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Effects of Encouraging Rapid Implementation and/or Structured Planning of Quit Attempts on Smoking Cessation Outcomes: a Randomized Controlled Trial

  • Original Article
  • Published:
Annals of Behavioral Medicine

Abstract

Background

Recent research has led to debate over the benefit of planning quit attempts, suggesting that attempts implemented spontaneously may be more effective. The roles of planning and spontaneity require prospective examination.

Purpose

The purpose of this study is to test the benefit of encouraging smokers using an online program to quit as soon as possible (Rapid Implementation arm) and of structured planning advice incorporating implementation intentions (Structured Planning arm).

Methods

Randomized controlled trial with 1601 cases in the Rapid Implementation arm and an additional 964 in the Structured Planning arm; 2565 in total.

Results

There was no effect of Rapid Implementation, but Structured Planning significantly increased 6-month sustained abstinence (14.6 vs 10.2 %; p = 0.001). There was significantly less relapse after 1 week in the structured planning group (61.0 vs 71.2 %, p = 0.001).

Conclusions

A structured planning intervention delivered online can reduce relapse to smoking. Smokers should be encouraged to form implementation intentions and do most of their planning for relapse prevention after they have quit.

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References

  1. Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991; 50: 179-211.

    Article  Google Scholar 

  2. Fiore M, Jaen C, Baker T, et al. Treating tobacco use and dependence: 2008 update. US: US Department of Health and Human Services 2008, Public Health Service.

  3. Prochaska J, DiClemente C, Norcross J. In search of how people change. Applications to addictive behaviors. Am Psychol. 1992; 47: 1102-1114.

    Article  CAS  PubMed  Google Scholar 

  4. Raw M, McNeill A, West R. Smoking cessation guidelines for health professionals. A guide to effective smoking cessation interventions for the health care system. Health Education Authority. Thorax. 1998; 53(Suppl 5): S1-S19.

    Article  PubMed Central  Google Scholar 

  5. Borland R. Understanding hard to maintain behavior change: A dual-process approach. Oxford: Wiley-Blackwell, Addiction Press; 2014.

    Google Scholar 

  6. West R, Brown J. Theory of addiction (2nd Edition). Oxford: Wiley-Blackwell, Addiction Press; 2013.

    Book  Google Scholar 

  7. Stead LF, Lancaster T. Group behavior therapy programmes for smoking cessation. Cochrane Database Syst Rev. 2005; 2: CD001007.

    PubMed  Google Scholar 

  8. Ferguson S, Shiffman S, Gitchell J, Sembower M, West R. Unplanned quit attempts - results from a U.S. sample of smokers and ex-smokers. Nicotine Tob Res. 2009; 11: 827-832.

    Article  PubMed  Google Scholar 

  9. Larabie L. To what extent do smokers plan quit attempts? Tob Control. 2005; 14: 425-428.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  10. Sendzik T, Mcdonald PW, Brown KS, Hammond D, Ferrence R. Planned quit attempts among Ontario smokers: Impact on abstinence. Addiction. 2011; 106: 2005-2013.

    Article  PubMed  Google Scholar 

  11. West R, Sohal T. "Catastrophic" pathways to smoking cessation: Findings from national survey. BMJ. 2006; 332: 458-460.

    Article  PubMed Central  PubMed  Google Scholar 

  12. Cooper J, Borland R, Yong H, et al. To what extent do smokers make spontaneous quit attempts and what are the implications for smoking cessation maintenance? Findings from the International Tobacco Control Four-Country survey. Nicotine Tob Res. 2010; 12(Suppl 1): S51-S57.

    Article  PubMed Central  PubMed  Google Scholar 

  13. Murray R, Lewis S, Coleman T, Britton J, McNeill A. Unplanned attempts to quit smoking: Missed opportunities for health promotion? Addiction. 2009; 104: 1901-1909.

    Article  PubMed  Google Scholar 

  14. Borland R, Balmford J, Swift E. Effect of timing of initiation and planning on smoking cessation outcomes: Study protocol for a randomized controlled trial. BMC Public Health. 2013; 13: 235.

    Article  PubMed Central  PubMed  Google Scholar 

  15. Balmford J, Borland R, Burney S. The influence of having a quit date on the prediction of smoking cessation outcome. Health Educ Res. 2010; 25: 698-706.

    Article  PubMed  Google Scholar 

  16. Cobb CO, Niaura RS, Donaldson EA, Graham AL. Quit now? Quit soon? Quit when you’re ready? Insights about target quit dates for smoking cessation from an online quit date tool. J Med Internet Res. 2014; 16: e55.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Hughes JR, Callas PW. Is delaying a quit attempt associated with less success? Nicotine Tob Res. 2011; 12: 1228-1232.

    Article  Google Scholar 

  18. Hughes JR, Russ C, Messig MA. Association of deferring a quit attempt with smoking cessation success: A secondary analysis. J Subst Abuse Treat. 2014; 46: 264-267.

