2014: 17 · 2013: 14 · 2012: 22
FWCI: 6.73
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)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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, relapse, long-term maintenance, nicotine dependence, self-efficacy, slip, telephone counseling, pharmacotherapy, brief intervention, public health approach, predictors of relapse, cost-effectiveness
MeSH terms: Adult, Cardiovascular Diseases, Counseling, Follow-Up Studies, Health Promotion, Humans, Life Style, Outcome and Process Assessment, Health Care, Recurrence, Health Behavior, Smoking Cessation

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Relapse and maintenance issues for smoking cessation

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