Evaluation of a minimal self-help smoking cessation intervention following cervical cancer screening.

OBJECTIVE This study was undertaken to evaluate a smoking cessation intervention provided to women smokers as follow-up to cervical cancer screening. METHODS Women who had had a Pap test in the prior month (N = 4,053) were called to complete a survey that assessed smoking status; 580 identified smokers were randomized to receive Usual care (n = 292) or a Self-help intervention (n = 288) that included a self-help booklet, a smoking and reproductive health information card, and three telephone counseling calls. Women were followed up at 6 and 15 months post-base line. RESULTS Cessation rates in the Usual care (UC) and Self-help (SH) groups did not differ at the 6-month (UC 10.5% vs SH 10.9%, P = 0.56) or 15-month follow-up (UC 15.5% vs SH 10.6%, P = 0.17). Among women with an abnormal Pap test result there were no differences by study group in cessation rates at 6-month (UC 9.8% vs SH 11.0%, P = 0.71) or 15-month follow-up (UC 14.6% vs SH 13.4%, P = 0.96). CONCLUSION Integrating interventions into the clinical setting and involving providers at the point of care may have greater potential for capitalizing on this "teachable moment."

[1]  C. McBride,et al.  Promoting Smoking Cessation Among Women Who Seek Cervical Cancer Screening , 1998, Obstetrics and gynecology.

[2]  L. Ferris.  Women's Health: The Commonwealth Fund Survey , 1997 .

[3]  E H Wagner,et al.  A randomized trial of self-help materials, personalized feedback, and telephone counseling with nonvolunteer smokers. , 1995, Journal of consulting and clinical psychology.

[4]  J. Andrews,et al.  Pediatric office-based smoking intervention: impact on maternal smoking and relapse. , 1995, Pediatrics.

[5]  A. Prochazka,et al.  A Smoking Cessation Intervention in Family Planning Clinics , 1995 .

[6]  V. Strecher,et al.  The effects of computer-tailored smoking cessation messages in family practice settings. , 1994, The Journal of family practice.

[7]  W F Velicer,et al.  Standardized, individualized, interactive, and personalized self-help programs for smoking cessation. , 1993, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[8]  C. McBride,et al.  Postpartum relapse to smoking: a prospective study. , 1992, Health education research.

[9]  K. Emmons,et al.  Tobacco dependence: An integration of individual and public health perspectives , 1991 .

[10]  E H Wagner,et al.  Evaluation of intrinsic and extrinsic motivation interventions with a self-help smoking cessation program. , 1991, Journal of consulting and clinical psychology.

[11]  E. Wynder,et al.  Smoking and cervical intraepithelial neoplasia: nicotine and cotinine in serum and cervical mucus in smokers and nonsmokers. , 1988, American journal of obstetrics and gynecology.

[12]  L. Brinton,et al.  Biochemical epidemiology of cervical neoplasia: measuring cigarette smoke constituents in the cervix. , 1987, Cancer research.

[13]  J. Prochaska,et al.  Stages and processes of self-change of smoking: toward an integrative model of change. , 1983, Journal of consulting and clinical psychology.

[14]  Reddy Mn,et al.  Trends and effects of cigarette smoking among girls and women in the United States, 1965-1993. , 1996 .

[15]  R. Bastani,et al.  A randomized trial of a self-help smoking cessation intervention in a nonvolunteer female population: testing the limits of the public health model. , 1992, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[16]  David E. Irwin,et al.  Nicotine and cotinine in the cervical mucus of smokers, passive smokers, and nonsmokers. , 1992, Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology.

[17]  D. Murray,et al.  Sensitivity and specificity of saliva thiocyanate and cotinine for cigarette smoking: a comparison of two collection methods. , 1991, Addictive behaviors.

[18]  E H Wagner,et al.  Self-help quit smoking interventions: effects of self-help materials, social support instructions, and telephone counseling. , 1991, Journal of consulting and clinical psychology.