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Predicting Engagement in Smoking Cessation Treatment Following a Brief Telephone Evaluation and Referral Session

Published online by Cambridge University Press:  11 July 2018

Angela Petersen
Affiliation:
Psychology Service, Veterans Affairs San Diego Healthcare System, San Diego, CA Department of Psychiatry, University of California, San Diego, CA
Suraya Jabaiah
Affiliation:
School of Pharmacy, University of California, San Diego, CA
Timothy Chen
Affiliation:
Department of Psychiatry, University of California, San Diego, CA
Neal Doran
Affiliation:
Psychology Service, Veterans Affairs San Diego Healthcare System, San Diego, CA Department of Psychiatry, University of California, San Diego, CA
Mark Myers*
Affiliation:
Psychology Service, Veterans Affairs San Diego Healthcare System, San Diego, CA Department of Psychiatry, University of California, San Diego, CA
*
Address for correspondence: Mark Myers, Ph.D., Department of Psychology Service, Veterans Affairs San Diego Healthcare System 116B, VASDHS, 3350 La Jolla Village Dr, San Diego, CA 92161. Email: [email protected]

Abstract

Introduction: Smoking cessation treatment combining medication and counselling yields the best outcomes; however, few smokers employ both modalities.

Aims: The purpose of this study was to examine variables predicting treatment attendance.

Methods: This was a chart review of US military Veterans (N = 340; 89% male, 59% non-Hispanic white) referred for smoking cessation, who completed a telephone call to encourage treatment utilization. Treatment engagement was defined as attending a smoking cessation session within 30 days following telephone contact. A logistic regression analysis examined predictors (demographics, smoking variables, and psychiatric diagnoses) of treatment engagement.

Results/Findings: Greater age (Odds Ratio [OR] = 1.04, 95% confidence interval [CI] 1.01–1.06), more cigarettes (OR = 1.03, 95% CI 1.00–1.06), and higher perceived importance of quitting (OR = 1.11, 95% CI 1.00–1.23) predicted engaging in treatment within 30 days (all p values < 0.05).

Conclusion: Veterans who attended treatment were older, smoked more cigarettes, and perceived quitting as more important than those who did not attend. These findings are consistent with prior studies examining factors associated with treatment utilization. Results highlight the need to identify strategies for engaging into treatment smokers who are younger, smoke fewer cigarettes, and view quitting as less important.

Type
Original Articles
Creative Commons
This is a work of the U.S. Government and is not subject to copyright protection in the United States.
Copyright
Copyright © The Author(s) 2018

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