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Preliminary evaluation of a telephone-based smoking cessation intervention in the lung cancer screening setting: A randomized clinical trial
Journal article   Open access   Peer reviewed

Preliminary evaluation of a telephone-based smoking cessation intervention in the lung cancer screening setting: A randomized clinical trial

Kathryn L. Taylor, Charlotte J. Hagerman, George Luta, Paula G. Bellini, Cassandra Stanton, David B. Abrams, Jenna A. Kramer, Eric Anderson, Shawn Regis, Andrea McKee, …
Lung cancer (Amsterdam, Netherlands), v 108, pp 242-246
01 Jun 2017
DOI: https://doi.org/10.1016/j.lungcan.2017.01.020
PMID: 28216065
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://europepmc.org/articles/pmc5476481View
Accepted (AM) Open Open Access (License Unspecified)

Abstract

Lung cancer screening Randomized trial Smoking cessation Telephone counseling
•Telephone-based smoking cessation intervention trial was conducted in the lung screening setting.•Verified quit rates were significantly higher in the telephone counseling arm vs. usual care.•Preliminary evidence that telephone counseling is feasible and efficacious in this setting.•This is an opportunity to have a large public health impact among high risk smokers. Incorporating effective smoking cessation interventions into lung cancer screening (LCS) programs will be essential to realizing the full benefit of screening. We conducted a pilot randomized trial to determine the feasibility and efficacy of a telephone-counseling (TC) smoking cessation intervention vs. usual care (UC) in the LCS setting. In collaboration with 3 geographically diverse LCS programs, we enrolled current smokers (61.5% participation rate) who were: registered to undergo LCS, 50–77 years old, and had a 20+ pack-year smoking history. Eligibility was not based on readiness to quit. Participants completed pre-LCS (T0) and post-LCS (T1) telephone assessments, were randomized to TC (N=46) vs. UC (N=46), and completed a final 3-month telephone assessment (T2). Both study arms received a list of evidence-based cessation resources. TC participants also received up to 6 brief counseling calls with a trained cessation counselor. Counseling calls incorporated motivational interviewing and utilized the screening result as a motivator for quitting. The outcome was biochemically verified 7-day point prevalence cessation at 3-months post-randomization. Participants (56.5% female) were 60.2 (SD=5.4) years old and reported 47.1 (SD=22.2) pack years; 30% were ready to stop smoking in the next 30 days. TC participants completed an average of 4.4 (SD=2.3) sessions. Using intent-to-treat analyses, biochemically verified quit rates were 17.4% (TC) vs. 4.3% (UC), p<.05. This study provides preliminary evidence that telephone-based cessation counseling is feasible and efficacious in the LCS setting. As millions of current smokers are now eligible for lung cancer screening, this setting represents an important opportunity to exert a large public health impact on cessation among smokers who are at very high risk for multiple tobacco-related diseases. If this evidence-based, brief, and scalable intervention is replicated, TC could help to improve the overall cost-effectiveness of LCS. NCT02267096, https://clinicaltrials.gov

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47 citations in Web of Science
42 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Industry collaboration
Domestic collaboration
Web of Science research areas
Oncology
Respiratory System
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