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Grant Details

Grant Number: 5R01CA067594-08 Interpret this number
Primary Investigator: Ossip-Klein, Deborah
Organization: University Of Rochester
Project Title: Retargeting Mid Life and Older Smokers
Fiscal Year: 2003
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Abstract

DESCRIPTION (Applicant's abstract): There are over 13 million smokers ages 50+ in the United States, who tend to be heavy, long-term smokers who are more likely to have chronic diseases caused or exacerbated by smoking. Stopping smoking can reduce morbidity and mortality from disabling diseases and conditions across the lifespan. Thus, the implications of smoking and smoking cessation for maintenance of health and independent living for older populations are considerable. Little data are available on effective treatments for smoking in this growing population. Assisted self-help interventions seem particularly appropriate to this group, who may be limited geographically or by health status in their ability to access smoking intervention services. Preliminary results from the current and preceding trials suggest that proactive telecounseling, in combination with a self-help manual and access to a reactive quitline, enhances quit rates, particularly among those using concurrent pharmacotherapy for smoking cessation. Results of other trials indicate that multiple quit attempts are often necessary to achieve smoking abstinence, and telecounseling may enhance recycling (i.e., re-quitting after a failed attempt). The proposed study will extend the scope of the current trial to examine the effectiveness of recycling smokers ages 50+ with a failed quit attempt in the past two years (recruited from the current trial and supplemented with community recruits). Two groups will be compared: 1) Minimal Intervention Control - self-help manual and access to a reactive quitline (smokers call in to the quitline for assistance); and 2) Proactive - manual and quitline along with proactive telecounseling calls (calls out to participants) to supporting re-quitting and supporting use of FDA approved pharmacotherapies for smoking cessation (nicotine replacement, bupropion, and others if they are approved during the period of study. Subjects will be followed at 6, 12, and 18 months for assessment of smoking status, health outcomes, and use of cessation resources (manual, quitline, proactive telecounseling, pharmacotherapy)

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Publications

Attitudes toward giving smoking cessation advice among nursing staff at a long-term residential care facility.
Authors: Watt CA, Carosella AM, Podgorski C, Ossip-Klein DJ
Source: Psychol Addict Behav, 2004 Mar;18(1), p. 56-63.
PMID: 15008686
Related Citations

Grant Numbers:
NCI NIH HHS - 1-R01-CA67594 NIDA NIH HHS - 5 T32 DA07232

MeSH Terms:
United States Attitude of Health Personnel Organizational Policy
Humans Smoking Cessation Long-Term Care
Residential Facilities Male Female
Nursing Staff Multivariate Analysis

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Quitlines in North America: evidence base and applications.
Authors: Ossip-Klein DJ, McIntosh S
Source: Am J Med Sci, 2003 Oct;326(4), p. 201-5.
PMID: 14557735
Related Citations

Grant Numbers:
NCI NIH HHS - R01-CA80283 NCI NIH HHS - R01-CA67594

MeSH Terms:
Evidence-Based Medicine Telephone Humans
Smoking Cessation Hotlines Counseling
Adolescent Adolescent Health Services

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Smoking is a geriatric health issue.
Authors: Ossip-Klein DJ, Pearson TA, McIntosh S, Orleans CT
Source: Nicotine Tob Res, 1999 Dec;1(4), p. 299-300.
PMID: 11072426
Related Citations

Grant Numbers:
NCI NIH HHS - R01-CA67594

MeSH Terms:
Smoking Public Health Humans
Smoking Cessation Geriatrics Quality of Life
Aged Male Female
Health Care Costs

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Smokers ages 50+: who gets physician advice to quit?
Authors: Ossip-Klein DJ, McIntosh S, Utman C, Burton K, Spada J, Guido J
Source: Prev Med, 2000 Oct;31(4), p. 364-9.
PMID: 11006061
Related Citations

Grant Numbers:
NCI NIH HHS - 1-RO1-CA67594 NIDA NIH HHS - T32-DA07232

MeSH Terms:
Questionnaires Humans Health Status
Aged Counseling Smoking
New York Aged, 80 and over Smoking Cessation
Middle Aged Physician's Role Physician-Patient Relations
Female Male

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Self-help interventions for older smokers.
Authors: Ossip-Klein DJ, Carosella AM, Krusch DA
Source: Tob Control, 1997 Autumn;6(3), p. 188-93.
PMID: 9396102
Related Citations

Grant Numbers:
NCI NIH HHS - 1-RO1-CA67594

MeSH Terms:
Smoking Random Allocation Humans
Smoking Cessation Hotlines Aged
Middle Aged Follow-Up Studies Self-Help Groups
Male Female

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Last Updated: August 24, 2012
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