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).


CONCLUSIONS
Integrating interventions into the clinical setting and involving providers at the point of care may have greater potential for capitalizing on this "teachable moment."
McBride
C M
CM
Center for Health Studies, Group Health Cooperative of Puget Sound, 1730 Minor Street, Suite 1600, Seattle, Washington 98101, USA.
Scholes
D
D
Grothaus
L C
LC
Curry
S J
SJ
Ludman
E
E
Albright
J
J
D000293:Adolescent; D000328:Adult; D003367:Cotinine / Q000032:analysis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008403:Mass Screening / Q000379:methods; D010353:Patient Education as Topic / Q000379:methods*; D015397:Program Evaluation; D012463:Saliva / Q000737:chemistry; D012648:Self Care / Q000379:methods*; D012907:Smoking / Q000378:metabolism; D016540:Smoking Cessation / Q000379:methods*; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*; D014626:Vaginal Smears
D003367:Cotinine