title: The Tripler Tobacco-Cessation Program: predictors for success and improved efficacy.
abstract: This study analyzed differences in baseline, course of treatment, and post-quit variables of participants in a tobacco-cessation program to identify factors predictive of outcome that could be used as a focus for intervention. The program offered a 10-week course of transdermal nicotine replacement combined with education and cognitive/behavioral therapy in a group format at a major military medical center. Demonstrated differences were found among abstainers, early relapsers, and late relapsers in age-initiated tobacco use, use of liquor, levels of exhaled carbon monoxide at intake, tobacco use during the program, and perceived reasons for relapse. The abstinence rate at follow-up was 27%. Based on our findings, we discuss recommendations to improve treatment. This information is offered as a model to evaluate and improve the efficacy of established clinic-based tobacco-cessation programs.
authors.affiliation: Department of Psychology, Tripler Army Medical Center, Honolulu, Hawaii 96859-5000, USA.
authors.forename: M
authors.initials: M
authors.lastname: Faue
authors.forename: R A
authors.initials: RA
authors.lastname: Folen
authors.forename: L C
authors.initials: LC
authors.lastname: James
authors.forename: T
authors.initials: T
authors.lastname: Needels
mesh_terms: D000279:Administration, Cutaneous; D000328:Adult; D015928:Cognitive Behavioral Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008889:Military Personnel / Q000706:statistics & numerical data; D009538:Nicotine / Q000008:administration & dosage; D010353:Patient Education as Topic; D015995:Prevalence; D012907:Smoking / Q000453:epidemiology; D016540:Smoking Cessation / Q000379:methods* / Q000706:statistics & numerical data; D000074606:Smoking Prevention; D013997:Time Factors; D014481:United States / Q000453:epidemiology
chemical_list: D009538:Nicotine