207852 A randomized trial of assertive intervention approaches with non treatment seeking 18 to 24 year old tobacco users: 3 month tobacco cessation outcomes

Tuesday, November 10, 2009

Ronald E. Hollm, MS, MSW, PhD ABD , School of Social Administration, Temple University, Harrisburg, PA
David Zanis, PhD , Temple University, Philadelphia, PA
Daniel Derr, MSW , Executive Director, Clinical Outcomes Group, Pottsville, PA

Purpose: The study aimed to: (1) assess if assertive intervention could motivate non treatment seeking young adult tobacco users with lower incomes and education to participate in evidence based quit programs; and (2) to determine if there were outcome differences between two commonly utilized intervention approaches.

Methods –Inclusion/exclusion criteria included: age (18 to 24); non college graduates; and having smoked at least 1 cigarette in the past month. A convenience sample of 192 clients in six rural counties was recruited by six health educators through street outreach, and were block randomized to one of two conditions: (1) referral to a national tobacco cessation Quitline (N=90) or (2) direct cessation intervention provided by the counselor (N=102). Participants completed a baseline assessment of tobacco use practices and were followed 3 months post baseline. A 3-month follow-up tobacco use status was validated through random saliva testing.

Results – Overall, 78% of the participants completed the 3 month follow-up and 16.3% quit smoking (20.7% of the tobacco users in the direct intervention condition quit compared to 10.2% using Quitline.). A logistic regression analysis found that condition assignment was the strongest predictor of quitting and that participants in the direct intervention condition were statistically (p=.03) more likely to quit after controlling for other factors.

Implications – Direct assertive intervention led to more than a 100% increase in quit rates over referrals to Quitline. Application of assertive intervention to specific populations could increase tobacco quit rates for smokers with lower incomes and education.

Learning Objectives:
Identify an active intervention that is effective in treating 18-24 year old tobacco users Compare, differentiate and evaluate the effectiveness of two major cessation intervention strategies

Keywords: Smoking Cessation, Interventions

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: PhD ABD at Marywood University with dissertation focus on tobacco related research Lecturer at Temple University School of Social Administration Member of Board of Directors of Clinical Outcomes Group, Inc (tobacco cessation and public health provider in rural Pennsylvania) 30 years of clinical practice Journal publications and ongoing research initiatives in tobacco cessation
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.