    Article  PubMed  Google Scholar 

  19. Hughes JR, Solomon LJ, Naud S, Fingar JR, Helzer JE, Callas PW. Natural history of attempts to stop smoking. Nicotine Tob Res. 2014; 16: 1190-1198.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Fong GT, Cummings KM, Borland R, et al. The conceptual framework of the International Tobacco Control (ITC) policy evaluation project. Tob Control. 2006; 15(Suppl 3): 3-11.

    Google Scholar 

  21. Balmford J, Borland R, Swift E. Reported planning before and just after quitting and quit success: Retrospective data from the ITC 4-Country survey. Psychol Addict Behav. 2014; 28: 899-906.

    Article  PubMed  Google Scholar 

  22. Gollwitzer PM. Implementation intentions: Strong effects from simple plans. Am Psychol. 1999; 54: 493-503.

    Article  Google Scholar 

  23. Gollwitzer PM, Sheeran P. Implementation intentions and goal achievement: A meta-analysis of effects and processes. Adv Exp Soc Psychol. 2006; 38: 69-119.

    Article  Google Scholar 

  24. Achtziger A, Gollwitzer PM, Sheeran P. Implementation intentions and shielding goal striving from unwanted thoughts and feelings. Personal Soc Psychol Bul. 2008; 34: 381-393.

    Article  Google Scholar 

  25. Armitage CJ. A volitional help sheet to encourage smoking cessation: A randomized exploratory trial. Health Psychol. 2008; 27: 557-566.

    Article  PubMed  Google Scholar 

  26. Armitage CJ, Arden MA. How useful are the stages of change for targeting interventions? Randomized test of a brief intervention to reduce smoking. Health Psychol. 2008; 27: 789-798.

    Article  PubMed  Google Scholar 

  27. Borland R, Balmford J, Benda P. Population-level effects of automated cessation help programs: A randomized controlled trial. Addiction. 2013; 108: 618-628.

    Article  PubMed  Google Scholar 

  28. Borland R, Balmford J, Hunt D. The effectiveness of personally tailored computer-generated advice letters for smoking cessation. Addiction. 2004; 99: 369-377.

    Article  PubMed  Google Scholar 

  29. Borland R, Yong H, O’Connor R, Hyland A, Thompson M. The reliability and predictive validity of the Heaviness of Smoking Index and its two components: Findings from the International Tobacco Control Four-Country study. Nicotine Tob Res. 2010; 12(Suppl 1): S45-S50.

    Article  PubMed Central  PubMed  Google Scholar 

  30. Hagger MS, Luszczynska A. Implementation intention and action planning interventions in health contexts: State of the research and proposals for the way forward. Appl Psychol Health Well Being. 2014; 6: 1-47.

    Article  PubMed  Google Scholar 

  31. Hajek P, Stead LF, West R, Jarvis M, Hartmann-Boyce J, Lancaster T. Relapse prevention interventions for smoking cessation (review). Cochrane Database Syst Rev. 2013; 8: CD003999.

    PubMed  Google Scholar 

  32. Borland R, Yong HH, Balmford J, et al. Motivational factors predict quit attempts but not maintenance of smoking cessation: Findings from the International Tobacco Control Four country project. Nicotine Tob Res. 2010; 12: S4-S11.

    Article  PubMed Central  PubMed  Google Scholar 

  33. Partos TR, Borland R, Yong HH, Hyland A, Cummings KM. The quitting rollercoaster: how recent quitting history affects future cessation (data from the International Tobacco Control 4-country cohort study). Nicotine Tob Res. 2013; 15: 1578-1587.

    Article  PubMed Central  PubMed  Google Scholar 

  34. SRNT Subcommittee on Biochemical Verification. Biochemical verification of tobacco use and cessation. Nicotine Tob Res. 2002; 4: 149–159.

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Funding

This study was funded by the National Health and Medical Research Council (grant number 1009767).

Authors’ Statement of Conflict of Interest

Authors Borland, Balmford, and Swift declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Cancer Council Victoria, 615 St Kilda Rd., Melbourne, 3004, Victoria, Australia

    Ron Borland PhD, James Balmford PhD & Elena Swift MRes

Authors
  1. Ron Borland PhD
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  2. James Balmford PhD
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  3. Elena Swift MRes
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Corresponding author

Correspondence to Ron Borland PhD.

Additional information

Clinical trial registrationAustralian and New Zealand Clinical Trial Registration No.: ACTRN12612000613808

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Borland, R., Balmford, J. & Swift, E. Effects of Encouraging Rapid Implementation and/or Structured Planning of Quit Attempts on Smoking Cessation Outcomes: a Randomized Controlled Trial. ann. behav. med. 49, 732–742 (2015). https://doi.org/10.1007/s12160-015-9706-3

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  • DOI: https://doi.org/10.1007/s12160-015-9706-3

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