J. Med. Internet Res. - Web-enhanced tobacco tactics with telephone support versus 1-800-QUIT-NOW telephone line intervention for operating engineers: randomized controlled trial.


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CKGROUND: Novel interventions tailored to blue collar workers are needed to reduce the disparities in smoking rates among occupational groups.OBJECTIVE: The main objective of this study was to evaluate the efficacy and usage of the Web-enhanced "Tobacco Tactics" intervention targeting operating engineers (heavy equipment operators) compared to the "1-800-QUIT-NOW" telephone line.METHODS: Operating engineers (N=145) attending one of 25 safety training sessions from 2010 through 2012 were randomized to either the Tobacco Tactics website with nurse counseling by phone and access to nicotine replacement therapy (NRT) or to the 1-800-QUIT-NOW telephone line, which provided an equal number of phone calls and NRT. The primary outcome was self-reported 7-day abstinence at 30-day and 6-month follow-up. The outcomes were compared using chi-square tests, t tests, generalized mixed models, and logistic regression models.RESULTS: The average age was 42 years and most were male (115/145, 79.3%) and white (125/145, 86.2%). Using an intent-to-treat analysis, the Tobacco Tactics website group showed significantly higher quit rates (18/67, 27%) than the 1-800-QUIT NOW group (6/78, 8%) at 30-day follow-up (P=.003), but this difference was no longer significant at 6-month follow-up. There were significantly more positive changes in harm reduction measures (quit attempts, number of cigarettes smoked per day, and nicotine dependence) at both 30-day and 6-month follow-up in the Tobacco Tactics group compared to the 1-800-QUIT-NOW group. Compared to participants in the 1-800-QUIT NOW group, significantly more of those in the Tobacco Tactics website group participated in the interventions, received phone calls and NRT, and found the intervention helpful.CONCLUSIONS: The Web-enhanced Tobacco Tactics website with telephone support showed higher efficacy and reach than the 1-800-QUIT-NOW intervention. Longer counseling sessions may be needed to improve 6-month cessation rates.TRIAL REGISTRATION: Clinicaltrials.gov NCT01124110; http://clinicaltrials.gov/ct2/show/NCT01124110 (Archived by WebCite at http://www.webcitation.org/6TfKN5iNL).

Resumo Limpo

ckground novel intervent tailor blue collar worker need reduc dispar smoke rate among occup groupsobject main object studi evalu efficaci usag webenhanc tobacco tactic intervent target oper engin heavi equip oper compar quitnow telephon linemethod oper engin n attend one safeti train session random either tobacco tactic websit nurs counsel phone access nicotin replac therapi nrt quitnow telephon line provid equal number phone call nrt primari outcom selfreport day abstin day month followup outcom compar use chisquar test t test general mix model logist regress modelsresult averag age year male white use intenttotreat analysi tobacco tactic websit group show signific higher quit rate quit now group day followup p differ longer signific month followup signific posit chang harm reduct measur quit attempt number cigarett smoke per day nicotin depend day month followup tobacco tactic group compar quitnow group compar particip quit now group signific tobacco tactic websit group particip intervent receiv phone call nrt found intervent helpfulconclus webenhanc tobacco tactic websit telephon support show higher efficaci reach quitnow intervent longer counsel session may need improv month cessat ratestri registr clinicaltrialsgov nct httpclinicaltrialsgovctshownct archiv webcit httpwwwwebcitationorgtfkninl

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