Cost-effectiveness of self-help smokeless tobacco cessation programs

BACKGROUND Accidents and the resulting injuries are one of the world’s biggest health care issues often causing long-term effects on psychological and physical health. With regard to psychological consequences, accidents can cause a wide range of burdens including adjustment problems. Although adjustment problems are among the most frequent mental health problems, there are few specific interventions available. The newly developed program SelFIT aims to remedy this situation by offering a low-threshold web-based self-help intervention for psychological distress after an accident. OBJECTIVE The overall aim is to evaluate the efficacy and cost-effectiveness of the SelFIT program plus care as usual (CAU) compared to only care as usual. Furthermore, the program’s user friendliness, acceptance and adherence are assessed. We expect that the use of SelFIT is associated with a greater reduction in psychological distress, greater improvement in mental and physical well-being, and greater cost-effectiveness compared to CAU. METHODS Adults (n=240) showing adjustment problems due to an accident they experienced between 2 weeks and 2 years before entering the study will be randomized. Participants in the intervention group receive direct access to SelFIT. The control group receives access to the program after 12 weeks. There are 6 measurement points for both groups (baseline as well as after 4, 8, 12, 24 and 36 weeks). The main outcome is a reduction in anxiety, depression and stress symptoms that indicate adjustment problems. Secondary outcomes include well-being, optimism, embitterment, self-esteem, self-efficacy, emotion regulation, pain, costs of health care consumption and productivity loss as well as the program’s adherence, acceptance and user-friendliness. RESULTS Recruitment started in December 2019 and is ongoing. CONCLUSIONS To the best of our knowledge, this is the first study examining a web-based self-help program designed to treat adjustment problems resulting from an accident. If effective, the program could complement the still limited offer of secondary and tertiary psychological prevention after an accident. CLINICALTRIAL ClinicalTrials.gov NCT03785912; https://clinicaltrials.gov/ct2/show/NCT03785912?cond=NCT03785912&draw=2&rank=1

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Making the most of a teachable moment: a smokeless-tobacco cessation intervention in the dental office.

American Journal of Public Health ◽

10.2105/ajph.85.2.231 ◽

1995 ◽

Vol 85 (2) ◽

pp. 231-235 ◽

Cited By ~ 99

Author(s):

V J Stevens ◽

H Severson ◽

E Lichtenstein ◽

S J Little ◽

J Leben

Keyword(s):

Smokeless Tobacco ◽

Tobacco Cessation ◽

Teachable Moment ◽

Cessation Intervention ◽

Dental Office

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Pilot Testing All Nations Snuff Out Smokeless (ANSOS): A Culturally Tailored Smokeless Tobacco Cessation Program for American Indians

Journal of Health Care for the Poor and Underserved ◽

10.1353/hpu.2021.0188 ◽

2021 ◽

Vol 32 (4) ◽

pp. 2154-2166

Author(s):

Christine Makosky Daley ◽

Charley Lewis ◽

Niaman Nazir ◽

Sean M. Daley ◽

Ryan Goeckner ◽

...

Keyword(s):

American Indians ◽

Smokeless Tobacco ◽

Tobacco Cessation ◽

Pilot Testing ◽

Culturally Tailored

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Computerised cognitive–behavioural therapy for depression in adolescents: 12-month outcomes of a UK randomised controlled trial pilot study

BJPsych Open ◽

10.1192/bjo.2019.91 ◽

2019 ◽

Vol 6 (1) ◽

Author(s):

Barry Wright ◽

Lucy Tindall ◽

Rebecca Hargate ◽

Victoria Allgar ◽

Dominic Trépel ◽

...

