Unintended Adverse Effects Of Advertising For Nicotine Replacement Therapies
Funder
National Health and Medical Research Council
Funding Amount
$133,250.00
Summary
Advertising for certain pharmaceutical products (nicotine replacement therapy( NRT)) to help people quit smoking has been permitted in Australia since 1997. Zyban, an antidepressant drug, has been found to be helpful in quitting smoking, but advertising has not yet been permitted in Australia although it is allowed overseas. Because such advertising will reach more than the primary target group of heavy smokers ready to quit, it is important to consider the responses of other smokers who are not ....Advertising for certain pharmaceutical products (nicotine replacement therapy( NRT)) to help people quit smoking has been permitted in Australia since 1997. Zyban, an antidepressant drug, has been found to be helpful in quitting smoking, but advertising has not yet been permitted in Australia although it is allowed overseas. Because such advertising will reach more than the primary target group of heavy smokers ready to quit, it is important to consider the responses of other smokers who are not ready to quit and those at risk of taking up smoking. There is concern that there may be 'boomerang' effects, albeit unintended, on these population groups, because they may feel reassured that there is an effective method to quit and so be in no rush to quit soon, they may try to quit using these products before they are really ready, and in the case of teenagers, they may think that these products make it easy to quit, so there is less problem with starting to smoke. In order to assess if this is so, we will randomly allocate smokers not yet ready to quit and teenagers to either (a) a group where they view 3 ads promoting non-drug methods of quitting, such as the Quitline, (b) a group where they view 3 ads promoting the NRT gum or patch, or (c) a group where they view 3 ads promoting Zyban as a method for quitting. The study will use questionnaires to assess whether, compared with those viewing the non-drug anti-smoking ads, those viewing the NRT or Zyban ads think smoking is less addictive and have less intention to quit, or in the case of teenagers, have more intention to take up smoking. This project will be the first formal study to assess whether there may be adverse effects of NRT and Zyban advertising on smokers not yet ready to quit and teenagers who are not already regular smokers. For this reason, the study will help an assessment of the risks of such advertising compared with the established benefits for smokers who are ready to quit.Read moreRead less
Smoking Cessation For Youth Project Booster And Cohort Tracking Study
Funder
National Health and Medical Research Council
Funding Amount
$135,550.00
Summary
Adolescence is a critical period for the establishment of adult drug use behaviours. If smoking does not commence in teenage years it is unlikely to occur. This innovative project not only continues to address tobacco control with this important age group but also builds on evidence from a randomised intervention trial involving over 4,000 Year 9 students tracked over two years. This project was called the Smoking Cessation for Youth Project (SCYP). Preliminary longitudinal analyses of the SCYP ....Adolescence is a critical period for the establishment of adult drug use behaviours. If smoking does not commence in teenage years it is unlikely to occur. This innovative project not only continues to address tobacco control with this important age group but also builds on evidence from a randomised intervention trial involving over 4,000 Year 9 students tracked over two years. This project was called the Smoking Cessation for Youth Project (SCYP). Preliminary longitudinal analyses of the SCYP data indicate that the intervention students were significantly less likely to smoke heavily (smoking five or more days per week) than the control group and that intervention students were also significantly less likely to have tried smoking than the control group. These results represent a world first in evidence that population-based smoking cessation interventions among teenagers can be successful. The proposed project will determine the extent to which these positive intervention effects are sustainable, two years post intervention, as our cohort moves into Year 12. In addition to tracking the possible decay of SCYP intervention effects, the proposed project will also measure the effects of a booster intervention delivered students when they are in Year 12 (2002). The Year 12 intervention will comprise an innovative self-help 'magazine style' booster and a supportive environmental intervention involving school nurses and local GPs. This proposal represents a cost-effective opportunity to measure the effectiveness of a Year 12 tobacco cessation booster intervention. Further data on tobacco smoking behaviour in 2002 will also enable us to determine how long the SCYP intervention appears to affect behaviour and whether 'boosters' are needed in later secondary school years to maintain the benefits.Read moreRead less
Mass Disseminable Approaches To Smoking Cessation In General Practice
Funder
National Health and Medical Research Council
Funding Amount
$412,100.00
Summary
Tobacco smoking is the most significant preventable cause of mortality in Australia. At any one time, many smokers want to quit. There are several interventions that are known to work in research settings, such as advice from care providers, self-help materials, drug therapies and telephone counselling. This study wants to find out if these strategies work in ordinary general practice. Over 50% of Australian have access to the Internet and research suggests that seeking health information is one ....Tobacco smoking is the most significant preventable cause of mortality in Australia. At any one time, many smokers want to quit. There are several interventions that are known to work in research settings, such as advice from care providers, self-help materials, drug therapies and telephone counselling. This study wants to find out if these strategies work in ordinary general practice. Over 50% of Australian have access to the Internet and research suggests that seeking health information is one of the most common uses of this technology. The rapid growth of Internet use potentially provides access to a number of cessation aids for tobacco smokers, including online support through 'chat rooms'. It is also possible to tailor interventions to individuals according to their stated interests and readiness to quit. General practitioners, in addition to providing support and care to smokers attemtping to quit, can direct them to community services such as Quit Victoria, which now offers smoking cessation programs tailored to individuals' needs delivered either through telephone counselling or by the Internet. We want to know whether more smokers quit successfully if their GP refers them to Quit services in addition to their usual care. As well as assessing the effectiveness of broadly distributable interventions in smoking cessation, this project will also collect data about the use of the Internet for health research. Little is known about how to perform research on the Web. This project will allow automatic monitoring of how people respond to research endeavours in this environment.Read moreRead less
Randomised Controlled Trial Of A Financial Counselling Intervention And Smoking Cessation Assistance To Reduce Smoking In Socioeconomically Disadvantaged Groups
Funder
National Health and Medical Research Council
Funding Amount
$2,029,662.00
Summary
Socioeconomically disadvantaged groups are more likely to smoke than other sectors of the community. This difference has been attributed, in part, to increased rates of relapse. Relapse is strongly and consistently predicted by financial stress. This project attempts to reduce relapse by reducing financial stress among disadvantaged smokers through the provision of financial counselling as an adjunct to NRT.
