Telephone counselling for smoking cessation

Stead, Lindsay F; Perera, Rafael; Lancaster, Tim

doi:10.1002/14651858.cd002850.pub3

Cited by 506 publications

(232 citation statements)

References 294 publications

Supporting

Mentioning

220

Contrasting

Unclassified

Order By: Relevance

“…The comparison of the smoking cessation outcome was a logistic regression comparing the intent-to-treat 30-day quit rates at 6-month follow-up. To be comparable with current smoking cessation QL trials, we used the missing = smoking imputation for the smoking cessation outcome variable (Stead et al, 2013). To test the extent to which ACT impacts acceptance of cravings to smoke, a linear regression model compared the two arms' AIS acceptance scores at the 3-month followup, whereas a logistic regression model examined whether AIS acceptance scores at 3 months predicted the 30-day point prevalence smoking cessation at 6 months.…”

Section: Discussionmentioning

confidence: 99%

“…In general, the results supported all four aims. The fact these aims were achieved in an uninsured sample of smokers is encouraging because they are a generally challenging population to engage in research (e.g., low retention) and tend to have worse treatment outcomes than the insured (Bush et al, 2012;Schauer et al, 2013;Stead et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…All counselors were bachelors or masters-level providers with at least 3 years of general counseling experience, consistent with prior QL (Hollis et al, 2007;Stead et al, 2013) and ACT intervention trials (Dahl, Wilson, & Nilsson, 2004;Forman et al, 2007;Lappalainen et al, 2007). Counselors completed at least 100 hr of training in the treatment approach that they delivered and, prior to beginning as a study counselor, demonstrated acceptable adherence to the intervention protocol using standardized rating procedures.…”

Section: Counselor Qualifications and Trainingmentioning

confidence: 97%

“…For scientific rigor and comparability with current QL trials (Hollis et al, 2007;Stead et al, 2013), the cessation outcome was 30-day point prevalence abstinence (i.e., no smoking at all in the past 30 days) at the 6-month follow-up. Smoking status was self-reported.…”

Section: Thirty-day Point Prevalence Cessation Outcome At 6-month Folmentioning

confidence: 99%

“…Smoking status was self-reported. Due to cost and low demand characteristics for false reporting, the SRNT Subcommittee on Biochemical Verification recommends biochemical confirmation is unnecessary in population-based studies with limited face-to-face contact and studies where the optimal data collection methods are through the mail or telephone (Benowitz et al, 2002), and selfreported smoking is a standard method for assessing the efficacy of telephone-delivered interventions (Stead et al, 2013).…”

Section: Thirty-day Point Prevalence Cessation Outcome At 6-month Folmentioning

confidence: 99%

See 4 more Smart Citations

Randomized Trial of Telephone-Delivered Acceptance and Commitment Therapy Versus Cognitive Behavioral Therapy for Smoking Cessation: A Pilot Study

Bricker

Bush

Zbikowski

et al. 2014

Nicotine & Tobacco Research

View full text Add to dashboard Cite

Objective: We conducted a pilot randomized trial of telephone-delivered acceptance and commitment therapy (ACT) versus cognitive behavioral therapy (CBT) for smoking cessation.Method: Participants were 121 uninsured South Carolina State Quitline callers who were adult smokers (at least 10 cigarettes/ day) and who wanted to quit within the next 30 days. Participants were randomized to 5 sessions of either ACT or CBT telephone counseling and were offered 2 weeks of nicotine replacement therapy (NRT).results: ACT participants completed more calls than CBT participants (M = 3.25 in ACT vs. 2.23 in CBT; p = .001). Regarding satisfaction, 100% of ACT participants reported their treatment was useful for quitting smoking (vs. 87% for CBT; p = .03), and 97% of ACT participants would recommend their treatment to a friend (vs. 83% for CBT; p = .06). On the primary outcome of intent-to-treat 30-day point prevalence abstinence at 6 months postrandomization, the quit rates were 31% in ACT versus 22% in CBT (odds ratio [OR] = 1.5, 95% confidence interval [CI] = 0.7-3.4). Among participants depressed at baseline (n = 47), the quit rates were 33% in ACT versus 13% in CBT (OR = 1.2, 95% CI = 1.0-1.6). Consistent with ACT's theory, among participants scoring low on acceptance of cravings at baseline (n = 57), the quit rates were 37% in ACT versus 10% in CBT (OR = 5.3, 95% CI = 1.3-22.0). Conclusions:ACT is feasible to deliver by phone, is highly acceptable to quitline callers, and shows highly promising quit rates compared with standard CBT quitline counseling. As results were limited by the pilot design (e.g., small sample), a fullscale efficacy trial is now needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Counselor Qualifications and Trainingmentioning

confidence: 97%

Section: Thirty-day Point Prevalence Cessation Outcome At 6-month Folmentioning

confidence: 99%

Section: Thirty-day Point Prevalence Cessation Outcome At 6-month Folmentioning

confidence: 99%

See 3 more Smart Citations

Randomized Trial of Telephone-Delivered Acceptance and Commitment Therapy Versus Cognitive Behavioral Therapy for Smoking Cessation: A Pilot Study