Keyword(s):

Mental Health ◽

Cost Effectiveness ◽

Pilot Study ◽

Cognitive Behavioural Therapy ◽

Care Pathway ◽

Intervention Group ◽

Behavioural Therapy ◽

Self Help ◽

Cognitive Behavioural ◽

Randomised Controlled

Background Computerised cognitive–behavioural therapy (CCBT) in the care pathway has the potential to improve access to psychological therapies and reduce waiting lists within Child and Adolescent Mental Health Services, however, more randomised controlled trials (RCTs) are needed to assess this. Aims This single-centre RCT pilot study compared a CCBT program (Stressbusters) with an attention control (self-help websites) for adolescent depression at referral to evaluate the clinical and cost-effectiveness of CCBT (trial registration: ISRCTN31219579). Method The trial ran within community and clinical settings. Adolescents (aged 12–18) presenting to their primary mental health worker service for low mood/depression support were assessed for eligibility at their initial appointment, 139 met inclusion criteria (a 33-item Mood and Feelings Questionnaire score of ≥20) and were randomised to Stressbusters (n = 70) or self-help websites (n = 69) using remote computerised single allocation. Participants completed mood, quality of life (QoL) and resource-use measures at intervention completion, and 4 and 12 months post-intervention. Changes in self-reported measures and completion rates were assessed by group. Results There was no significant difference between CCBT and the website group at 12 months. Both showed improvements on all measures. QoL measures in the intervention group showed earlier improvement compared with the website group. Costs were lower in the intervention group but the difference was not statistically significant. The cost-effectiveness analysis found just over a 65% chance of Stressbusters being cost-effective compared with websites. The 4-month follow-up results from the initial feasibility study are reported separately. Conclusions CCBT and self-help websites may both have a place in the care pathway for adolescents with depression.

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Behaviour change intervention for smokeless tobacco cessation: its development, feasibility and fidelity testing in Pakistan and in the UK

BMC Public Health ◽

10.1186/s12889-016-3177-8 ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 6

Author(s):

Kamran Siddiqi ◽

Omara Dogar ◽

Rukhsana Rashid ◽

Cath Jackson ◽

Ian Kellar ◽

...

Keyword(s):

Behaviour Change ◽

Smokeless Tobacco ◽

Tobacco Cessation ◽

Behaviour Change Intervention ◽

The Uk

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Comparing the New York State Smokers’ Quitline Reach, Services Offered, and Quit Outcomes to 44 Other State Quitlines, 2010 to 2015

American Journal of Health Promotion ◽

10.1177/0890117117724898 ◽

2017 ◽

Vol 32 (5) ◽

pp. 1264-1272 ◽

Cited By ~ 4

Author(s):

Nathan Mann ◽

James Nonnemaker ◽

LeTonya Chapman ◽

Asma Shaikh ◽

Jesse Thompson ◽

...

Keyword(s):

New York ◽

Data Warehouse ◽

Tobacco Cessation ◽

New York State ◽

Descriptive Study ◽

The Other ◽

Tobacco Use Cessation ◽

Us States ◽

York State ◽

Self Help

Purpose: To summarize the reach, services offered, and cessation outcomes of the New York Quitline and compare with other state quitlines. Design: Descriptive study. Setting: Forty-five US states. Participants: State-sponsored tobacco cessation quitlines in 45 US states that provided complete data to the Centers for Disease Control and Prevention’s National Quitline Data Warehouse (NQDW) for 24 quarters over 6 years (2010-Q1 through 2015-Q4). Intervention: Telephone quitlines that offer tobacco use cessation services, including counseling, self-help materials, and nicotine replacement therapy (NRT), to smokers at no cost to them. Measures: Percentage of adult tobacco users in the state who received counseling and/or free NRT from state quitlines (reach), services offered by state quitlines, and cessation outcomes among quitline clients 7 months after using quitline services. Analysis: Reach, services offered, and cessation outcomes for the New York Quitline were compared with similar measures for the other 44 state quitlines with complete NQDW data for all quarters from 2010 through 2015. Results: New York’s average annual quitline reach from 2010 through 2015 was 3.0% per year compared to 1.1% per year for the other 44 states examined. Conclusion: Although the New York Quitline was open fewer hours per week and offered fewer counseling sessions and a smaller amount of free NRT than most of the other 44 state quitlines, the New York Quitline had similar quit rates to most of those state quitlines.

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