Intervention study for smoking cessation in Spanish college students: pragmatic randomized controlled trial. (2nd July 2015)

• Record Type: Journal Article
• Authors: Pardavila‐Belio, Miren I.; García‐Vivar, Cristina; Pimenta, Adriano Marçal; Canga‐Armayor, Ana; Pueyo‐Garrigues, Sara; Canga‐Armayor, Navidad
• Is Part Of: Addiction. Volume 110:Number 10(2015:Oct.)
• Page Start: 1676
• Page End: 1683
• Publication Date: 2015-07-02
• Subjects: Alcoholism -- Periodicals; Drug addiction -- Periodicals; 616.86
• DOI: 10.1111/add.13009
• Languages: English
• ISSNs: 0965-2140

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="add13009-sec-0001" sec-type="section"> <title>Aim</title> <p>To evaluate the effectiveness of a nurse intervention aimed at helping college student smokers quit smoking.</p> </sec> <sec id="add13009-sec-0002" sec-type="section"> <title>Design</title> <p>Single‐blind, pragmatic randomized controlled trial which compares a multi‐component intervention, tailored specifically to college students, with a brief advice session with a 6‐month follow‐up.</p> </sec> <sec id="add13009-sec-0003" sec-type="section"> <title>Settings</title> <p>This study was conducted at the University of Navarra, Spain.</p> </sec> <sec id="add13009-sec-0004" sec-type="section"> <title>Participants</title> <p>A total of 255 college student smokers (age range = 18–24 years) were randomized to an intervention group (<italic>n</italic> = 133) or to a control group (<italic>n</italic> = 122).</p> </sec> <sec id="add13009-sec-0005" sec-type="section"> <title>Intervention</title> <p>A multi‐component intervention based on the Theory of Triadic Influence of Flay was developed. The intervention consisted of a 50‐minute motivational interview conducted by a nurse and online self‐help material. The follow‐up included a reinforcing e‐mail and group therapy.</p> </sec> <sec id="add13009-sec-0006" sec-type="section"> <title>Measurements</title> <p>The primary outcome was self‐reported abstinence, with biochemical verification at 6 months. The secondary outcomes consisted of the mean number of cigarettes smoked per day, self‐reported attempts to quit smoking and stage of change at 6 months.</p> </sec> <sec id="add13009-sec-0007" sec-type="section"> <title>Findings</title> <p>At the 6‐month follow‐up, the smoking cessation incidence was 21.1% in the intervention group compared with 6.6% in the control group (difference = 14.5 confidence interval = 6.1–22.8; relative risk = 3.41, 95% confidence interval = 1.62–7.20). The difference in the mean number of cigarettes at 6 months was significantly different (difference = –2.2, confidence interval = –3.6 to –0.9).</p> </sec> <sec id="add13009-sec-0008" sec-type="section"> <title>Conclusions</title> <p>A multi‐component intervention tailored to college students and managed by a nurse is effective in increasing smoking cessation among college students.</p> </sec> </abstract>