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Effective, low-cost way
to help prevent smoker relapse

October 14, 2004, Newswise (TSN)— A University of South Florida study has found that sending a series of self-help booklets to individuals who recently quit smoking can help keep them smoke-free for the long term. Study findings have been published in the October issue of Journal of Consulting and Clinical Psychology.

“This research is aimed at the problem of smoking relapse, which has been largely overlooked in the public health community,” said lead investigator Dr. Thomas Brandon, psychology professor and director of the Tobacco Research and Intervention Program at the H. Lee Moffitt Cancer Center & Research Institute. “We have rightly created public health campaigns to prevent teens from starting to smoke and to convince adults to quit, but we have not put the same amount of effort into helping recent quitters stay smoke-free.”

Through this study funded by the National Cancer Institute, USF researchers developed a series of eight relapse-prevention booklets titled Forever Free ™ and mailed those to more than 400 participants who had recently quit and who wanted additional help staying smoke-free. The study found that when the eight booklets were sent to individuals who had quit smoking within the previous six months, they were less likely to relapse during the following two years, compared with a control group that received only a single booklet.

“Current research shows that, among those who quit smoking, between 70 and 90 percent resume smoking the following year,” Brandon said. “Yet our study found that only 21 percent of participants who received the eight booklets relapsed at the two-year point.”

In addition to showing the effectiveness of the booklets, the study reports that the booklets are a cost-effective way of preventing smoking relapse. For example, the cost for typical smoking cessation treatments ranges between $1,000 and $5,000 per year of life saved, Brandon says. In contrast, the study estimated that the booklets cost only $83 per year of life saved.

“In terms of the economics of extending life, there are few public health interventions that are as low cost as these simple booklets,” Brandon said. “We hope managed care organizations, as well as state and local health departments, will choose to adopt the booklets to give to new ex-smokers.”

As a result of the study’s findings of the booklets’ effectiveness in preventing relapse, USF researchers have begun testing the use of Forever Free ™ to help pregnant women and new mothers. The NCI is funding this effort due to the high rates—70 percent—of women who relapse in the first six months after delivery.

“Up to half of female smokers quit when they become pregnant,” Brandon said. “The bad news is that nearly all of them start smoking again after they give birth, not realizing that the effects of secondhand smoke can be even more harmful to the baby than during pregnancy.”

Brandon and his fellow researchers are actively recruiting participants for the “new moms” study. Pregnant women nationwide who have already quit smoking are eligible to participate.

The booklets have already been adopted by the National Cancer Institute and can be downloaded from http://www.smokefree.gov. Callers to NCI’s smoking quitline (1-877-44U-QUIT) can also request paper copies of the booklets. Pregnant women interested in participating in the new moms study can call 1-877-954-2548.

About H. Lee Moffitt Cancer Center & Research Institute

In 2001 the National Cancer Institute awarded Moffitt the status of a Comprehensive Cancer Center - in recognition of its excellence in research and contributions to clinical trials, prevention and cancer control. Additionally, Moffitt is a member of the National Comprehensive Cancer Network, a prestigious alliance of the country's leading cancer centers, and is listed in the U.S. News & World Report as one of the top cancer hospitals in America. Moffitt's sole mission is to contribute to the prevention and cure of cancer.

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