1. Helping younger smokers quit:
Long term effects of telephone counseling for year-olds
A Randomized Clinical Trial
Vance Rabius, ABD MA
Alfred L. McAlister, PhD
Angela Geiger, MBA
Joanne Pike, MA LPC
Ronald Todd, MSEd

2. Study Phases Participant screening and randomization
Baseline assessment
Demographic Information
Stage of Change
Treatment Moderator
Treatment phase
Assessment of smoking status

3. Telephone Counseling Protocol
5 Session Breakdown
Session 1 – Motivation Enhancement
Session 2 – Preparation for Quitting
QUIT DATE
Session 3 – Relapse Prevention Training
Session 4 – Relapse Prevention Training (Booster)
Session 5 – Relapse Prevention Training (Booster)

4. CLINICAL TRIAL DATES JUNE 2000 – MAY 2001 3522 Cases Randomized
- Approximately 12% of sample under 26 years of age
years old
204 randomized to counseling
216 randomized to self help

5. SAMPLE CHARACTERISTICS
Demographics:
41% of sample from Texas
Smoking Status:
Gender
61% female
38% male
1% unspecified
Average number of cigarettes smoked daily – 18.4
6 previous quit attempts
68% have been smoking over 5 years
Education
76% high school graduate or higher
5% college graduate
Response Rates:
Marital Status
66% single
29% married
Counseling 25%
Self-help 26%
Ethnicity
73% Anglo
12% African-American
9% Hispanic

6. NRT was not used frequently – Approximately 7% of the sample used any form of NRT.
Despite the small sample size there was still a trend for positive association between NRT use and quitting success (13% vs. 5%, p=0.09)
Social Pressure vs. Social Support

7. Counseling Clearly Benefited This Group
QUIT RATES for those randomized to counseling ARE ABOUT TRIPLE those for the Self-help only group
BUT DUE TO the low RESPONSE RATE this result further research is desirable.
AT 1 YEAR DIFFICULTY IN FOLLOWING THIS AGE GROUP indicates future research should plan and budget for special contact strategies.
HEALTH PSYC ARTICLE – 3 & 6 MONTH RESULTS
ACS is currently conducting a 7-arm trial to assess if varying duration or number of sessions impacts effectiveness among various subgroups.