The effectiveness of a computer-tailored smoking cessation intervention for participants in lung cancer screening: A randomised controlled trial

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• 作者：Carlijn M. van der Aalst^a ; ^b ; ^{c.vanderaalst@erasmusmc.nl} ; Harry J. de Koning^a ; Karien A.M. van den Bergh^c ; Marc C. Willemsen^d ; ^e ; Rob J. van Klaveren^b
• 关键词：Lung cancer ; Screening ; RCT ; Smoking cessation ; Computer-tailored smoking cessation intervention ; Teachable moment
• 刊名：Lung Cancer
• 出版年：2012
• 期刊代码：187_01695002
• 类别：med
• 出版时间：May, 2012
• 卷：76
• 期：2
• 页码：204-210
• 文件大小：505 K

摘要

Background

Lung cancer screening might be a teachable moment for smoking cessation intervention. The objective was to investigate whether a tailored self-help smoking cessation intervention is more effective in inducing smoking cessation compared to a standard brochure in male smokers who participate in the Dutch-Belgian randomised controlled lung cancer screening trial (NELSON trial).

Methods

Two random samples of male smokers who had received either a standard brochure (n = 642) or a tailoring questionnaire for computer-tailored smoking cessation information (n = 642) were sent a questionnaire to measure smoking behaviour two years after randomisation.

Results

Twenty-three percent of the male smokers in the tailored information group returned a completed tailoring questionnaire and thus received the tailored advice. The prolonged smoking abstinence was slightly, but not statistically significant, lower amongst those randomised in the tailored information group (12.5%) compared with the brochure group (15.6%) (OR = 0.77 (95%-CI: 0.56-1.06). The level of education and intention to quit smoking significantly predicted smoking cessation at follow-up (p < 0.05). The majority of the respondents did not recall whether and which smoking cessation intervention they had received at randomisation after 2-years of follow-up.

Conclusion

The current study showed no advantage of tailored smoking cessation information over standard self-help information amongst male smokers with a long term smoking history who participate in a lung cancer screening trial after two years of follow-up. However, the low percentage participants who actually received the tailored advice limited the ability to find an advantage.