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NAQC Newsroom: Research

Relapse-Prevention Booklets Reduce Smoking Relapse among Arkansas Quitline Callers

Friday, May 21, 2010  
In Arkansas, a quasi-experimental study found that the addition of the Forever Free relapse prevention materials to telephone counseling doubled the abstinence rate and increased the odds of abstinence six months after treatment by nearly 70% (20.9% versus 10.6%; OR=1.69; CI=1.02-2.78; p=0.04) for those participants who received counseling and were unable or unwilling to use nicotine patches. However, the addition of the Forever Free materials did not appear to improve abstinence rates for those participants who received both counseling and nicotine patches. Participants unwilling or unable to use nicotine replacement or other medications will self-select in any clinical population and are often a significant proportion of those who present for treatment.

In Arkansas, this subgroup consisted of nearly one-third of all those who enrolled. Although no less dependent on nicotine, these callers were younger, less likely to have sought professional help in the past with quitting, and likely to receive less counseling. Given the recent proliferation of quitline services and the variety of services provided, these results suggest that the addition of these materials may enhance treatment outcomes for those unwilling or unable to receive medication. This study examined outcomes from 892 participants and controlled for baseline clinical and other differences such as amount of treatment contact and content between the two groups. This study will be published in an upcoming issue of the Journal of Substance Abuse Treatment. For more information, or a preprint of the article, contact Christine Sheffer, PhD via e-mail.

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