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Self-perceived ability to cope with stress and depressive mood without smoking predicts successful smoking cessation 12 months later in a quitline setting: a secondary analysis of a randomized trial

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dc.contributor Reykjavík University (RU)
dc.contributor Háskólinn í Reykjavík (HR)
dc.contributor.author Nohlert, Eva
dc.contributor.author Öhrvik, John
dc.contributor.author Helgason, Asgeir R.
dc.date.accessioned 2019-10-23T15:27:42Z
dc.date.available 2019-10-23T15:27:42Z
dc.date.issued 2018-08-28
dc.identifier.citation Nohlert, E., Ohrvik, J., & Helgason, A. R. (2018). Self-perceived ability to cope with stress and depressive mood without smoking predicts successful smoking cessation 12 months later in a quitline setting: a secondary analysis of a randomized trial. Bmc Public Health, 18, 1066. https://doi.org/10.1186/s12889-018-5973-9
dc.identifier.issn 1471-2458
dc.identifier.uri https://hdl.handle.net/20.500.11815/1310
dc.description Publishers's version (útgefin grein)
dc.description.abstract Background: Telephone-based smoking cessation services (‘quitlines’) are both effective and cost-effective. Knowledge of modifiable baseline factors in real-life settings with heterogeneous participants is essential for the development and improvement of treatment protocols to assist in telephone-based smoking cessation. The aim was to assess if self-perceived abilities to cope measured at baseline, would predict abstinence at the 12-month follow-up at the Swedish National Tobacco Quitline (SNTQ). Methods: The data were retrieved from a previous randomized controlled trial comparing the effectiveness of proactive and reactive service at the SNTQ. Included were 612 clients calling the SNTQ between February 2009 and September 2010. Outcome measures were self-reported point prevalence and 6-month continuous abstinence at the 12-month follow-up. Plausible predictors of smoking cessation were assessed at the first call and in a baseline questionnaire. Self-perceived abilities at baseline were measured by two questions: (1) How likely is it that you will be smoke-free in one year? and (2) How likely are you to be able to handle stress and depressive mood without smoking? The associations between potential predictors and outcome (smoke-free at 12-month follow-up) were assessed by logistic regression analysis. Results: Of the two potential predictors for abstinence at 12-month follow-up, only the perceived ability to handle stress and depressive mood without smoking remained significant in the adjusted analyses (Odds Ratio, OR 1.13, 95% CI 1.00–1.27 for point prevalence and OR 1.16, 95% CI 1.01–1.33 for 6-month continuous abstinence according to intention-to-treat). The overall strongest predictor in the adjusted analyses was smoking status in the week before baseline (OR 3.30, 95% CI 1.79–6.09 for point prevalence and OR 3.97, 95% CI 2.01–7.83 for 6-month continuous abstinence). Conclusions: The perceived ability to handle stress and depressive mood without smoking at baseline predicted the subjects’ abstinence at the 12-month follow-up. An assessment of/adjustment for stress and depressive mood coping skills may be appropriate in future smoking cessation treatment and research. The treatment protocol can be tailored to individual differences and needs for optimal support. Trial registration: ClinicalTrials.gov: NCT02085616. Registered March 10, 2014, ‘retrospectively registered’.
dc.description.sponsorship wedish Heart and Lung Association Swedish Heart Lung Foundation Swedish Cancer Society Swedish Research Council Swedish Research Council for Health, Working Life and Welfare County Council of Stockholm County Council of Vastmanland, Sweden
dc.format.extent 1066
dc.language.iso en
dc.publisher Springer Nature
dc.relation.ispartofseries BMC Public Health;18(1)
dc.rights info:eu-repo/semantics/openAccess
dc.subject Depressive mood
dc.subject Depression
dc.subject Point prevalence
dc.subject Self efficacy
dc.subject Self perceived abilities
dc.subject Single item assessment
dc.subject 6 month continuous abstinence
dc.subject Tobacco
dc.subject Tóbaksnotkun
dc.subject Sjálfsmat einstaklinga
dc.subject Sálfræði
dc.subject Psychology
dc.subject
dc.subject
dc.title Self-perceived ability to cope with stress and depressive mood without smoking predicts successful smoking cessation 12 months later in a quitline setting: a secondary analysis of a randomized trial
dc.type info:eu-repo/semantics/article
dcterms.license © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.description.version Peer Reviewed
dc.identifier.journal BMC Public Health
dc.identifier.doi 10.1186/s12889-018-5973-9
dc.relation.url http://link.springer.com/content/pdf/10.1186/s12889-018-5973-9.pdf
dc.contributor.school Viðskiptadeild (HR)
dc.contributor.school School of Business (RU)


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