Modifiable Influences On Tobacco, Cannabis And Other Drug Use In Early Adolescence.
Funder
National Health and Medical Research Council
Funding Amount
$198,434.00
Summary
High rates of tobacco and cannabis use by Australia s young people are a continuing concern. This study will explore the factors that influence the development of drug use from late childhood. The International Youth Development Study collected data from 5,769 students in Grades 5, 7, and 9 in Washington State, U.S., and Victoria, Australia. Findings will both increase understanding of adolescent tobacco and cannabis use in the Australian context and inform prevention policy.
Randomised Trial Of A GP-initiated Tobacco Control Intervention With Arabic-speaking Smokers
Funder
National Health and Medical Research Council
Funding Amount
$232,000.00
Summary
Previous estimates of smoking rates among Arabic-speakers men and women range from 43% to 55%. No intervention has been designed specifically to target smoking in this community. Barriers to smoking cessation among Arabic-speakers are poorly understood. GPs find it difficult to counsel smokers about their smoking. Even when they do, they are as likely to use ineffective strategies. An alternative approach is referral of smokers by GPs to a smoking cessation skilled in evidence-based behavioural ....Previous estimates of smoking rates among Arabic-speakers men and women range from 43% to 55%. No intervention has been designed specifically to target smoking in this community. Barriers to smoking cessation among Arabic-speakers are poorly understood. GPs find it difficult to counsel smokers about their smoking. Even when they do, they are as likely to use ineffective strategies. An alternative approach is referral of smokers by GPs to a smoking cessation skilled in evidence-based behavioural strategies to facilitate abstinence. Therefore, we propose to conduct a randomised controlled trial to assess the effectiveness of referral of smokers attending general practices who offer consultation in Arabic to an Arabic-speaking counsellor for intensive support to improve quit rates at six and twelve months. We also will assess the acceptability of the intervention to smokers and GPs. Participating Arabic-speaking GPs in SWS will refer to the study about 1050 Arabic men and women aged between 18 and 65 years who self-report being current smokers. Participants will receive either intensive smoking cessation intervention or usual care provided by their GPs and self-help written information. The Intensive intervention will involve usual care by GPs and intensive smoking cessation counselling program that will involve series of scheduled telephone calls from an Arabic-speaking counsellor trained in smoking cessation counselling; printed self-help material in Arabic script and also will be offered a home visit and face-to-face counselling session. Results from this randomised trial will add to the scarce literature about smoking cessation among ethnic CALD minorities in Australia and overseas. If proven to be effective, a new choice will have been emerged to achieve optimal tobacco control in ethnic minorities in general practice. Divisions could consider employing bilingual counsellors as a resource for all GPs in their region.Read moreRead less
Identifying Levels And Types Of Emotion That Maximise Effectiveness Of Anti-smoking Ads, Especially In Low SES Smokers
Funder
National Health and Medical Research Council
Funding Amount
$371,552.00
Summary
Seizing the rare opportunity presented by well funded anti-tobacco media campaigns in Victoria over 2011-13, this research aims to investigate the optimum strength and type of emotion evoked by anti-smoking ads by examining smokers responses to a variety of ads. To decide whether campaign messages need to be tailored for disadvantaged groups, this research focuses on whether the impact of emotion in anti-smoking ads is different in disadvantaged smokers as compared to the broader population.
Public Health Policies And Interventions To Reduce Tobacco-related Harms Among Socially Disadvantaged Populations And ‘low Probability Quitters’
Funder
National Health and Medical Research Council
Funding Amount
$421,747.00
Summary
Tobacco continues to be a leading cause of preventable death and disease in Australia. Those who are socially disadvantaged are at higher risk of smoking, which contributes to the health gap between the rich and poor. This research will provide evidence for policy makers on interventions which could reduce smoking among the most disadvantaged in society. It will also examine whether less harmful nicotine products could a reduce health risks in smokers who find quitting difficult.
Understanding The Impacts Of Vaporised Nicotine Products On Smoking In Australia
Funder
National Health and Medical Research Council
Funding Amount
$1,603,159.00
Summary
Vaporised nicotine products (e.g., e-cigarettes) are widely used in Australia, even though possession of the nicotine fluid without a permit is an offence. They are primarily used by smokers as a means of quitting. However, there is concern about their potential attractiveness and uptake by non-smokers. The aim is to identify how these products might be used to both maximise smoking cessation and minimise nicotine use, especially smoking uptake by non-smokers.