Utilization of services in a randomized trial testing phone- and web-based interventions for smoking cessation

Susan M. Zbikowski, Lisa M. Jack, Jennifer B. McClure, Mona Deprey, Harold S. Javitz, Timothy A. McAfee, Sheryl L Catz, Julie Richards, Terry Bush, Gary E. Swan

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

Introduction: Phone counseling has become standard for behavioral smoking cessation treatment. Newer options include Web and integrated phone-Web treatment. No prior research, to our knowledge, has systematically compared the effectiveness of these three treatment modalities in a randomized trial. Understanding how utilization varies by mode, the impact of utilization on outcomes, and predictors of utilization across each mode could lead to improved treatments. Methods: One thousand two hundred and two participants were randomized to phone, Web, or combined phone-Web cessation treatment. Services varied by modality and were tracked using automated systems. All participants received 12 weeks of varenicline, printed guides, an orientation call, and access to a phone supportline. Self-report data were collected at baseline and 6-month follow-up. Results: Overall, participants utilized phone services more often than the Web-based services. Among treatment groups with Web access, a significant proportion logged in only once (37% phone-Web, 41% Web), and those in the phone-Web group logged in less often than those in the Web group (mean = 2.4 vs. 3.7, p = .0001). Use of the phone also was correlated with increased use of the Web. In multivariate analyses, greater use of the phone- or Web-based services was associated with higher cessation rates. Finally, older age and the belief that certain treatments could improve success were consistent predictors of greater utilization across groups. Other predictors varied by treatment group. Conclusions: Opportunities for enhancing treatment utilization exist, particularly for Web-based programs. Increasing utilization more broadly could result in better overall treatment effectiveness for all intervention modalities.

Original languageEnglish (US)
Pages (from-to)319-327
Number of pages9
JournalNicotine and Tobacco Research
Volume13
Issue number5
DOIs
StatePublished - 2011
Externally publishedYes

Fingerprint

Smoking Cessation
Withholding Treatment
Therapeutics
Self Report
Counseling
Multivariate Analysis
Research

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Zbikowski, S. M., Jack, L. M., McClure, J. B., Deprey, M., Javitz, H. S., McAfee, T. A., ... Swan, G. E. (2011). Utilization of services in a randomized trial testing phone- and web-based interventions for smoking cessation. Nicotine and Tobacco Research, 13(5), 319-327. https://doi.org/10.1093/ntr/ntq257

Utilization of services in a randomized trial testing phone- and web-based interventions for smoking cessation. / Zbikowski, Susan M.; Jack, Lisa M.; McClure, Jennifer B.; Deprey, Mona; Javitz, Harold S.; McAfee, Timothy A.; Catz, Sheryl L; Richards, Julie; Bush, Terry; Swan, Gary E.

In: Nicotine and Tobacco Research, Vol. 13, No. 5, 2011, p. 319-327.

Research output: Contribution to journalArticle

Zbikowski, SM, Jack, LM, McClure, JB, Deprey, M, Javitz, HS, McAfee, TA, Catz, SL, Richards, J, Bush, T & Swan, GE 2011, 'Utilization of services in a randomized trial testing phone- and web-based interventions for smoking cessation', Nicotine and Tobacco Research, vol. 13, no. 5, pp. 319-327. https://doi.org/10.1093/ntr/ntq257
Zbikowski, Susan M. ; Jack, Lisa M. ; McClure, Jennifer B. ; Deprey, Mona ; Javitz, Harold S. ; McAfee, Timothy A. ; Catz, Sheryl L ; Richards, Julie ; Bush, Terry ; Swan, Gary E. / Utilization of services in a randomized trial testing phone- and web-based interventions for smoking cessation. In: Nicotine and Tobacco Research. 2011 ; Vol. 13, No. 5. pp. 319-327.
@article{e6d3f60eafe44c08879e3fa8bb9a4a16,
title = "Utilization of services in a randomized trial testing phone- and web-based interventions for smoking cessation",
abstract = "Introduction: Phone counseling has become standard for behavioral smoking cessation treatment. Newer options include Web and integrated phone-Web treatment. No prior research, to our knowledge, has systematically compared the effectiveness of these three treatment modalities in a randomized trial. Understanding how utilization varies by mode, the impact of utilization on outcomes, and predictors of utilization across each mode could lead to improved treatments. Methods: One thousand two hundred and two participants were randomized to phone, Web, or combined phone-Web cessation treatment. Services varied by modality and were tracked using automated systems. All participants received 12 weeks of varenicline, printed guides, an orientation call, and access to a phone supportline. Self-report data were collected at baseline and 6-month follow-up. Results: Overall, participants utilized phone services more often than the Web-based services. Among treatment groups with Web access, a significant proportion logged in only once (37{\%} phone-Web, 41{\%} Web), and those in the phone-Web group logged in less often than those in the Web group (mean = 2.4 vs. 3.7, p = .0001). Use of the phone also was correlated with increased use of the Web. In multivariate analyses, greater use of the phone- or Web-based services was associated with higher cessation rates. Finally, older age and the belief that certain treatments could improve success were consistent predictors of greater utilization across groups. Other predictors varied by treatment group. Conclusions: Opportunities for enhancing treatment utilization exist, particularly for Web-based programs. Increasing utilization more broadly could result in better overall treatment effectiveness for all intervention modalities.",
author = "Zbikowski, {Susan M.} and Jack, {Lisa M.} and McClure, {Jennifer B.} and Mona Deprey and Javitz, {Harold S.} and McAfee, {Timothy A.} and Catz, {Sheryl L} and Julie Richards and Terry Bush and Swan, {Gary E.}",
year = "2011",
doi = "10.1093/ntr/ntq257",
language = "English (US)",
volume = "13",
pages = "319--327",
journal = "Nicotine and Tobacco Research",
issn = "1462-2203",
publisher = "Oxford University Press",
number = "5",

