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Behavioral self-help materials as an adjunct to nicotine gum.

H A Lando¹, E A Kalb, P G McGovern

¹Department of Psychology, Iowa State University, Ames 50011.

Addictive Behaviors

|January 1, 1988

Summary

Behavioral self-help booklets did not improve smoking cessation rates when used with nicotine gum. However, nicotine gum significantly increased abstinence rates at six months.

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Area of Science:

Behavioral Science
Addiction Research
Public Health

Background:

Nicotine gum is a common smoking cessation aid.
Behavioral support can enhance cessation success.
The effectiveness of self-help materials with nicotine gum requires evaluation.

Purpose of the Study:

To assess the added benefit of behavioral self-help materials for smoking cessation when used with nicotine gum.
To compare the effectiveness of self-help booklets versus informational pamphlets.

Main Methods:

187 women and 117 men were randomized to receive either self-help booklets or a factual pamphlet.
All participants received prescriptions for nicotine gum (Nicorette).
Abstinence rates were monitored at 6-month follow-up.

Main Results:

No significant difference in abstinence rates was observed between the self-help booklet group and the pamphlet group.
Overall smoking abstinence rates were encouraging.
Nicotine gum users were significantly more likely to maintain abstinence at 6 months compared to non-users.

Conclusions:

Behavioral self-help materials, as designed, did not provide incremental effectiveness over factual information when used with nicotine gum.
Nicotine gum use is strongly associated with sustained smoking abstinence.
Future self-help materials may benefit from simplified, visually engaging content.

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