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Clinical Trials Update
April 23/30, 2014

Proactively Engaging Smokers Leads to Higher Quit Rates

JAMA. 2014;311(16):1602. doi:10.1001/jama.2014.4455

Using a proactive intervention to motivate smokers to quit resulted in higher cessation rates than the traditional model in which smokers request treatment or a clinician initiates it (Fu S et al. JAMA Intern Med. doi:10.1001/jamainternmed.2014.177 [published online March 10, 2014]).

The researchers randomly assigned 6400 smokers, identified through Department of Veterans Affairs (VA) electronic medical records, to receive a proactive smoking cessation intervention or the usual care, which involved accessing tobacco treatment services from their VA hospital. Participants in the proactive group received a mailed invitation followed by a telephone call offering a choice of smoking cessation services—behavioral counseling by telephone or in person—along with access to pharmacological therapy from the VA.

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