Bricker

Bush

Zbikowski

et al. 2014

Nicotine & Tobacco Research

View full text Add to dashboard Cite

show abstract

Benefits of Telephone Care Over Primary Care for Smoking Cessation

Zhu

Nelson³

et al. 2006

Arch Intern Med

View full text Add to dashboard Cite

Background: Brief clinician intervention and telephone counseling are both effective aids for smoking cessation. However, the potential benefit of telephone care above and beyond routine clinician intervention has not been examined previously. The objective of this study is to determine if telephone care increases smoking cessation compared with brief clinician intervention as part of routine health care.Methods: This 2-group, prospective, randomized controlled trial enrolled 837 daily smokers from 5 Veterans Affairs medical centers in the upper Midwest. The telephone care group (n=417) received behavioral counseling with mailing of smoking cessation medications as clinically indicated. The standard care group (n=420) received intervention as part of routine health care. The primary outcome was self-reported 6-month duration of abstinence 12 months after enrollment. Secondary outcomes were 7-day point prevalence abstinence at 3 and 12 months, participation in counseling programs, and use of smoking cessation medications.Results: Using intention-to-treat procedures, we found that the rate of 6-month abstinence at the 12-month follow-up was 13.0% in the telephone care group and 4.1% in the standard care group (odds ratio [OR], 3.50; 95% confidence interval [CI], 1.99-6.15). The rate of 7-day point prevalence abstinence at 3 months was 39.6% in the telephone care group and 10.1% in the standard care group (OR, 5.84; 95% CI,). Telephone care compared with standard care increased the rates of participation in counseling programs (97.1% vs 24.0%; OR, 96.22; 95% CI, 52.57-176.11) and use of smoking cessation medications (89.6% vs 52.3%; OR, 7.85; 95% CI, 5.34-11.53). Conclusion:Telephone care increases the use of behavioral and pharmacologic assistance and leads to higher smoking cessation rates compared with routine health care provider intervention.

show abstract

A Randomized Trial of a Pay-for-Performance Program Targeting Clinician Referral to a State Tobacco Quitline

Bluhm

Foldes

et al. 2008

Arch Intern Med

View full text Add to dashboard Cite

Background: Tobacco quitlines offer clinicians a means to connect their patients with evidence-based treatments. Innovative methods are needed to increase clinician referral.Methods: This is a clinic randomized trial that compared usual care (n=25 clinics) vs a pay-for-performance program (intervention) offering $5000 for 50 quitline referrals (n=24 clinics). Pay-for-performance clinics also received monthly updates on their referral numbers. Patients were eligible for referral if they visited a participating clinic, were 18 years or older, currently smoked cigarettes, and intended to quit within the next 30 days. The primary outcome was the clinic's rate of quitline referral (ie, number of referrals vs number of smokers seen in clinic).Results: Pay-for-performance clinics referred 11.4% of smokers (95% confidence interval [CI], 8.0%-14.9%; total referrals, 1483) compared with 4.2% (95% CI, 1.5%-6.9%; total referrals,441) for usual care clinics (P=.001).Rates of referral were similar in intervention vs usual care clinics (n=9) with a history of being very engaged with quality improvement activities (14.1% vs 15.1%, respectively; P=.85). Rates were substantially higher in intervention vs usual care clinics with a history of being engaged (n = 22 clinics; 10.1% vs 3.0%; P = .001) or less engaged (n=18 clinics; 10.1% vs 1.1%; P=.02) with quality improvement. The rate of patient contact after referral was 60.2% (95% CI, 49.7%-70.7%). Among those contacted, 49.4% (95% CI, 42.8%-55.9%) enrolled, representing 27.0% (95% CI, 21.3%-32.8%) of all referrals. The marginal cost per additional quitline enrollee was $300. Conclusion:A pay-for-performance program increases referral to tobacco quitline services, particularly among clinics with a history of less engagement in quality improvement activities.

show abstract

Telephone counselling for smoking cessation

Cited by 506 publications

References 294 publications

Randomized Trial of Telephone-Delivered Acceptance and Commitment Therapy Versus Cognitive Behavioral Therapy for Smoking Cessation: A Pilot Study

Randomized Trial of Telephone-Delivered Acceptance and Commitment Therapy Versus Cognitive Behavioral Therapy for Smoking Cessation: A Pilot Study

Benefits of Telephone Care Over Primary Care for Smoking Cessation

A Randomized Trial of a Pay-for-Performance Program Targeting Clinician Referral to a State Tobacco Quitline

Contact Info

Product

Resources

About