Grant Details
Grant Number: |
5R01CA071348-04 Interpret this number |
Primary Investigator: |
Klesges, Robert |
Organization: |
University Of Memphis |
Project Title: |
Nrt/Behavioral Therapy in Primary Health Care Settings |
Fiscal Year: |
1999 |
Abstract
DESCRIPTION: (Applicant's Description) 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.
Publications
None