Comparing Population Cessation Services

Study Overview
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Brief Summary
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If the treatment combining Motivation Enhancement, Reduction Counseling, Nicotine Replacement Therapy and Transtheoretical tailored interventions produces an increasing treatment trajectory, it will produce unprecedented impacts with unmotivated smokers specifically and population cessation generally. These recruitment and intervention strategies require limited resources from health care providers and could be readily disseminable to other health care systems for application with populations of smokers, especially unmotivated smokers who have been understudied and underserved.

Detailed Description
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This proposal addresses major gaps in research for nicotine addiction treatments for entire populations of smokers and for the 80% who are not motivated to quit. Nicotine addiction is just like other drug addictions in terms of breaking the addiction cycle. Researchers and providers differ on whether treatment emphasis should be on clinician-based counseling, biologically-based medications, computer-based tailored communications or a combination of these. There is a lack of comparative research on population treatments to compare effectiveness, cost-effectiveness and enhancement of quality of life. Such comparative research would provide health care systems and providers with evidence on how to best serve entire populations of smokers, especially unmotivated smokers who are seriously underserved. This research will compare the four most highly recommended treatments: 1. Motivation Enhancement Therapy (MET) plus NRT; 2.Tailored communications based on the Transtheoretical Model (TTM), and 3. The combination of these treatments.

Official Title
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Comparing Population Cessation Services With Emphasis on Unmotivated Smokers

Conditions
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Cancer

Intervention / Treatment
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* Behavioral: TTM Tailored
* Behavioral: Motivational Enhancement Therapy
* Behavioral: Integrated Treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: smoker Exclusion Criteria: pregnancy

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: TTM Tailored<br> | Behavioral: TTM Tailored<br>* This treatment is tailored on three occasions (baseline, 6, and 24 weeks) on each of the 14 TTM variables. This treatment provides both normative and ipsative feedback on each of the variables found to predict progress across specific stages<br>* Other names: TTM Expert System;|
| Experimental: Motivational Enhancement Therapy<br> | Behavioral: Motivational Enhancement Therapy<br>* This intervention will be driven by the manual developed by Carpenter et al. (2004) based on the USPHS recommendations for smokers not motivated to quit and for those who become ready to set a quit date.<br>* Other names: MET;|
| Experimental: Integrated Treatment<br> | Behavioral: Integrated Treatment<br>* This enhanced condition would combine MET, Reduction Counseling and NRT and TTM Tailoring.<br>* Other names: Combined treatment;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Smoking cessation (quit) rate | Self-report point prevalence abstinence | 24 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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smoking cessation