ArticleAJPM focus2025
Early Treatment Engagement and Long-Term Smoking Abstinence Among Women With Cervical Intraepithelial Neoplasia or Cervical Cancer.
Article in AJPM focus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
11 authors.
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Abstract
Introduction: Cancer survivors who quit smoking have improved treatment response and decreased mortality. Although data indicate that greater tobacco cessation treatment engagement leads to better cessation outcomes in cancer survivors, little is known about how different tobacco treatment engagement patterns influence long-term cessation success. To help address this issue, this study examined how tobacco treatment engagement patterns predict cessation outcomes through 18 months and identified baseline participant characteristics predictive of treatment engagement patterns. Methods: Data from a smoking-cessation RCT among women with a history of cervical intraepithelial neoplasia or cervical cancer comparing a 12-month, 6-session motivation and problem solving phone counseling intervention with standard treatment (tobacco quitline referrals) were analyzed. Treatment was completed remotely through self-administered nicotine replacement therapy and telephone counseling. Participants ( Results: Controlling for baseline covariates, high total treatment engagement (i.e., completing ≥4 counseling sessions) predicted abstinence at 12 months (OR=11.37; 95% CI=2.34, 55.27; Conclusions: Given that few tobacco treatment interventions have demonstrated efficacy among cancer survivors, the current findings suggest a need for careful monitoring of treatment engagement and the possibility of making changes to treatment plans when early engagement is poor.
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