Title

Relapse and maintenance issues for smoking cessation

UMMS Affiliation

Department of Medicine, Division of Preventive and Behavioral Medicine

Date

1-2000

Document Type

Article

Subjects

Adult; Cardiovascular Diseases; Counseling; Follow-Up Studies; Health Behavior; Health Promotion; Humans; Life Style; Outcome and Process Assessment (Health Care); Recurrence; *Smoking Cessation

Disciplines

Life Sciences | Medicine and Health Sciences | Women's Studies

Abstract

This article reviews short-term (6 months) and longer term (12-24 months) maintenance of cessation and relapse in adult smokers and the factors and treatments that affect these outcomes. MedLine and PsycLIT searches were done for research published in English between 1988 and 1998 meeting a defined set of criteria. Intensive intervention, telephone counseling, and use of pharmacotherapy were found to improve outcomes; however, compared with public health approaches, they reach relatively few smokers. Brief interventions during medical visits are cost-effective and could potentially reach most smokers but are not consistently delivered. Predictors of relapse include slips, younger age, nicotine dependence, low self-efficacy, weight concerns, and previous quit attempts. Potential areas for research, recommendations for longer follow-up assessments, and standard definitions for slip, relapse, and long-term maintenance are discussed.

Rights and Permissions

Citation: Health Psychol. 2000 Jan;19(1 Suppl):17-31.

Related Resources

Link to article in PubMed

PubMed ID

10709945