dc.contributor |
Reykjavík University (RU) |
dc.contributor |
Háskólinn í Reykjavík (HR) |
dc.contributor.author |
Nohlert, Eva |
dc.contributor.author |
Öhrvik, John |
dc.contributor.author |
Tegelberg, Åke |
dc.contributor.author |
Tilgren, Per |
dc.contributor.author |
Helgason, Asgeir R. |
dc.date.accessioned |
2018-12-20T11:00:24Z |
dc.date.available |
2018-12-20T11:00:24Z |
dc.date.issued |
2013-06-19 |
dc.identifier.citation |
Nohlert, E., Öhrvik, J., Tegelberg, Å., Tillgren, P., & Helgason, Á. R. (2013). Long-term follow-up of a high- and a low-intensity smoking cessation intervention in a dental setting– a randomized trial. BMC Public Health, 13, 592. https://doi.org/10.1186/1471-2458-13-592 |
dc.identifier.issn |
1471-2458 |
dc.identifier.uri |
https://hdl.handle.net/20.500.11815/964 |
dc.description |
Publisher's version (útgefin grein) |
dc.description.abstract |
Background: Achieving lifelong tobacco abstinence is an important public health goal. Most studies use 1-year
follow-ups, but little is known about how good these are as proxies for long-term and life-long abstinence. Also,
intervention intensity is an important issue for development of efficient and cost-effective cessation treatment
protocols.
The study aims were to assess the long-term effectiveness of a high- and a low-intensity treatment (HIT and LIT) for
smoking cessation and to analyze to what extent 12-month abstinence predicted long-term abstinence.
Methods: 300 smokers attending dental or general health care were randomly assigned to HIT or LIT at the public
dental clinic. Main outcome measures were self-reported point prevalence, continuous abstinence (≥6 months),
and sustained abstinence. The study was a follow-up after 5–8 years of a previously performed 12-month follow-up,
both by postal questionnaires.
Results: Response rate was 85% (n=241) of those still alive and living in Sweden. Abstinence rates were 8% higher
in both programs at the long-term than at the 12-month follow-up. The difference of 7% between HIT and LIT had
not change, being 31% vs. 24% for point prevalence and 26% vs. 19% for 6-month continuous abstinence,
respectively. Significantly more participants in HIT (12%) than in LIT (5%) had been sustained abstinent (p=0.03).
Logistic regression analyses showed that abstinence at 12-month follow-up was a strong predictor for abstinence at
long-term follow-up.
Conclusions: Abstinence at 12-month follow-up is a good predictor for long-term abstinence. The difference in
outcome between HIT and LIT for smoking cessation remains at least 5–8 years after the intervention.
Trial registration number: NCT00670514
Keywords: Tobacco cessation, Treatment intensity, Public health, Health care, Questionnaire |
dc.description.sponsorship |
This work was supported by grants from the Vastmanland County Council, Sweden. |
dc.format.extent |
592 |
dc.language.iso |
en |
dc.publisher |
Biomed Central LTD |
dc.relation.ispartofseries |
BMC Public Health;13 |
dc.rights |
info:eu-repo/semantics/openAccess |
dc.subject |
Tobacco cessation |
dc.subject |
Treatment intensity |
dc.subject |
Public health |
dc.subject |
Health care |
dc.subject |
Questionnaire |
dc.subject |
Reykingar |
dc.subject |
Fíkn |
dc.subject |
Heilbrigðisþjónusta |
dc.subject |
Sálfræði |
dc.subject |
Psychology |
dc.title |
Long-term follow-up of a high- and a low-intensity smoking cessation intervention in a dental setting– a randomized trial |
dc.type |
info:eu-repo/semantics/article |
dcterms.license |
© 2013 Nohlert et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative
Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly cited. |
dc.description.version |
Peer Reviewed |
dc.identifier.journal |
BMC Public Health |
dc.identifier.doi |
10.1186/1471-2458-13-592 |
dc.contributor.school |
Viðskiptadeild (HR) |
dc.contributor.school |
School of Business (RU) |