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Commit to Quit

An Evidence-Based Practice

Description

Commit to Quit is a smoking cessation program specifically for women. Despite having similar quit rates, women are more likely than men to resume smoking. The program combines regular, vigorous physical exercise with group cessation programming to address concerns about weight gain, stress reduction, and social support. Group cognitive-behavioral programming include traditional topics such as self-monitoring, stimulus control, coping with cravings, and relaxation techniques, as well as topics targeted toward women such as healthy eating, weight management, mood management, and balancing work and family. The exercise component is tailored to the individual and involves attending three aerobic exercise sessions per week.

Goal / Mission

The goal of Commit to Quit is to help female smokers quit smoking through group programming and exercise.

Results / Accomplishments

At three months following the program, more Commit to Quit participants had not smoked for the previous seven days (24.6%) than those in a control group that received only group programming with no exercise component (13.6%). Participants were significantly more likely to be continuously abstinent during treatment (19.4% vs. 10.2%), at the 3-month follow-up (16.4% vs. 8.2%, p < 0.03), and at the 12-month follow-up (11.9% vs. 5.4%, p < 0.05). Participants also achieved significantly more days of continuous abstinence (p < 0.01) and were about 35% less likely (p < 0.03) to have relapsed at all follow-ups. Among quitters, intervention participants gained significantly less weight and had increased exercise functional capacity. Due to the success of this program, it has been implemented across the nation in YMCA settings.

About this Promising Practice

Organization(s)
The Miriam Hospital Center for Behavioral and Preventive Medicine
Primary Contact
Bess H. Marcus, PhD
Director of the Centers for Behavioral and Preventive Medicine
1 Hoppin Street
Providence, RI 02903
401-793-8003
bmarcus@lifespan.org
http://www.miriamhospital.org/centers-and-services...
Topics
Health / Alcohol & Drug Use
Health / Physical Activity
Health / Women's Health
Organization(s)
The Miriam Hospital Center for Behavioral and Preventive Medicine
Source
National Cancer Institute Research-tested Intervention Programs
Date of publication
1999
Date of implementation
1996
Location
USA
For more details
http://rtips.cancer.gov/rtips/programDetails.do?pr...
Target Audience
Women

Related Promising Practices

  1. Not-On-Tobacco (N–O–T)
  2. Web-Based Committed Quitters Stop Smoking Plan
  3. Heartbeat Wales
  4. New York State Smokers' Quitline
  5. Nutrition and Physical Activity Self-Assessment for Child-Care (NAP SACC)
  6. Waterloo Smoking By-law and Cigarette Labeling

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Related Content for: Commit to Quit

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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