257482 Comparative Effectiveness Research for Traditional versus Web-based Tobacco Cessation Interventions. Review of the Literature and Overview of the CDC Tobacco Cessation Study

Tuesday, October 30, 2012

Antonio Neri, MD, MPH , Division of Cancer Prevention and Control, Centers for Disease Control and Preventions, Chamblee, GA
Behnoosh Momin, MS, MPH , Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Chamblee, GA
Susan Henderson, MD, MPH , Department of Family and Preventive Medicine, Emory University, Atlanta, GA
Lei Zhang, PhD , Office on Smoking and Health, Centers for Disease Control and Prevention, Chamblee, GA
Jennifer W. Kahende, PhD , National Center for Chronic Disease Prevention and Health Promotion / Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, GA
Ann Malarcher, PhD, MSPH , Office of Smoking and Health, Centers for Disease Control and Prevention, Atlanta, GA
Sherri L. Stewart, PhD , National Center for Chronic Disease Prevention and Health Promotion, Division of Cancer Prevention and Control, CCCB, Centers for Disease Control and Prevention (CDC), Atlanta, GA
Laura Seeff, MD , Division of Cancer Prevention and Control, CDC, Chamblee, GA
Tobacco use is the leading risk factor for development of several cancers with more associations being identified over time. Cigarette smoking is the primary cause of lung cancer, the leading cause of cancer-related death in the United States. Telephone tobacco cessation counseling interventions (i.e. quitlines) are effective and available in all states. Recent studies have shown that 18–29% of quitline users have stopped using tobacco at 6 month follow up. In contrast, Web-based cessation interventions have shown increasing popularity and possibly reach a different population demographic but report lower quit rates of 7–13%. In 2011, 45 state Tobacco Control Programs offered tobacco cessation websites, 35 of these also offered interactive counseling online. Two recent studies comparing the relative effectiveness of these two interventions have shown promise in clarifying the impact of each intervention, but one only compared usage in a proactive quitline (i.e., counselors recruited participants) and one was limited to one state. In addition, a 2010 Cochrane review found inconsistent evidence that Web-based cessation programs were effective. In order to help address this gap the Centers for Disease Control and Prevention (CDC) is undertaking a comparative effectiveness study of telephone versus Web-based tobacco cessation programs in 4 states and aims to recruit 4,000 individuals in each comparison arm (telephone vs. Web-based). This presentation will review the current literature, provide an overview of the CDC study, and discuss preliminary results.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Program planning
Provision of health care to the public
Public health or related research

Learning Objectives:
To describe current literature on telephone and Web-based tobacco cessation programs. To inform participants about the CDC initiative comparing telephone and Web-based tobacco cessation programs.

Keywords: Research, Tobacco Control

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I co-lead this CDC-Sponsored study and specifically lead the individual intervention comparison being discussed.
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.