A randomized clinical trial of the efficacy of extended smoking cessation treatment for adolescent smokers

Steffani Bailey, Sarah A. Hagen, Christina J. Jeffery, Christopher T. Harrison, Seth Ammerman, Susan W. Bryson, Diana T. Killen, Thomas N. Robinson, Joel D. Killen

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Introduction: Relatively few well-designed smoking cessation studies have been conducted with teen smokers. This study examined the efficacy of extended cognitive-behavioral treatment in promoting longer term smoking cessation among adolescents. Methods: Open-label smoking cessation treatment consisted of 10 weeks of school-based, cognitive-behavioral group counseling along with 9 weeks of nicotine replacement (nicotine patch). A total of 141 adolescent smokers in continuation high schools in the San Francisco Bay Area were randomized to either 9 additional group sessions over a 14-week period (extended group) or 4 monthly smoking status calls (nonextended group). Intention-to-treat logistic regression analysis was used to assess the primary outcome of biologically confirmed (carbon monoxide <9 ppm) point prevalence abstinence at Week 26 (6-month follow-up from baseline). Results: At Week 26 follow-up, the extended treatment group had a significantly higher abstinence rate (21%) than the nonextended treatment (7%; OR = 4.24, 95% CI: 1.20-15.02). Females also were more likely to be abstinent at the follow-up than males (OR = 4.15, 95% CI: 1.17-14.71). Conclusions: The significantly higher abstinence rate at follow-up for the extended treatment group provides strong support for continued development of longer term interventions for adolescent smoking cessation.

Original languageEnglish (US)
Pages (from-to)1655-1662
Number of pages8
JournalNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
Volume15
Issue number10
DOIs
StatePublished - Oct 2013

Fingerprint

Withholding Treatment
Smoking Cessation
Randomized Controlled Trials
Tobacco Use Cessation Products
San Francisco
Therapeutics
Carbon Monoxide
Nicotine
Counseling
Logistic Models
Smoking
Regression Analysis

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

A randomized clinical trial of the efficacy of extended smoking cessation treatment for adolescent smokers. / Bailey, Steffani; Hagen, Sarah A.; Jeffery, Christina J.; Harrison, Christopher T.; Ammerman, Seth; Bryson, Susan W.; Killen, Diana T.; Robinson, Thomas N.; Killen, Joel D.

In: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, Vol. 15, No. 10, 10.2013, p. 1655-1662.

Research output: Contribution to journalArticle

Bailey, Steffani ; Hagen, Sarah A. ; Jeffery, Christina J. ; Harrison, Christopher T. ; Ammerman, Seth ; Bryson, Susan W. ; Killen, Diana T. ; Robinson, Thomas N. ; Killen, Joel D. / A randomized clinical trial of the efficacy of extended smoking cessation treatment for adolescent smokers. In: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco. 2013 ; Vol. 15, No. 10. pp. 1655-1662.
@article{7359cc8572204a57b148fb3910e116f7,
title = "A randomized clinical trial of the efficacy of extended smoking cessation treatment for adolescent smokers",
abstract = "Introduction: Relatively few well-designed smoking cessation studies have been conducted with teen smokers. This study examined the efficacy of extended cognitive-behavioral treatment in promoting longer term smoking cessation among adolescents. Methods: Open-label smoking cessation treatment consisted of 10 weeks of school-based, cognitive-behavioral group counseling along with 9 weeks of nicotine replacement (nicotine patch). A total of 141 adolescent smokers in continuation high schools in the San Francisco Bay Area were randomized to either 9 additional group sessions over a 14-week period (extended group) or 4 monthly smoking status calls (nonextended group). Intention-to-treat logistic regression analysis was used to assess the primary outcome of biologically confirmed (carbon monoxide <9 ppm) point prevalence abstinence at Week 26 (6-month follow-up from baseline). Results: At Week 26 follow-up, the extended treatment group had a significantly higher abstinence rate (21{\%}) than the nonextended treatment (7{\%}; OR = 4.24, 95{\%} CI: 1.20-15.02). Females also were more likely to be abstinent at the follow-up than males (OR = 4.15, 95{\%} CI: 1.17-14.71). Conclusions: The significantly higher abstinence rate at follow-up for the extended treatment group provides strong support for continued development of longer term interventions for adolescent smoking cessation.",
author = "Steffani Bailey and Hagen, {Sarah A.} and Jeffery, {Christina J.} and Harrison, {Christopher T.} and Seth Ammerman and Bryson, {Susan W.} and Killen, {Diana T.} and Robinson, {Thomas N.} and Killen, {Joel D.}",
year = "2013",
month = "10",
doi = "10.1093/ntr/ntt017",
language = "English (US)",
volume = "15",
pages = "1655--1662",
journal = "Nicotine and Tobacco Research",
issn = "1462-2203",
publisher = "Oxford University Press",
number = "10",

