DESCRIPTION (Applicant's Description) The purpose of this randomized trial
is to examine the effectiveness of providing cessation materials to
smokeless tobacco users through a health education telephone system within a
large Midwestern Health Maintenance Organization (HMO). Participants will
be randomized during, this 2 year study to either a control or an
intervention condition. Participants in the control condition will receive
a self-help manual and information on how to access the Center for Health
Promotion's Phone Line. In addition to the self-help manual, subjects in
the intervention condition will receive four proactive telephone calls
designed to promote motivation to change and identification of coping
strategies. The specific aims of this project include determining the
willingness of participants to become involved in the process of quitting
smokeless tobacco and the effectiveness of structured self-help materials
with telephone support against standard health education support, and to
evaluate the relationship between use of the materials and tobacco
cessation. The willingness to engage in quitting will be determined by the
proportion of subjects who make a subsequent quit attempt for 24 hours. The
effectiveness of the intervention will be measured by comparing the
proportion of smokeless tobacco users provided proactive telephone support
who remain abstinent with those provided standard care at 3 and 12 months.
The relationship between use of the materials and quitting success will be
determined by asking how intensively the materials were used, and the number
of recommended exercises completed.
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