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Walk or Run to Quit: a 3-year evaluation of a physical activity-based smoking cessation intervention

Published online by Cambridge University Press:  22 September 2020

Carly S. Priebe*
Affiliation:
Faculty of Education, University of British Columbia, School of Kinesiology, Vancouver, British Columbia, Canada
Kelly Wunderlich
Affiliation:
Faculty of Education, University of British Columbia, School of Kinesiology, Vancouver, British Columbia, Canada
John Atkinson
Affiliation:
Canadian Cancer Society, Toronto, Ontario, Canada
Guy Faulkner
Affiliation:
Faculty of Education, University of British Columbia, School of Kinesiology, Vancouver, British Columbia, Canada
*
Author for correspondence: Carly S. Priebe, E-mail: [email protected]

Abstract

Introduction

Walk or Run to Quit was a national program targeting smoking cessation through group-based running clinics. Increasing physical activity may facilitate smoking cessation as well as lead to additional health benefits beyond cessation.

Aim

To evaluate the impact of Walk or Run to Quit over 3 years.

Methods

Adult male and female participants (N = 745) looking to quit smoking took part in 156 running-based cessation clinics in 79 locations across Canada. Using a pre-post design, participants completed questionnaires assessing physical activity, running frequency and smoking at the beginning and end of the 10-week program and at 6-months follow-up. Carbon monoxide testing pre- and post- provided an objective indicator of smoking status and coach logs assessed implementation.

Results

55.0% of program completers achieved 7-day point prevalence (intent-to-treat = 22.1%) and carbon monoxide significantly decreased from weeks 1 to 10 (P < 0.001). There was an increase in physical activity and running from baseline to end-of-program (P's<0.001). At 6-month follow-up, 28.9% of participants contacted self-reported prolonged 6-month abstinence (intent-to-treat = 11.4%) and 35.6% were still running regularly.

Conclusions

Although attrition was a concern, Walk or Run to Quit demonstrated potential as a scalable behaviour change intervention that targets both cessation and physical activity.

Type
Original Articles
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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References

