Abstract
Objective: To assess the efficacy of an innovative smoking cessation intervention targeted to a multiethnic, economically disadvantaged HIV-positive population. Design: A two-group randomized clinical trial compared a smoking cessation intervention delivered by cellular telephone with usual care approach. Methods: Current smokers from a large, inner city HIV/AIDS care center were recruited and randomized to receive either usual care or a cellular telephone intervention. The usual care group received brief physician advice to quit smoking, targeted self-help written materials and nicotine replacement therapy. The cellular telephone intervention received eight counseling sessions delivered via cellular telephone in addition to the usual care components. Smoking-related outcomes were assessed at a 3-month follow-up. Results: The trial had 95 participants and 77 (81.0%) completed the 3-month follow-up assessment. Analyses indicated biochemically verified point prevalence smoking abstinence rates of 10.3% for the usual care group and 36.8% for the cellular telephone group; participants who received the cellular telephone intervention were 3.6 times (95% confidence interval, 1.3-9.9) more likely to quit smoking compared with participants who received usual care (P = 0.0059). Conclusions: These results suggest that individuals living with HIV/AIDS are receptive to, and can be helped by, smoking cessation treatment. In addition, smoking cessation treatment tailored to the special needs of individuals living with HIV/AIDS, such as counseling delivered by cellular telephone, can significantly increase smoking abstinence rates over that achieved by usual care.
Original language | English (US) |
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Pages (from-to) | 253-260 |
Number of pages | 8 |
Journal | AIDS |
Volume | 20 |
Issue number | 2 |
DOIs | |
State | Published - Jan 2006 |
Keywords
- AIDS
- Behavioral interventions
- Cellular phone
- Clinical trials
- HIV
- Health services accessibility
- Smoking cessation
ASJC Scopus subject areas
- Immunology and Allergy
- Immunology
- Infectious Diseases