The challenge of embracing a smoke-free lifestyle: a neglected area in smoking cessation programs.

Abstract:

:Relapse prevention theory and practice has focussed on teaching coping skills to deal with withdrawal and temptations to relapse with the result that treatments appear to be effective in reducing relapse over the short term, but not over the longer term. Once cravings subside ex-smokers face a further task of adjusting to a smoke-free lifestyle that involves learning to think and act like a non-smoker. To highlight this task, we operationalized a new conceptual framework that describes three tasks of quitting (the 3Ts): (i) making a quit attempt; (ii) learning to effectively deal with cravings and withdrawal; and (iii) adapting to a smoke-free lifestyle. This was introduced to the Quitline service in Victoria, Australia, in preparation for a randomized controlled trial aimed at testing whether a program of four to six extra callbacks could help ex-smokers with the third task and as a result reduce rates of relapse compared with Quitline's standard callback program. This paper describes the conceptual framework (focussing on the third task) and initial reactions to it from both Quitline advisors and callers. The conceptual framework is now integrated in the service and appears to have changed the way Quitline operates and the apparent expectations of its clients.

journal_name

Health Educ Res

authors

Segan CJ,Borland R,Hannan A,Stillman S

doi

10.1093/her/cyl157

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

1-9

issue

1

eissn

0268-1153

issn

1465-3648

pii

cyl157

journal_volume

23

pub_type

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