Intentions of smokers to use free nicotine replacement therapy

Cunningham, John A.; Selby, Peter

doi:10.1503/cmaj.071241

Cited by 12 publications

(11 citation statements)

References 4 publications

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“…In the present study, cutting down smoking before surgery was common and, anecdotally, many erroneously believed this would be enough to reduce peri‐operative risk. The lower rate of offer acceptance in those smoking less was consistent with this risk perception, which is an effect that has been described previously .…”

Section: Discussionsupporting

confidence: 89%

Smoking cessation in elective surgical patients offered free nicotine patches at listing: a pilot study

et al. 2019

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Summary Free nicotine patches may promote pre‐operative smoking cessation. Smokers (≥ 10 cigarettes.day−1) awaiting non‐urgent surgery were randomly assigned (3:1) to an offer of free nicotine patches or a control group who were not offered free nicotine patches. The suggested regimen lasted 5 weeks, with patch strength decreasing incrementally after 3 and 4 weeks. The primary outcome was smoking abstinence for ≥ 4 weeks, as self‐reported by participants on the day of surgery, including, where possible, corroboration using exhaled carbon monoxide testing. Out of 600 included smokers, 447 (74.5%) were randomly assigned to an offer of pre‐operative nicotine patches, with 175 (39.1%) of these accepting the offer and 56 (12.5%) using patches for ≥ 3 weeks. Out of 396 participants offered nicotine patches who were included for analysis, 36 (9.1%) quit smoking for ≥ 4 weeks before surgery as compared with 8 (5.9%) controls, OR 1.5 [95%CI 0.7–3.2], p = 0.300. Sixty‐three (15.9%) quit smoking for 24 h before surgery as compared with 15 (11.1%) controls, OR 1.4 [95%CI 0.8–2.4], p = 0.200. Participants offered nicotine patches were more likely to engage in a cessation attempt lasting more than 24 h, 46 (11.6%) vs. 5 (3.7%), OR 3.4 [95%CI 1.8–8.8], p = 0.010. Out of 78 participants who quit smoking by the day of surgery and were followed up at 6 months, 46 (59%) had relapsed. Offering free nicotine patches stimulated interest in quitting compared with controls, but our protocol had limited effectiveness.

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Section: Discussionsupporting

confidence: 89%

Smoking cessation in elective surgical patients offered free nicotine patches at listing: a pilot study

et al. 2019

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“…This helps explain why a survey (6) of family physicians in Montreal, Quebec, found that only 10.5% provided 'thorough' smoking cessation counselling, and less than one-half offered adjunct support to patients. In contrast, a recent survey (7) found that more than one-half of smokers would be interested in nicotine replacement therapy if it were offered free of charge.…”

mentioning

confidence: 89%

Best Practices for Smoking Cessation Interventions in Primary Care

McIvor

Kayser

Assaad

et al. 2009

Canadian Respiratory Journal

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“…In addition, our previous research has indicated that prior use of NRT is actually positively related to current interest in using NRT again [10]. Thus, one of the secondary analyses of this study will test the moderating hypothesis that prior use of NRT is negatively related to future success with NRT when it is offered for free.…”

Section: Methodsmentioning

confidence: 94%

“…Research conducted in New York State found that 53% of smokers indicated that the free distribution of NRT would be most effective in motivating them to think seriously about stopping smoking [ 9 ]. A Canadian population survey similarly found that 58.9% of ≥ 10 cigarettes per day smokers expressed interest in receiving free nicotine patches and of those, almost all indicated they would use nicotine patches to quit permanently [ 10 ]. Heavier smokers were more likely than less heavy smokers to be interested in receiving free NRT.…”

Section: Introductionmentioning

confidence: 99%

Randomized controlled trial of mailed Nicotine Replacement Therapy to Canadian smokers: study protocol

et al. 2011

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BackgroundConsiderable public health efforts are ongoing Canada-wide to reduce the prevalence of smoking in the general population. From 1985 to 2005, smoking rates among adults decreased from 35% to 19%, however, since that time, the prevalence has plateaued at around 18-19%. To continue to reduce the number of smokers at the population level, one option has been to translate interventions that have demonstrated clinical efficacy into population level initiatives. Nicotine Replacement Therapy (NRT) has a considerable clinical research base demonstrating its efficacy and safety and thus public health initiatives in Canada and other countries are distributing NRT widely through the mail. However, one important question remains unanswered - do smoking cessation programs that involve mailed distribution of free NRT work? To answer this question, a randomized controlled trial is required.Methods/DesignA single blinded, panel survey design with random assignment to an experimental and a control condition will be used in this study. A two-stage recruitment process will be employed, in the context of a general population survey with two follow-ups (8 weeks and 6 months). Random digit dialing of Canadian home telephone numbers will identify households with adult smokers (aged 18+ years) who are willing to take part in a smoking study that involves three interviews, with saliva collection for 3-HC/cotinine ratio measurement at baseline and saliva cotinine verification at 8-week and 6-month follow-ups (N = 3,000). Eligible subjects interested in free NRT will be determined at baseline (N = 1,000) and subsequently randomized into experimental and control conditions to receive versus not receive nicotine patches. The primary hypothesis is that subjects who receive nicotine patches will display significantly higher quit rates (as assessed by 30 day point prevalence of abstinence from tobacco) at 6-month follow-up as compared to subjects who do not receive nicotine patches at baseline.DiscussionThe findings from the proposed trial are timely and highly relevant as mailed distribution of NRT require considerable resources and there are limited public health dollars available to combat this substantial health concern. In addition, findings from this randomized controlled trial will inform the development of models to engage smokers to quit, incorporating proactive recruitment and the offer of evidence based treatment.Trial RegistrationClinicalTrials.gov: NCT01429129

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Intentions of smokers to use free nicotine replacement therapy

Abstract: CMAJ 2008;179(2):145-6Une version française de ce résumé est disponible à l'adresse

Cited by 12 publications

References 4 publications

Smoking cessation in elective surgical patients offered free nicotine patches at listing: a pilot study

Smoking cessation in elective surgical patients offered free nicotine patches at listing: a pilot study

Best Practices for Smoking Cessation Interventions in Primary Care

Randomized controlled trial of mailed Nicotine Replacement Therapy to Canadian smokers: study protocol

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