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Related Experiment Videos

Relapse and maintenance issues for smoking cessation.

J K Ockene1, K M Emmons, R J Mermelstein

  • 1Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worchester 01655, USA. Judith.Ockene@umassmed.org

Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association
|March 10, 2000
PubMed
Summary

Effective smoking cessation strategies include intensive interventions, telephone counseling, and pharmacotherapy. Brief interventions are cost-effective but underutilized, while relapse is linked to younger age and nicotine dependence.

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Area of Science:

  • Addiction Medicine
  • Public Health

Background:

  • Smoking cessation is a critical public health goal.
  • Understanding factors influencing long-term maintenance and relapse is essential for effective treatment.

Purpose of the Study:

  • To review short-term (6 months) and long-term (12-24 months) smoking cessation maintenance.
  • To identify factors and treatments affecting cessation outcomes and relapse in adult smokers.

Main Methods:

  • Conducted literature searches of MedLine and PsycLIT databases for English-language research published between 1988 and 1998.
  • Applied defined criteria to select relevant studies on smoking cessation maintenance and relapse.

Main Results:

  • Intensive interventions, telephone counseling, and pharmacotherapy improve cessation outcomes but reach few smokers.

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  • Brief interventions are cost-effective and scalable but inconsistently delivered.
  • Relapse predictors include slips, younger age, nicotine dependence, low self-efficacy, weight concerns, and prior quit attempts.

    • Conclusions:

    • While intensive treatments show efficacy, brief interventions offer a scalable, cost-effective approach for broader reach.
    • Further research is needed on longer follow-up assessments and standardized definitions for cessation outcomes.