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Rates and Predictors of Renewed Quitting After Relapse During a One-Year Follow-Up Among Primary Care Patients

  • Original Article
  • Published:
Annals of Behavioral Medicine

Abstract

Background

Most people who quit smoking relapse within a year of quitting. Little is known about what prompts renewed quitting after relapse or how often this results in abstinence.

Purpose

This study seeks to identify rates, efficacy, and predictors of renewed quit attempts after relapse during a 1-year follow-up.

Methods

Primary care patients in a comparative effectiveness trial of smoking cessation pharmacotherapies reported daily smoking every 6–12 weeks for 12 months to determine relapse, renewed quitting, and 12-month abstinence rates.

Results

Of 894 known relapsers, 291 (33 %) renewed quitting for at least 24 h, and 99 (34 %) of these were abstinent at follow-up. The average latency to renewed quitting was 106 days and longer latencies predicted greater success. Renewed quitting was more likely for older, male, less dependent smokers, and later abstinence was predicted by fewer depressive symptoms and longer past abstinence.

Conclusions

Renewed quitting is common and produces meaningful levels of cessation.

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Funding

This work was supported by National Institutes of Health grant 5P50DA019706 from the National Institute on Drug Abuse and grant 1K05CA139871 from the National Cancer Institute. This work is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health, the National Institute on Drug Abuse, or the National Cancer Institute.

Authors Statement of Conflict of Interest and Adherence to Ethical Standards

None of the authors (KW Bold, AS Rasheed, DE McCarthy, TC Jackson, MC Fiore, and TB Baker) have disclosures or conflicts of interest related to this article or study. GlaxoSmithKline provided research medication at no cost to study participants, but played no role in the design, implementation, analysis, or reporting of these results. All procedures, including the informed consent process, were conducted in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000.

Author information

Authors and Affiliations

  1. Department of Psychology, Rutgers, The State University of New Jersey, Piscataway, NJ, USA

    Krysten W. Bold M.S. & Danielle E. McCarthy Ph.D.

  2. Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA

    Abdullah S. Rasheed B.A.

  3. Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University of New Jersey, 112 Paterson Street, New Brunswick, NJ, 08901, USA

    Danielle E. McCarthy Ph.D.

  4. Department of Medicine and Center for Tobacco Research and Intervention, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA

    Thomas C. Jackson M.D., Michael C. Fiore M.D., M.P.H. & Timothy B. Baker Ph.D.

Authors
  1. Krysten W. Bold M.S.
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  2. Abdullah S. Rasheed B.A.
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  3. Danielle E. McCarthy Ph.D.
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  4. Thomas C. Jackson M.D.
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  5. Michael C. Fiore M.D., M.P.H.
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  6. Timothy B. Baker Ph.D.
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Correspondence to Danielle E. McCarthy Ph.D..

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Bold, K.W., Rasheed, A.S., McCarthy, D.E. et al. Rates and Predictors of Renewed Quitting After Relapse During a One-Year Follow-Up Among Primary Care Patients. ann. behav. med. 49, 128–140 (2015). https://doi.org/10.1007/s12160-014-9627-6

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  • DOI: https://doi.org/10.1007/s12160-014-9627-6

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