}

TY - JOUR

T1 - Utilization of services in a randomized trial testing phone- and web-based interventions for smoking cessation

AU - Zbikowski, Susan M.

AU - Jack, Lisa M.

AU - McClure, Jennifer B.

AU - Deprey, Mona

AU - Javitz, Harold S.

AU - McAfee, Timothy A.

AU - Catz, Sheryl L

AU - Richards, Julie

AU - Bush, Terry

AU - Swan, Gary E.

PY - 2011

Y1 - 2011

N2 - Introduction: Phone counseling has become standard for behavioral smoking cessation treatment. Newer options include Web and integrated phone-Web treatment. No prior research, to our knowledge, has systematically compared the effectiveness of these three treatment modalities in a randomized trial. Understanding how utilization varies by mode, the impact of utilization on outcomes, and predictors of utilization across each mode could lead to improved treatments. Methods: One thousand two hundred and two participants were randomized to phone, Web, or combined phone-Web cessation treatment. Services varied by modality and were tracked using automated systems. All participants received 12 weeks of varenicline, printed guides, an orientation call, and access to a phone supportline. Self-report data were collected at baseline and 6-month follow-up. Results: Overall, participants utilized phone services more often than the Web-based services. Among treatment groups with Web access, a significant proportion logged in only once (37% phone-Web, 41% Web), and those in the phone-Web group logged in less often than those in the Web group (mean = 2.4 vs. 3.7, p = .0001). Use of the phone also was correlated with increased use of the Web. In multivariate analyses, greater use of the phone- or Web-based services was associated with higher cessation rates. Finally, older age and the belief that certain treatments could improve success were consistent predictors of greater utilization across groups. Other predictors varied by treatment group. Conclusions: Opportunities for enhancing treatment utilization exist, particularly for Web-based programs. Increasing utilization more broadly could result in better overall treatment effectiveness for all intervention modalities.

AB - Introduction: Phone counseling has become standard for behavioral smoking cessation treatment. Newer options include Web and integrated phone-Web treatment. No prior research, to our knowledge, has systematically compared the effectiveness of these three treatment modalities in a randomized trial. Understanding how utilization varies by mode, the impact of utilization on outcomes, and predictors of utilization across each mode could lead to improved treatments. Methods: One thousand two hundred and two participants were randomized to phone, Web, or combined phone-Web cessation treatment. Services varied by modality and were tracked using automated systems. All participants received 12 weeks of varenicline, printed guides, an orientation call, and access to a phone supportline. Self-report data were collected at baseline and 6-month follow-up. Results: Overall, participants utilized phone services more often than the Web-based services. Among treatment groups with Web access, a significant proportion logged in only once (37% phone-Web, 41% Web), and those in the phone-Web group logged in less often than those in the Web group (mean = 2.4 vs. 3.7, p = .0001). Use of the phone also was correlated with increased use of the Web. In multivariate analyses, greater use of the phone- or Web-based services was associated with higher cessation rates. Finally, older age and the belief that certain treatments could improve success were consistent predictors of greater utilization across groups. Other predictors varied by treatment group. Conclusions: Opportunities for enhancing treatment utilization exist, particularly for Web-based programs. Increasing utilization more broadly could result in better overall treatment effectiveness for all intervention modalities.

UR - http://www.scopus.com/inward/record.url?scp=79956118068&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79956118068&partnerID=8YFLogxK

U2 - 10.1093/ntr/ntq257

DO - 10.1093/ntr/ntq257

M3 - Article

C2 - 21330267

AN - SCOPUS:79956118068

VL - 13

SP - 319

EP - 327

JO - Nicotine and Tobacco Research

JF - Nicotine and Tobacco Research

SN - 1462-2203

IS - 5

ER -