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Self-help interventions for older smokers

D J Ossip-Klein1, A M Carosella, D A Krusch

  • 1Department of Community and Preventive Medicine, University of Rochester Cancer Center, New York, USA. dossiklein@cc.urmc.rochester.edu

Tobacco Control
|December 13, 1997
PubMed
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Two self-help smoking interventions were tested in older adults. Men benefited more from mailings, while women benefited more from proactive calls, suggesting tailored approaches for smoking cessation.

Area of Science:

  • Gerontology
  • Public Health
  • Behavioral Science

Background:

  • Smoking cessation remains a significant public health challenge, particularly among older adults.
  • Effective interventions are needed to support smoking cessation in this demographic.

Purpose of the Study:

  • To evaluate the comparative effectiveness of two self-help smoking cessation interventions.
  • To assess these interventions as adjuncts to a self-help manual and telephone support service for older smokers.

Main Methods:

  • A randomized controlled trial involving 177 community-dwelling smokers aged 60 and older.
  • Participants received a manual and hotline access, plus either mailings (Letters) or proactive telephone calls (Proactive).
  • Abstinence was assessed at 3, 6, and 12 months, with hotline usage also recorded.

Related Experiment Videos

Main Results:

  • Overall abstinence rates were comparable to typical self-help interventions.
  • A significant gender-by-treatment interaction was observed: men showed higher abstinence with mailings, women with proactive calls.
  • Hotline utilization was high, with nearly half of participants using it by 12 months.

Conclusions:

  • Both interventions show promise for older smokers, with potential differential effectiveness based on gender.
  • Older adults are receptive to telephone support services.
  • Further research is needed to confirm if these interventions enhance manual and hotline effectiveness alone.