}

TY - JOUR

T1 - A randomized clinical trial of the efficacy of extended smoking cessation treatment for adolescent smokers

AU - Bailey, Steffani

AU - Hagen, Sarah A.

AU - Jeffery, Christina J.

AU - Harrison, Christopher T.

AU - Ammerman, Seth

AU - Bryson, Susan W.

AU - Killen, Diana T.

AU - Robinson, Thomas N.

AU - Killen, Joel D.

PY - 2013/10

Y1 - 2013/10

N2 - Introduction: Relatively few well-designed smoking cessation studies have been conducted with teen smokers. This study examined the efficacy of extended cognitive-behavioral treatment in promoting longer term smoking cessation among adolescents. Methods: Open-label smoking cessation treatment consisted of 10 weeks of school-based, cognitive-behavioral group counseling along with 9 weeks of nicotine replacement (nicotine patch). A total of 141 adolescent smokers in continuation high schools in the San Francisco Bay Area were randomized to either 9 additional group sessions over a 14-week period (extended group) or 4 monthly smoking status calls (nonextended group). Intention-to-treat logistic regression analysis was used to assess the primary outcome of biologically confirmed (carbon monoxide <9 ppm) point prevalence abstinence at Week 26 (6-month follow-up from baseline). Results: At Week 26 follow-up, the extended treatment group had a significantly higher abstinence rate (21%) than the nonextended treatment (7%; OR = 4.24, 95% CI: 1.20-15.02). Females also were more likely to be abstinent at the follow-up than males (OR = 4.15, 95% CI: 1.17-14.71). Conclusions: The significantly higher abstinence rate at follow-up for the extended treatment group provides strong support for continued development of longer term interventions for adolescent smoking cessation.

AB - Introduction: Relatively few well-designed smoking cessation studies have been conducted with teen smokers. This study examined the efficacy of extended cognitive-behavioral treatment in promoting longer term smoking cessation among adolescents. Methods: Open-label smoking cessation treatment consisted of 10 weeks of school-based, cognitive-behavioral group counseling along with 9 weeks of nicotine replacement (nicotine patch). A total of 141 adolescent smokers in continuation high schools in the San Francisco Bay Area were randomized to either 9 additional group sessions over a 14-week period (extended group) or 4 monthly smoking status calls (nonextended group). Intention-to-treat logistic regression analysis was used to assess the primary outcome of biologically confirmed (carbon monoxide <9 ppm) point prevalence abstinence at Week 26 (6-month follow-up from baseline). Results: At Week 26 follow-up, the extended treatment group had a significantly higher abstinence rate (21%) than the nonextended treatment (7%; OR = 4.24, 95% CI: 1.20-15.02). Females also were more likely to be abstinent at the follow-up than males (OR = 4.15, 95% CI: 1.17-14.71). Conclusions: The significantly higher abstinence rate at follow-up for the extended treatment group provides strong support for continued development of longer term interventions for adolescent smoking cessation.

UR - http://www.scopus.com/inward/record.url?scp=84894240128&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84894240128&partnerID=8YFLogxK

U2 - 10.1093/ntr/ntt017

DO - 10.1093/ntr/ntt017

M3 - Article

C2 - 23460656

AN - SCOPUS:84894240128

VL - 15

SP - 1655

EP - 1662

JO - Nicotine and Tobacco Research

JF - Nicotine and Tobacco Research

SN - 1462-2203

IS - 10

ER -