A brief smoking cessation intervention for women in low-income planned parenthood clinics.

OBJECTIVES The purpose of this study was to evaluate a brief smoking cessation intervention for women 15 to 35 years of age attending Planned Parenthood clinics. METHODS Female smokers (n = 1154) were randomly assigned either to advice only or to a brief intervention that involved a 9-minute video, 12 to 15 minutes of behavioral counseling, clinician advice to quit, and follow-up telephone calls. RESULTS Seventy-six percent of those eligible participated. Results revealed a clear, short-term intervention effect at the 6-week follow-up (7-day self-reported abstinence: 10.2% vs 6.9% for advice only, P < .05) and a more ambiguous effect at 6 months (30-day biochemically validated abstinence: 6.4% vs 3.8%, NS). CONCLUSIONS This brief, clinic-based intervention appears to be effective in reaching and enhancing cessation among female smokers, a traditionally underserved population.

[1]  R. Glasgow,et al.  Concern about weight gain associated with quitting smoking: prevalence and association with outcome in a sample of young female smokers. , 1999, Journal of consulting and clinical psychology.

[2]  R. Glasgow,et al.  Evaluating the public health impact of health promotion interventions: the RE-AIM framework. , 1999, American journal of public health.

[3]  R. Glasgow,et al.  Reaching those most in need: Participation in a Planned Parenthood smoking cessation program , 1998, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[4]  W. Jones,et al.  Effects of a smoking cessation program for pregnant women and their partners attending a public hospital antenatal clinic , 1998, Australian and New Zealand journal of public health.

[5]  B. Marcus,et al.  Minority women and tobacco: Implications for smoking cessation interventions , 1997, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[6]  E. Lichtenstein Behavioral research contributions and needs in cancer prevention and control: tobacco use prevention and cessation. , 1997, Preventive medicine.

[7]  J. Hollis,et al.  Does gender affect response to a brief clinic-based smoking intervention? , 1997, American journal of preventive medicine.

[8]  C. Pomerleau Smoking and Nicotine Replacement Treatment Issues Specific to Women. , 1996 .

[9]  S. Kirkland,et al.  Disadvantaged women and smoking. , 1996, Canadian journal of public health = Revue canadienne de sante publique.

[10]  R. Glasgow,et al.  Telephone counseling for smoking cessation: rationales and meta-analytic review of evidence. , 1996, Health education research.

[11]  R. Glasgow,et al.  A brief office-based intervention to facilitate diabetes dietary self-management. , 1995, Health education research.

[12]  R. Goldberg,et al.  The physician-delivered smoking intervention project: can short-term interventions produce long-term effects for a general outpatient population? , 1994, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[13]  K. Rost,et al.  Development of Screeners for Depressive Disorders and Substance Disorder History , 1993, Medical care.

[14]  R N Battista,et al.  Attributes of successful smoking cessation interventions in medical practice. A meta-analysis of 39 controlled trials. , 1988, JAMA.

[15]  B. Rodda,et al.  Clinical trials: Design, conduct, and analysis , 1987 .

[16]  M. Hersen,et al.  Progress in Behavior Modification , 1983 .

[17]  G. Piper The Health Consequences of Smoking for Women , 1981 .

[18]  D Johnston,et al.  Implications of the results of community intervention trials. , 1998, Annual Review of Public Health.

[19]  D B Abrams,et al.  Integrating individual and public health perspectives for treatment of tobacco dependence under managed health care: A combined stepped-care and matching model , 1996, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[20]  C. Husten,et al.  Trends and effects of cigarette smoking among girls and women in the United States, 1965-1993. , 1996, Journal of the American Medical Women's Association.

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

[22]  J. Ockene Smoking Among Women Across the Life Span: Prevalence, Interventions, and Implications for Cessation Research , 1993 .

[23]  J O Prochaska,et al.  Stages of change in the modification of problem behaviors. , 1992, Progress in behavior modification.

[24]  W. Miller,et al.  Motivational Interviewing: Preparing People to Change Addictive Behavior , 1991 .

[25]  M. Orlandi Promoting health and preventing disease in health care settings: an analysis of barriers. , 1987, Preventive medicine.