Tailored Interventions for Smoking Cessation (TISC)
Complete Project
Title:
Tailored Interventions for Smoking Cessation (TISC)
Status:
Completed
Topic:
Smoking Cessation
Funding Source:
Centers for Disease Control and Prevention
Funding Period:
10/98 10/00
Study Design:
Intervention
Purpose:
The TISC study was developed to test the effectiveness of a smoking cessation program based on “impediment profiling” which identifies an individual’s own perceived barriers to quit smoking and provides tailored interventions accordingly.
Further Study Details:
There are at least seven potential barriers that people face when trying to quit smoking, some face more than others. Among these things that make smoking cessation more difficult are nicotine dependence, addiction to other chemical substances, depression, anxiety, stress, concern about weight gain, and having family and friends who smoke. During the initial phase of this project, a questionnaire was developed to identify an individual’s personal barriers. This questionnaire was then used with the 20 participants enrolled in this study. Participants completed the questionnaire, after which time their results were shared with them individually and they were assigned to as many of the seven “interventions” or programs as their results indicated would be helpful to them in their quit attempt. The study lasted for 12 months and included a follow-up after 12 and 24 months.
Findings:
8 weeks into the program 73.7% of the study population was smoke-free. At the end of the year-long intervention 63.2% of the study population was smoke free. There was a negative association between subjects’ quit status and the following impediments: stress, anxiety, and depression. No single impediment was predictive of quit status. The majority of the participants (64%) reported that the variety of the program offerings was their primary reason for enrollment. The group counseling was the intervention with the greatest use (100%) and was considered helpful by 86% of the study participants. This pilot study suggests that impediment profiling as a basis for tailored intervention in smoking cessation shows promise. The high quit rate at the end of the intervention and at one year follow-up reinforces the potential of impediment profiling use in smoking cessation programs.
Eligibility:
Adult men and women with a history of smoking for at least one year and an average of 15 or more cigarettes per day.
Yale-Griffin Prevention Research Center