Belita, E., & Sidani, S. (2015). Attrition in smoking cessation intervention studies: A systematic review. The Canadian Journal of Nursing Research, 47(4), 2140.10.1177/084456211504700404CrossRefGoogle ScholarPubMed
Boutelle, K. N., Jeffrey, R. W., & French, S. A. (2004). Predictors of vigorous exercise adoption and maintenance over four years in a community sample. International Journal of Behavioral Nutrition and Physical Activity, 1, 113. doi: 10.1186/1479-5868-1-13.CrossRefGoogle Scholar
Canadian Cancer Society (2013). For smokers who want to quit – One step at a time. Canadian Cancer Society.Google Scholar
Canadian Health Measures Survey, Statistics Canada (2017). Retrieved from: https://www150.statcan.gc.ca/n1/daily-quotidien/190417/dq190417g-eng.htm.Google Scholar
Canadian Health Measures Survey, Statistics Canada (2018). Retrieved from: https://www150.statcan.gc.ca/n1/daily-quotidien/190417/dq190417g-eng.htm.Google Scholar
Christakis, N. A., & Fowler, J. H. (2008). Quitting in droves: Collective dynamics of smoking behavior in a large social network. The New England Journal of Medicine, 358(21), 22492258. doi: 10.1056/NEJMsa0706154.CrossRefGoogle Scholar
coVita (2013) Tools for treatment professionals: The Smokerlyzer® Breath CO Test Instructions and Tips. Accessed at: https://covita.net/assets/smokerlyzer-test-and-tips---pico--micro-.pdf.Google Scholar
deRuiter, W., & Faulkner, G. (2006). Tobacco harm reduction strategies: The case for physical activity. Nicotine & Tobacco Research, 8, 157168.10.1080/14622200500494823CrossRefGoogle ScholarPubMed
Garriguet, D., Tremblay, S., & Colley, R. C. (2015). Comparison of Physical Activity Adult Questionnaire results with accelerometer data: Methodological Insights Statistics Canada, Catalogue no. 82-003–X • Health Reports, 26, 1117.Google Scholar
Glowacki, K., Priebe, C.S., O'Neill, M., & Faulkner, G. (2018). When you put the group and the running together…’: A qualitative examination of participant and coach experiences of the Canadian Run to Quit program. Journal of Smoking Cessation, 14, 17. doi: 10.1017/jsc.2018.13.Google Scholar
Haasova, M., Warren, F. C., Ussher, M., Van Rensburg, K. J., Faulkner, G., Cropley, M. et al. (2014). The acute effects of physical activity on cigarette cravings: Exploration of potential moderators, mediators and physical activity attributes using individual participant data (IPD) meta-analyses. Psychopharmacology, 231, 12671275.10.1007/s00213-014-3450-4CrossRefGoogle ScholarPubMed
Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., & Fagerstrom, K. O. (1991). The Fagerstrom test for nicotine dependence: A revision of the Fagerstrom Tolerance Questionnaire. British Journal Addiction, 86, 11191127.10.1111/j.1360-0443.1991.tb01879.xCrossRefGoogle ScholarPubMed
Hughes, J. R., Keely, J. P., Niaura, R. S., Ossip-Klein, D. J., Richmond, R. L., & Swan, G. E. (2003). Measures of abstinence in clinical trials: Issues and recommendations. Nicotine & Tobacco Research, 5(1), 1325.10.1080/1462220031000070552CrossRefGoogle ScholarPubMed
Kaczynski, A. T., Manske, S. R., Mannell, R. C., & Grewal, K. (2008). Smoking and physical activity: A systematic review. American Journal of Health Behaviour, 32, 93110.10.5993/AJHB.32.1.9CrossRefGoogle ScholarPubMed
Linke, S. E., Ciccolo, J. T., Ussher, M., & Marcus, B. H. (2019). Exercise-based smoking interventions among women. Womens Health (London), 9, 6984. doi: 10.2217/whe.12.63.CrossRefGoogle Scholar
Linke, S. E., Gallo, L. C., & Norman, G. J. (2011). Attrition and adherence rates of sustained vs. intermittent exercise interventions. Annals of Behavioral Medicine, 42(2), 197209. doi: 10.1007/s12160-011-9279-8.CrossRefGoogle ScholarPubMed
Looyestyn, J., Kernot, J., Boshoff, K., & Maher, C. (2018). A web-based, social networking beginners’ running intervention for adults aged 18 to 50 years delivered via a Facebook group: Randomized controlled trial. Journal of Medical Internet Research, 20(2), E67.10.2196/jmir.7862CrossRefGoogle Scholar
Lorencatto, F., West, R., Seymour, N., & Michie, S. (2013). Developing a method for specifying the components of behavior change interventions in practice: The example of smoking cessation. Journal of Consulting and Clinic Psychology, 81, 528544.10.1037/a0032106CrossRefGoogle ScholarPubMed
Michie, S., Ashford, S., Sniehotta, F. F., Dombrowski, S. U., Bishop, A., & French, D. P. (2011). A refined taxonomy of behaviour change techniques to help people change their physical activity and healthy eating behaviours: The CALO-RE taxonomy. Psychology & Health, 2, 14791498.10.1080/08870446.2010.540664CrossRefGoogle Scholar
Priebe, C. S., Atkinson, J., & Faulkner, G. (2016). Run to Quit: Program design and evaluation protocol. Mental Health and Physical Activity, 11, 3845.10.1016/j.mhpa.2016.09.003CrossRefGoogle Scholar
Priebe, C. S., Atkinson, J., & Faulkner, G. (2017). Run to Quit: An evaluation of a scalable physical activity-based smoking cessation intervention. Mental Health and Physical Activity, 13, 1521. http://dx.doi.org/10.1016/j.mhpa.2017.08.001.CrossRefGoogle Scholar
Prochaska, J. J., Spring, B., & Nigg, C. R. (2008). Multiple health behavior change research: An introduction and overview. Preventive Medicine, 46, 181188. doi: 10.1016/j.ypmed.2008.02.001.CrossRefGoogle ScholarPubMed
Reis, R. S., Salvo, D., Ogilvie, D., Lambert, E. V., Goenka, S., & Brownson, R. C. (2016). Scaling up physical activity interventions worldwide: Stepping up to larger and smarter approaches to get people moving. The Lancet, 388, 12541255. http://dx.doi.org/10.1016/S0140-6736(16)30728-0.CrossRefGoogle ScholarPubMed
Stead, L. F., Hartmann-Boyce, J., Perera, R., & Lancaster, T. (2013). Telephone counselling for smoking cessation. Cochrane Database of Systematic Reviews, 8, CD002850. doi: 10.1002/14651858.CD002850.pub3.Google Scholar
Stead, L. F., Koilpillai, P., Fanshawe, T. R., & Lancaster, T. (2016). Combined pharmacotherapy and behavioural interventions for smoking cessation. Cochrane Database of Systematic Reviews, 3, CD008286. doi: 10.1002/14651858.CD008286.pub3.Google ScholarPubMed
Stead, L. F., & Lancaster, T. (2005). Group behaviour therapy programmes for smoking cessation. Cochrane Database of Systematic Reviews, 2, CD001007. doi: 10.1002/14651858.C D001007.pub2.Google Scholar
Stead, L. F., Perera, R., Bullen, C., Mant, D., Hartmann-Boyce, J., Cahill, K., & Lancaster, T. (2012). Nicotine replacement therapy for smoking cessation. The Cochrane Database of Systematic Reviews, 14(11), CD000146. doi: 10.1002/14651858.CD000146.pub4.Google Scholar
Thompson, T., Taylor, A., Wanner, A., Husk, K., Wei, Y., Creanor, S., … Wallace, G. (2018). Physical activity and the prevention, reduction, and treatment of alcohol and/or substance use across the lifespan (The PHASE review): Protocol for a systematic review. Systematic Reviews, 7, 9. doi: 10.1186/s13643-018-0674-0.CrossRefGoogle ScholarPubMed
Ussher, M. H., Faulkner, G. E. J., Angus, K., Hartmann-Boyce, J., & Taylor, A. H. (2019). Exercise interventions for smoking cessation. Cochrane Database Systematic Review, 10, CD002295. doi: 10.1002/14651858.CD002295.pub6.Google Scholar
Walter, K., Von Haaren, B., Loffler, S., Hartel, S., Jansen, C., Werner, C., … Boes, S. (2013). Acute and medium term effects of a 10-week running intervention on mood state in apprentices. Frontiers In Psychology, 4, 110.10.3389/fpsyg.2013.00411CrossRefGoogle Scholar
WHO MONICA Project (1997) MONICA Manual. Part III: Population Survey. Section 1: Population survey data component. Available from: http://www.thl.fi/publications/monica/manual/part3/iii-1.htm, URN:NBN:fi-fe19981151.Google Scholar