Program

Aug 15, 2012

OVERVIEW

Project
SUCCESS is a multi-component, computer- and clinic-based intervention for
college students who smoke cigarettes. The program aims to get students to quit
smoking. It involves one-on-one motivational interviewing with a trained
counselor, computer-based booster sessions, nicotine replacement therapy, and
personalized health feedback. An experimental evaluation of the program found
that, compared with those in a control group, those in the intervention were
twice as likely to quit smoking in the subsequent 12 months.

DESCRIPTION OF PROGRAM


Target Population:

College
students who smoke cigarettes.

Project
SUCCESS is a multidimensional smoking cessation program for college students
that utilizes motivational interviewing, individualized health feedback, an
internet-based program, and nicotine patches to reduce smoking prevalence. This
program is designed to increase participants’ self efficacy and skills for
successfully quitting smoking, and to increase their perceptions of personal
vulnerability to the negative health outcomes of smoking. The intervention
involves individual meetings with counselors at baseline, 3 months, and 12
months. These sessions include health feedback based on biometric data (e.g.,
lung age) and motivational interviewing exploring participants’ desire and
motivation to change their smoking behaviors. At the first meeting,
participants who smoke five or more cigarettes per day are offered nicotine
replacement therapy. Between sessions, five computer-based booster sessions are
delivered via a program website.

EVALUATION
OF PROGRAM

Evaluated
Population:

The sample
consisted of 509 college students at a large state-funded university in the
southwestern United States. To be included in the study, students had to be
between 18 and 35 years old, enrolled at the college, able to read English, able
to access the internet and a telephone, and be a current smoker who smoked at
least one cigarette per day for at least 6 months. The sample was 53 percent
male, with an average age of 24 years. The racial/ethnic composition of the
sample was 71 percent white, 21 percent Asian, 11 percent Hispanic, 6 percent
black, and 2 percent “other.”

Approach: Students
were individually randomized to receive the Project SUCCESS intervention (n=231)
or standard care (n=278). The intervention condition followed the structure
outlined above, while the standard care condition involved written self-help
smoking cessation literature and two brief in-person follow-up visits that did
not include personalized counseling. Nicotine replacement therapy (nicotine
patches) were offered to all participants. Self-report of alcohol consumption,
and smoking-related characteristics (nicotine dependence, cigarettes per day,
and history of cigarette smoking) were collected at baseline and at 12-month
follow-up. At baseline, those in the intervention group reported slightly
heavier cigarette use. The groups were not significantly different on any other
variable.

Results: At follow-up, significantly more of those in the intervention group had stopped
smoking, compared with the control group (odds ratio: 2.3). However, there was
no impact on alcohol consumption, nicotine dependence, history of cigarette
smoking, or number of cigarettes smoked per day.

SOURCES
FOR MORE INFORMATION

References

Calabro, K. S., Marani, S., Yost, T., Segura, J., Jones, M. M., Nelson, S., …Prokhorov, A. V. (2012). Project SUCCESS: Results from a randomized controlled
trial. International Scholarly Research Network, 2012,1-9.
doi:10.5402/2012/913713

Contact
Information

Alexander
V. Prokhorov

Email:
aprokhor@mdanderson.org

KEYWORDS: Young
Adults (18-24), College, Males and Females (Co-ed), Clinic/Provider-based,
Counseling/Therapy, Computer-based, Tobacco Use

Program
information last updated on 08/15/12.

Subscribe to Child Trends

Short weekly updates of recent research on children and youth.