Predictors of Re-Engagement after Relapse in a Tobacco Quit Line Intervention: Secondary Analysis from a Randomized Clinical Trial
Abstract
:1. Introduction
2. Materials and Methods
2.1. Data and Study Population
2.2. Measures
2.3. Statistical Analyses
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristic | Overall (n = 372) | Not Re-Engaged (n = 238) | Re-Engaged (n = 134) | p-Value |
---|---|---|---|---|
n (%) | n (%) | n (%) | ||
Age: Median (interquartile range) | 49.3 (32.1, 62.0) | 47.5 (31.4, 61.2) | 52.6 (34.0, 63.7) | 0.138 |
Gender | 0.234 | |||
Male | 202 (54.30) | 135 (56.72) | 67 (50.00) | |
Female | 170 (45.70) | 103 (43.28) | 67 (50.00) | |
Race a | 0.023 | |||
Other races b | 76 (21.02) | 40 (16.95) | 36 (27.07) | |
White | 293 (78.98) | 196 (83.05) | 97 (72.93) | |
Marital status | 0.249 | |||
Married/Living as married | 252 (67.74) | 156 (65.55) | 96 (71.64) | |
Not together | 120 (32.26) | 82 (34.45) | 38 (28.36) | |
Military status a | 0.069 | |||
Dependent | 145 (39.08) | 86(36.13) | 59(44.36) | |
Active | 107 (28.84) | 78(32.77) | 29(21.8) | |
Retired | 119 (32.08) | 74(31.09) | 45(33.83) | |
Education a | 0.665 | |||
High school diploma or GED | 87 (23.58) | 59 (25.00) | 28 (21.05) | |
Some college/vocational school/Associates degree | 192 (52.03) | 119 (50.42) | 73 (54.89) | |
Bachelor’s degree or post college | 90 (24.39) | 58 (24.58) | 32 (24.06) | |
Fagerstrom nicotine dependence score: Median (interquartile range) | 5.0 (3.0, 6.0) | 5.0 (3.0, 6.0) | 5.0 (3.0, 6.0) | 0.338 |
NRT use during intervention | <0.001 | |||
No | 168 (45.16) | 128 (53.78) | 40 (29.85) | |
Yes | 204 (54.84) | 110 (46.22) | 94 (70.15) | |
Number of initial counseling sessions completed | <0.001 | |||
0 | 44 (11.83) | 36 (15.13) | 8 (5.97) | |
1 | 49 (13.17) | 38 (18.81) | 11 (8.73) | |
2 | 53 (14.25) | 41 (20.30) | 12 (9.52) | |
3 | 54 (14.52) | 43 (21.29) | 11 (8.73) | |
4 | 172 (46.24) | 80 (39.60) | 92 (73.02) |
Characteristic | Not Re-Engaged (n = 238) | Re-Engaged (n = 134) | p-Value |
---|---|---|---|
n (%) | n (%) | ||
How confident are you that you will quit smoking some day? a | 0.017 | ||
Not extremely confident b | 131 (55.27) | 56 (42.11) | |
Extremely confident c | 106 (44.73) | 77 (57.89) | |
Quit smoking to save money | 0.900 | ||
Not true d | 49 (20.59) | 27 (20.15) | |
Neutral e | 36 (15.13) | 18 (13.43) | |
True f | 153 (64.29) | 89 (66.42) | |
Quit smoking because I am getting pressure from others | 0.838 | ||
Not true d | 130 (54.62) | 69 (51.49) | |
Neutral e | 44 (18.49) | 26 (19.40) | |
True f | 64 (26.89) | 39 (29.10) | |
Quit smoking so that my hair and clothes won’t smell | 0.177 | ||
Not true d | 73 (30.67) | 38 (28.36) | |
Neutral e | 59 (24.79) | 24 (17.91) | |
True f | 106 (44.54) | 72 (53.73) | |
Quit smoking because it is too difficult to find a place to smoke | 0.785 | ||
Not true d | 182 (76.47) | 104 (77.61) | |
Neutral e | 33 (13.87) | 20 (14.93) | |
True f | 23 (9.66) | 10 (7.46) | |
Quit smoking to improve my overall health | 1.000 | ||
Not very true g | 18 (7.56) | 10 (7.46) | |
