# SMOKING CESSATION DELIVERED IN PHYSICIANS OFFICES

> **NIH NIH R01** · UNIVERSITY OF MINNESOTA · 1987 · $230,469

## Abstract

Cigarette smoking is now labelled as the single most important
environmental factor contributing to premature mortality in the United
States.  Over 60% of smokers have tried to quit and almost 30% attempt to
quit every year.  Very few are willing to enroll in formal cessation
programs, but smokers attempting to quit list physician support as
important and authoritative.  An estimated 80% wil see a physician within a
two-year period, but physicians rarely perform effective smoking cessation
activities.  Reasonably effective minimum intervention smoking cessation
programs are available and if a program could be developed that recruited
physicians to deliver a smoking cessation program, physicians might make a
significant impact on smoking cessation rates.

This project will develop 1) a physician recruitment program in conjunction
with 2) a two day physician training workshop that will teach physicians to
integrate an in-office smoking cessation campaign into their practice
routines.  To develop the recruitmen program, physicians will be
interviewed and surveyed to identify factors which promote or inhibit their
smoking cessation activities.  These will be used to develop a more
attractive and compelling program to recruit physicians to the training
workshop.  To test whether the recruitment program is successful, a random
sample of physicians will be mailed a 'standard' brochure for the workshop
and a random sample will receive the 'improved' recruitment program that is
based on the physician interviews.  It is hypothesized that the 'improved'
materials will result in a doubling of physician response.

The training workshop will teach physicians to deliver a brief and succinct
smoking cessation message centered around a self-help program,
Quit-and-Win, which has shown encouraging effectiveness.  The physicians
will also be taught the correct use of nicotin chewing gum.  To evaluate
the training workshop, practices will be randomly allocated to one of three
groups:  1) A control group asked only to conduct a smoking-cessation
campaign, 2) a materials group given unlimited access to Quit-and-Win and
instructions for using nicotine chewing gum, and 3) a training group given
the workshop, unlimited acess to Quit-and-Win, and instructions for using
nicotine chewing gum.  It is hypothesized that the workshop will result in
significantly higher smoking cessation rates vis-a-vis either educational
materials alone or no intervention.  Smoking cessation will be evaluated
with serum cotinine analysis at one and two years after the intervention.

## Key facts

- **NIH application ID:** 3176479
- **Project number:** 5R01CA038361-04
- **Recipient organization:** UNIVERSITY OF MINNESOTA
- **SAM.gov UEI:** KABJZBBJ4B54
- **Principal Investigator:** Thomas Erling Kottke
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 1987
- **Award amount:** $230,469
- **Award type:** 5
- **Project period:** 1984-07-01 → 1987-12-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/3176479

## Citation

> US National Institutes of Health, RePORTER application 3176479, SMOKING CESSATION DELIVERED IN PHYSICIANS OFFICES (5R01CA038361-04). Retrieved via MORVS 2026-10-24 from https://api.morvs.ai/grant/nih/3176479. Licensed CC0.

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