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Self‐help educational booklets for the prevention of smoking relapse following smoking cessation treatment: a randomized controlled trial

Maskrey, Vivienne; Blyth, Annie; Brown, Tracey J.; Barton, Garry R.; Notley, Caitlin; Aveyard, Paul; Holland, Richard; Bachmann, Max O.; Sutton, Stephen; Leonardi-Bee, Jo

Authors

Vivienne Maskrey

Annie Blyth

Tracey J. Brown

Garry R. Barton

Caitlin Notley

Paul Aveyard

Richard Holland

Max O. Bachmann

Stephen Sutton

JO LEONARDI-BEE jo.leonardi-bee@nottingham.ac.uk
Professor of Medical Statistics and Epidemiology



Abstract

Aims: Most people who quit smoking for a short term will return to smoking again in 12 months. We tested whether self-help booklets can reduce relapse in short-term quitters after receiving behavioural and pharmacological cessation treatment.

Design: A parallel-arm, pragmatic individually randomized controlled trial.

Setting: Smoking cessation clinics in England. Participants People who stopped smoking for 4 weeks after receiving cessation treatment in stop smoking clinics.

Intervention: Participants in the experimental group (n = 703) were mailed eight booklets, each of which taught readers how to resist urges to smoke. Participants in the control group (n = 704) received a leaflet currently used in practice.

Measurements: The primary outcome was prolonged, carbon monoxide-verified abstinence from months 4 to 12. The secondary outcomes included 7-day self#x02010;reported abstinence at 3 and 12 months. Mixed-effects logistic regression was used to estimate treatment effects and to investigate possible effect modifying variables.

Findings: There were no statistically significant differences between the groups in prolonged abstinence from months 4 to 12 (36.9% versus 38.6%; odds ratio 0.93, 95% confidence interval 0.75–1.16; P = 0.524). In addition, there were no significant differences between the groups in any secondary outcomes. However, people who reported knowing risky situations for relapse and using strategies to handle urges to smoke were less likely to relapse.

Conclusions: In people who stop smoking successfully with behavioural support, a comprehensive self-help educational programme to teach people skills to identify and respond to high-risk situations for return to smoking did not reduce relapse.

Citation

Maskrey, V., Blyth, A., Brown, T. J., Barton, G. R., Notley, C., Aveyard, P., …Leonardi-Bee, J. (2015). Self‐help educational booklets for the prevention of smoking relapse following smoking cessation treatment: a randomized controlled trial. Addiction, 110(12), https://doi.org/10.1111/add.13080

Journal Article Type Article
Acceptance Date Jul 29, 2015
Online Publication Date Sep 18, 2015
Publication Date Dec 1, 2015
Deposit Date Oct 20, 2016
Publicly Available Date Oct 20, 2016
Journal Addiction
Print ISSN 0965-2140
Electronic ISSN 1360-0443
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 110
Issue 12
DOI https://doi.org/10.1111/add.13080
Keywords Behavioural support; coping skills; educational booklets; smoking relapse
Public URL http://eprints.nottingham.ac.uk/id/eprint/37792
Publisher URL http://onlinelibrary.wiley.com/doi/10.1111/add.13080/abstract
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0





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