Very true h | 220 (92.44) | 124 (92.54) | |
Quit smoking to be a good role model for others a | 0.027 | ||
Not true or neutral i | 84 (35.44) | 32 (23.88) | |
True f | 153 (64.56) | 102 (76.12) | |
Quit smoking so I can be in control of my life | 0.039 | ||
Not true or neutral i | 62 (26.05) | 22 (16.42) | |
True f | 176 (73.95) | 112 (83.58) | |
Quit smoking to improve my overall physical fitness | 0.487 | ||
Not true or neutral i | 18 (7.56) | 6 (4.48) | |
Somewhat true j | 29 (12.18) | 15 (11.19) | |
Very true h | 191 (80.25) | 113 (84.33) | |
Quit smoking because smoking may have a negative effect on my career a | 1.000 | ||
Not true or neutral i | 180 (75.63) | 101 (75.94) | |
True f | 58 (24.37) | 32 (24.06) |
Characteristic | OR (95% CI) |
---|---|
Age (a unit increase) | 1.01 (0.99, 1.03) |
Male (vs. Female) | 0.97 (0.44, 2.12) |
White (vs. Other races) | 0.42 (0.23, 0.75) |
Education | |
College Degree (vs. High school diploma or GED) | 1.02 (0.50, 2.08) |
Some college (vs. High school diploma or GED) | 1.16 (0.62, 2.15) |
Military status | |
Dependent (vs. Active) | 1.35 (0.52, 3.50) |
Retired (vs. Active) | 1.25 (0.54, 2.85) |
Married or partnered (vs. not) | 1.28 (0.75, 2.21) |
Total Fagerstrom score (a unit increase) | 1.09 (0.97, 1.21) |
Extremely confident in quitting some day (vs. not) | 1.84 (1.12, 3.03) |
Quit smoking to be a good role model for others (vs. not) | 1.71 (0.95, 3.08) |
Quit smoking so I can be in control of my life (vs. not) | 1.23 (0.65, 2.34) |
Quit smoking so that my hair and clothes won’t smell (vs. not) | 1.08 (0.65, 1.80) |
Counseling sessions completed | |
0 (vs. 4) | 0.21 (0.07, 0.60) |
1 (vs. 4) | 0.38 (0.15, 0.97) |
2 (vs. 4) | 0.29 (0.13, 0.65) |
3 (vs. 4) | 0.19 (0.09, 0.43) |
Used NRT during initial intervention (vs. no) | 1.55 (0.80, 3.02) |
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Wiseman, K.P.; Aycock, C.A.; Mallawaarachchi, I.; Wang, X.-Q.; Cassidy, D.G.; Patience, M.A.; Little, M.A.; Talcott, G.W.; Klesges, R.C. Predictors of Re-Engagement after Relapse in a Tobacco Quit Line Intervention: Secondary Analysis from a Randomized Clinical Trial. Int. J. Environ. Res. Public Health 2023, 20, 1229. https://doi.org/10.3390/ijerph20021229
Wiseman KP, Aycock CA, Mallawaarachchi I, Wang X-Q, Cassidy DG, Patience MA, Little MA, Talcott GW, Klesges RC. Predictors of Re-Engagement after Relapse in a Tobacco Quit Line Intervention: Secondary Analysis from a Randomized Clinical Trial. International Journal of Environmental Research and Public Health. 2023; 20(2):1229. https://doi.org/10.3390/ijerph20021229
Chicago/Turabian StyleWiseman, Kara P., Chase A. Aycock, Indika Mallawaarachchi, Xin-Qun Wang, Daniel G. Cassidy, Marc A. Patience, Melissa A. Little, G. Wayne Talcott, and Robert C. Klesges. 2023. "Predictors of Re-Engagement after Relapse in a Tobacco Quit Line Intervention: Secondary Analysis from a Randomized Clinical Trial" International Journal of Environmental Research and Public Health 20, no. 2: 1229. https://doi.org/10.3390/ijerph20021229