The 130th Annual Meeting of APHA

4005.0: Tuesday, November 12, 2002 - Board 3

Abstract #45185

Effectiveness of free comprehensive smoking cessation services

Anne Gadomski, MD, MPH, Barbara Leo, RN, and Karen Tourtelot, FNP. Research Institute, Bassett Healthcare, One Atwell Road, Cooperstown, NY 13326, 6075473169,

Background: Funded by the tobacco settlement, a family nurse practitioner provided free smoking cessation services to county residents over 6 months. Services included an individualized counseling, motivational interviewing, stages of change linked intervention and pharmacotherapy. Objective: To measure the effectiveness of this program. Methods: Prospective medical record review and follow-up telephone survey. Results: 92 patients were seen for a mean of 3.7 visits. The mean age was 43 years (range=15 to 73). Most patients (93%) smoked cigarettes, 4% use chewing tobacco and 3% smoked cigars or pipes. 77% smoked between 1 - 2 packs per day. The mean number of years smoking was 26 years with a mean of 3 prior quit attempts. The mean number of minutes after awaking up to first use of tobacco was 14 minutes. At the initial visit, 71% had not set a quit date. 64% placed themselves at the contemplative stage, 20% in preparation, 6% in action, 2% in maintenance, 1% at the precontemplative stage and 3% in relapse. 86% reported that they were interested in nicotine replacement or other medicines to help them stop smoking. 45% were prescribed nicotine replacement or bupropion at the initial visit. The average cost of drugs was $87 per patient including prescription copays (range=0 to $245). The quit rate was 42% at 3 months and 28% at 6 months. Conclusions: Specialized, intensive and comprehensive services provided at no cost to highly addicted smokers leads to higher quit rates than those achievable in primary care.

Learning Objectives:

  • This presentation will enable the participant to

    Keywords: Smoking Cessation, Community-Oriented Primary Care

    Presenting author's disclosure statement:
    Organization/institution whose products or services will be discussed: None
    I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

    National and International Issues in Smoking Cessation Poster Session

    The 130th Annual Meeting of APHA