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Nicotine replacement therapy in a group model HMO.

S J Rolnick¹, D Klevan, L Cherney

¹Group Health Foundation/HealthPartners, Bloomington, MN 55440, USA. cheri.j.rolnick@healthpartners.com

|February 6, 1997

Summary

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This study found that combining nicotine replacement patches with telephone support did not significantly improve smoking cessation rates. Most participants found the initial orientation session helpful, but few utilized the telephone support.

Area of Science:

Public Health
Behavioral Science
Clinical Medicine

Background:

Smoking cessation programs are crucial for public health.
Nicotine replacement therapy (NRT) and telephone support are common interventions.
Evaluating the effectiveness of combined interventions is essential.

Purpose of the Study:

To assess patient response to a smoking cessation program.
To determine the efficacy of combining nicotine replacement patches with telephone support.

Main Methods:

A randomized trial involving 509 smokers from a Midwestern HMO.
Participants received nicotine replacement patches and were assigned to three groups: no additional support, telephone hotline access, or hotline access with follow-up calls.
Smoking cessation at 12 months and subject satisfaction were primary outcome measures.

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Main Results:

No significant difference in smoking cessation rates (20% smoke-free at 12 months) was observed across the three groups.
Telephone hotline utilization was very low (1%).
Telephone follow-up calls did not impact cessation rates, though 92% found the orientation session useful.

Conclusions:

The combination of nicotine replacement patches and telephone support did not yield higher smoking cessation rates compared to patches alone.
The study provided valuable insights for the HMO regarding intervention components and educational materials.
Findings may inform future telephone intervention strategies and educational material development.