69689
document
Efficacy of a tobacco quitline among adult cancer survivors . OBJECTIVE The purpose of the study ( conducted 2010-2013 ) was to determine the efficacy of two common types of tobacco quitlines in adult cancer survivors who regularly smoked cigarettes . METHOD Adult onset cancer survivors in Memphis , Tennessee ( n=427 , 67 % female , 60 % Caucasian ) were randomized either to a Proactive ( i.e. , counselor-initiated calls ) or Reactive ( i.e. , participant-initiated calls ) quitline . Both conditions also received nicotine replacement therapy . The primary outcome was biochemically-verified ( i.e. , salivary cotinine ) smoking cessation . RESULTS While 12-month self-reported abstinence was consistent with other published studies of smoking cessation ( 22 % and 26 % point prevalence abstinence for Proactive and Reactive conditions , respectively ) , 48 % of participants who were tested for cotinine failed biochemical verification , indicating a considerable falsification of self-reported cessation . Adjusted cessation rates were less than 5 % in both intervention conditions . CONCLUSION Our results are consistent with other studies indicating that traditional smoking cessation interventions are ineffective among cancer survivors . Moreover , self-reports of cessation were unreliable in cancer survivors participating in a quitline intervention , indicating that future studies should include biochemical verification . Given the importance of smoking cessation among cancer survivors and low cessation rates in the current study , it may be necessary to design alternative interventions for this population . ClinicalTrials.gov identifier : NCT00827866 .
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Intervention_Other
tobacco quitline
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Intervention_Other
tobacco quitlines
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Intervention_Educational
counselor-initiated calls
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Intervention_Educational
participant-initiated calls
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Intervention_Pharmacological
nicotine replacement therapy
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Intervention_Psychological
quitline intervention
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Outcome_Other
Efficacy
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Outcome_Physical
smoking cessation .
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Outcome_Physical
smoking cessation
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Outcome_Physical
self-reported cessation . Adjusted cessation rates
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Outcome_Physical
traditional smoking cessation interventions
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Outcome_Physical
self-reports of cessation
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Outcome_Other
cessation rates
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Participant_Age
adult
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Participant_Condition
cancer survivors
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Participant_Age
adult
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Participant_Condition
cancer
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Participant_Condition
cancer
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Participant_Sample-size
n=427
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Participant_Sex
female
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Participant_Condition
cancer