This study analyzed differences in baseline, course of treatment, and
post-quit variables of participants in a tobacco-cessation program to
identify factors predictive of outcome that could be used as a focus f
or intervention, The program offered a 10-week course of transdermal n
icotine replacement combined with education and cognitive/behavioral t
herapy in a group format at a major military medical center, Demonstra
ted differences were found among abstainers, early relapsers, and late
relapsers in age-initiated tobacco use, use of liquor, levels of exha
led carbon monoxide at intake, tobacco use during the program, and per
ceived reasons for relapse, The abstinence rate at follow-up was 27%,
Based on our findings, we discuss recommendations to improve treatment
, This information is offered as a model to evaluate and improve the e
fficacy of established clinic-based tobacco-cessation programs.