Brief tailored smoking cessation counseling in a lung cancer screening population is feasible: a pilot randomized controlled trial

Marshall, Henry M., Courtney, Deborah A., Passmore, Linda H., McCaul, Elizabeth M., Yang, Ian A., Bowman, Rayleen V. and Fong, Kwun M. (2016) Brief tailored smoking cessation counseling in a lung cancer screening population is feasible: a pilot randomized controlled trial. Nicotine and Tobacco Research, 18 7: 1665-1669. doi:10.1093/ntr/ntw010


Author Marshall, Henry M.
Courtney, Deborah A.
Passmore, Linda H.
McCaul, Elizabeth M.
Yang, Ian A.
Bowman, Rayleen V.
Fong, Kwun M.
Title Brief tailored smoking cessation counseling in a lung cancer screening population is feasible: a pilot randomized controlled trial
Journal name Nicotine and Tobacco Research   Check publisher's open access policy
ISSN 1469-994X
1462-2203
Publication date 2016-07-01
Year available 2016
Sub-type Article (original research)
DOI 10.1093/ntr/ntw010
Open Access Status Not yet assessed
Volume 18
Issue 7
Start page 1665
End page 1669
Total pages 5
Place of publication Oxford, United Kingdom
Publisher Oxford University Press
Language eng
Abstract Introduction: Maximizing smoking abstinence in lung cancer screening participants is important to reduce individual risk of disease and improve screening cost-effectiveness; however, the optimal strategy remains undefined. We hypothesized that a single session of tailored face-to-face counseling on the day of screening CT scan, coupled with audio and printed cessation information would be feasible to deliver in a CT screening trial.
Formatted abstract
Introduction: Maximizing smoking abstinence in lung cancer screening participants is important to reduce individual risk of disease and improve screening cost-effectiveness; however, the optimal strategy remains undefined. We hypothesized that a single session of tailored face-to-face counseling on the day of screening CT scan, coupled with audio and printed cessation information would be feasible to deliver in a CT screening trial.

Methods: We randomized volunteer smokers in the Queensland Lung Cancer Screening Study to intervention (counseling session, audio quit materials, printed quit materials, Quitline contact details) or control group (printed quit materials, Quitline contact details). Participants self-reported point prevalence quit rates at 1 year.

Results: Fifty-five smokers were enrolled; 28 randomized to intervention and 27 controls. Median cigarette consumption was 25/day; 54/55 smoked at least 15 cigarettes per day. Median smoking duration was 46 years. Median Fagerström dependence score was 6. In total 58% did not report any quit attempt in the prior 12 months. Mean duration of counseling was 26.5 minutes. After 1 year, four participants (14.3%) in the intervention group and five participants (18.5%) in the control group had quit (P = .74). Combined annual point prevalence quit rate was 16.4%.

Conclusions: Although feasible to deliver a single session of tailored counseling on the day of screening this intervention had no discernible impact on cessation over and above printed materials and Quitline access. As participants exhibited hardcore smoking characteristics, more intensive strategies, in larger cohorts, should be explored.

Implications: The optimal smoking cessation strategy within a lung cancer screening program is not known. This study demonstrates that a single session of counseling can be feasibly delivered on the day of screening but may not have been intensive enough for long-term, hard-core smokers.
Keyword Substance Abuse
Public, Environmental & Occupational Health
Substance Abuse
Public, Environmental & Occupational Health
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID 388600
440812
FRC0207-24
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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