) Despite decades of research on smoking cessation in diverse populations, a very high percentage of individuals continue to smoke, particularly lower-income and minority subjects. While clinic-based smoking cessation programs are clearly effective, they are not particularly cost effective and very few smokers want to utilize these programs in their smoking cessation attempts. Nicotine replacement therapy (NRT) and physician-based programs are potentially cost effective and highly generalizable. Moreover, patients seek these services when trying to stop smoking. However, efficacy estimates of NRT, with and without formal behavioral intervention, vary markedly. The potential utility of NRT programs suggest that it is important to determine the minimal level of behavioral intervention necessary to significantly increase NRT therapy effectiveness. Thus, the Specific Aims of the current project are as follows: (1) To recruit approximately 600 smokers through provider practices, with practices being randomly assigned to one of three interventions: (a) NRT with an enhanced standard of care; (b) NRT plus a behavioral intervention that uses physician and health educator contacts and targeted relapse prevention strategies; and (c) NRT plus an equally intensive but less costly behavioral intervention employing minimal professional staff, (2) To evaluate initial smoking cessation outcome, cost effectiveness, and long-term (i.e., 12 month follow-up) efficacy of these three interventions.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
5R01CA071348-02
Application #
2458263
Study Section
Special Emphasis Panel (SRC (13))
Project Start
1996-09-25
Project End
2000-07-31
Budget Start
1997-08-01
Budget End
1998-07-31
Support Year
2
Fiscal Year
1997
Total Cost
Indirect Cost
Name
University of Memphis
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
City
Memphis
State
TN
Country
United States
Zip Code
38152