Evidence of Real-World Effectiveness of a Telephone Quitline for Smokers

Zhu, Shu‐Hong; Anderson, Christopher M.; Tedeschi, Gary J.; Rosbrook, Bradley; Johnson, Clarence Dan; Byrd, Michael; Gutiérrez-Terrell, Elsa

doi:10.1056/nejmsa020660

Cited by 410 publications

(356 citation statements)

References 19 publications

(25 reference statements)

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“…As SARC also is attempting to adopt some of the pervious health promotion and education strategies, author is briefing some of the previous international efforts in these aspects. Previous studies suggested the importance of conducting research to identify factors associated with successful tobacco quit attempts may help in the development and targeting of effective cessation strategies (Christen, 2001;Zhu et al, 2002;Kauffman et al, 2008). Further research is needed to study ST addiction with the assistance of a theory driven complete scale that has superior psychometric properties (Spielberger et al, 1995;Haddock et al, 1999;Ebbert et al, 2011).…”

Section: Some Recommendations Of Previous Work On St Quittingmentioning

confidence: 99%

Smokeless Tobacco (Shammah) in Saudi Arabia: A Review of its Pattern of Use, Prevalence, and Potential Role in Oral Cancer

Alsanosy¹

2014

Asian Pacific Journal of Cancer Prevention

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Section: Some Recommendations Of Previous Work On St Quittingmentioning

confidence: 99%

Smokeless Tobacco (Shammah) in Saudi Arabia: A Review of its Pattern of Use, Prevalence, and Potential Role in Oral Cancer

Alsanosy¹

2014

Asian Pacific Journal of Cancer Prevention

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“…25 Quitlines are increasingly available in the United States and have demonstrated effectiveness for smoking cessation. 26 The majority of parents who smoke would accept quitline enrollment in the context of their child's visit to the doctor. 27,28 Previous qualitative work suggested that fathers were not likely to rely on smoking cessation resources to help them quit.…”

Section: Figurementioning

confidence: 99%

Using the Postpartum Hospital Stay to Address Mothers' and Fathers' Smoking: The NEWS Study

et al. 2010

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OBJECTIVE: The objective of this study was to test the feasibility and acceptability of introducing an intervention to address mothers' and fathers' smoking during the postpartum hospitalization. METHODS: During a 14-month period (February 2005 to April 2006), we assessed the smoking status of both parents of all newborns who were delivered at a hospital child birth center. Parents who were current smokers (1 cigarette, even a puff, in past 30 days) or recent quitters (smoked since 1 month before conception) were eligible for the study. Parents were assigned to intervention or usual care control condition on the basis of day of study enrollment. Smoking outcomes were assessed at 3 months by telephone survey and cotinine confirmation; quitline use was assessed at 3 months by using quitline database. RESULTS: A total of 101 (64%) of 159 eligible parents enrolled in the study (n = 53 control subject, n = 48 intervention), including 72 (71%) current smokers and 29 (29%) recent quitters. All parents in the intervention group received the in-hospital counseling session, 94% had a fax sent to a provider, and 36 (75%) accepted quitline enrollment. In an intention-to-treat analysis that included both current smokers and recent quitters, self-reported 7-day abstinence decreased from 31% to 25% among intervention parents versus 38% to 23% among control subjects (effect size 9.4%; nonsignificant). Among current smokers at baseline who were reached at follow-up (n = 36), self-reported 24-hour quit attempts were higher in the intervention group versus control group (64% vs 18%; P = .005), whereas the cotinine-confirmed 7-day abstinence rates at follow-up were 9% in the intervention group and 3% in the control group (nonsignificant). CONCLUSIONS: Enrolling mothers and fathers into tobacco treatment services during the immediate postpartum hospital stay is feasible and seems to stimulate quit attempts. The birth of an infant presents a teachable moment to reach both parents and to provide cessation assistance.

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“…In addition, the real-world effectiveness of proactive calls has recently been demonstrated using an innovative methodological approach to a natural experiment in California. 20 Variability has been found in results for individual applications of proactive calls. Efficacy has been demonstrated when proactive telecounseling is used as the primary intervention [21][22][23][24][25] and to augment hospital initiated interventions for cardiac patients 26,27 or general hospitalized patients.…”

Section: Evidence Base: Proactive Telecounselingmentioning

confidence: 99%

Quitlines in North America: Evidence Base and Applications

Ossip-Klein

McIntosh

2003

The American Journal of the Medical Sciences

143

101

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Quitlines provide a model for the translation of research findings to public health application. Quitlines are currently in operation in more than half of US states, in Canada, and in multiple countries globally. Overall, when implemented correctly, quitlines have been shown to be efficacious and effective. Multiple quitline models are in use, but there is no evidence on the relative effectiveness of one over the other. Differences have been demonstrated for the efficacy of quitlines for specific applications, with the strongest evidence base for application as a primary intervention or as follow-up for hospitalized patients and particularly for cardiac patients. The evidence base for both reactive and proactive services is reviewed, and future directions to continue to advance the field are discussed. Q uitlines provide an exemplary model of how research findings can be translated into public health application. The field began with a handful of researchers in the early 1980s and experienced marked growth through the past 2 decades. Currently, in North America, quitlines are in operation in more than 30 US states, a number of major American health systems, and multiple Canadian provinces. Quitlines are also available in multiple countries globally, including Denmark, France, Germany, Iceland, Ireland, Italy, Netherlands, Norway, Poland, Portugal, Spain, Sweden, Switzerland, the United Kingdom, Australia, New Zealand, and others.Overall, when implemented correctly, quitlines have been shown to be both efficacious and effective. The beneficial impact of quitlines has been supported by 3 meta-analyses 1-3 and by multiple individual studies.The purpose of this article is to provide an overview of the goals, range of services, and models for quitlines; to summarize the evidence base for what works; to discuss a special and growing application of quitlines to adolescents; and to provide a look at directions for the field. Overview: Goals, Range of Services, Quitline ModelsGoals. Quitlines can have the greatest potential impact when used as part of a comprehensive tobacco control effort. Within this context, quitlines can have 2 primary goals to maximize their public health influence. First, quitlines can provide direct service to help smokers quit. The Centers for Disease Control (CDC) estimates that only 2.5% of smokers quit permanently each year 4 ; similar figures have also been reported for the United Kingdom. 5 These rates suggest that there is considerable opportunity for quitlines to directly affect smoking cessation behavior; even a small percentage increase in quit rates has the potential to translate into meaningful public health change.A second primary goal of quitlines is to increase the number of smokers making a quit attempt each year, by awareness raising generated from promotional campaigns linked with quitlines. Even if success rates for quitting remain constant among those who try, increasing the number of smokers who make a quit attempt can yield a greater number of total quitters. About ...

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Evidence of Real-World Effectiveness of a Telephone Quitline for Smokers

Cited by 410 publications

References 19 publications

Smokeless Tobacco (Shammah) in Saudi Arabia: A Review of its Pattern of Use, Prevalence, and Potential Role in Oral Cancer

Smokeless Tobacco (Shammah) in Saudi Arabia: A Review of its Pattern of Use, Prevalence, and Potential Role in Oral Cancer

Using the Postpartum Hospital Stay to Address Mothers' and Fathers' Smoking: The NEWS Study

Quitlines in North America: Evidence Base and Applications

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