Both smoking reduction with nicotine replacement therapy and motivational advice increase future cessation among smokers unmotivated to quit.
Smokers not currently interested in quitting (N = 616) were randomized to receive telephone-based (a) reduction counseling plus nicotine replacement therapy (NRT) plus brief advice to quit, (b) motivational advice plus brief advice, or (c) no treatment. More smokers in the reduction (43%) and motivational (51%) conditions made a 24-hr quit attempt over 6 months than smokers in the no-treatment condition (16%; p < or = .01), but the 2 active conditions did not differ (p > or = .05). Similarly, 18%, 23%, and 4% of each condition were abstinent (7-day point prevalence) at 6 months (p < or = .01). Results indicate smoking reduction using NRT does not undermine cessation but rather increases the likelihood of quitting to a degree similar to motivational advice.
Department of Psychology, University of Vermont, USA. carpente@musc.edu
Matthew J
MJ
Carpenter
John R
JR
Hughes
Laura J
LJ
Solomon
Peter W
PW
Callas
D000284:Administration, Oral; D000328:Adult; D002638:Chewing Gum; D003376:Counseling / Q000379:methods*; D005260:Female; D005731:Ganglionic Stimulants / Q000627:therapeutic use*; D006801:Humans; D015994:Incidence; D008297:Male; D009042:Motivation; D009538:Nicotine / Q000008:administration & dosage / Q000627:therapeutic use*; D012907:Smoking / Q000453:epidemiology* / Q000628:therapy*; D016540:Smoking Cessation / Q000379:methods* / Q000706:statistics & numerical data*; D013997:Time Factors
D002638:Chewing Gum; D005731:Ganglionic Stimulants; D009538:Nicotine