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‘Quit and Stay Quit Monday’ as a Novel Approach to Smoking Cessation: A Pilot Experimental Study

Published online by Cambridge University Press:  07 August 2017

Elaine De Leon ,
Norah L. Crossnohere ,
Laura W. Fuentes ,
Morgan Johnson ,
Kevin Welding  and
Joanna E. Cohen
Elaine De Leon
Affiliation:
Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
Norah L. Crossnohere
Affiliation:
Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
Laura W. Fuentes*
Affiliation:
Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
Morgan Johnson
Affiliation:
The Monday Campaigns, New York, New York
Kevin Welding
Affiliation:
Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
Joanna E. Cohen
Affiliation:
Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
*
Address for correspondence: Laura Fuentes, Lerner Center for Public Health Promotion, Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Room 904B, Baltimore, MD 21205. Email: laura.w.fuentes@jhu.edu
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Abstract

Introduction: Emerging evidence suggests a heightened interest in healthy behaviour changes, including smoking cessation, at the beginning of the week. Evidence from Google searches, quitlines, and cessation websites show greater information-seeking and interest in early week quitting.

Aims: This pilot assesses the comparative effectiveness of a smoking cessation intervention that encourages participants to use Mondays as a day to quit or recommit to quitting smoking.

Methods: We partnered with existing smoking cessation group programs to conduct a quasi-experimental, pre–post study. Both comparison and intervention groups received the same standard-care curriculum from program instructors. Intervention group participants received Monday materials including a wallet card and a mantra card during enrolment. On Mondays, intervention participants received an emailed tip-of-the-week and were encouraged to quit or recommit to quitting. Quit buddies were recommended in both groups, but intervention participants were encouraged to check-in with quit buddies on Mondays. The outcomes of smoking abstinence, number and length of quit attempts, and self-efficacy were assessed at the final program session and three months later.

Results: At the last session, intervention group participants who were still smoking had a higher self-efficacy of quitting in the future, rated their programs as more helpful in quitting smoking, and were more likely to rate quit buddies as very helpful. Differences in self-efficacy were no longer observed at the second follow-up. No differences were observed between intervention and standard group participants in abstinence, number of quits, length of quits, or self-efficacy of staying quit at either follow-up.

Conclusions: Encouraging results from this pilot study indicate that further research is needed to explore how Monday messaging may improve smoking cessation programs.

Type
Protocol
Information
Journal of Smoking Cessation , Volume 13 , Issue 3 , September 2018 , pp. 171 - 175
Copyright
Copyright © The Author(s) 2017 

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