The potential of quitlines to increase smoking cessation

Borland, Ron; Segan, Catherine

doi:10.1080/09595230500459537

Cited by 76 publications

(67 citation statements)

References 28 publications

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“…Aggressively targeted, proactive dissemination strategies to reach low SES and minority smokers might include integration into existing programs (eg, workers unions) and treatment delivery systems in order to achieve widespread dissemination [46,48]. One crucial strategy for accomplishing this may be to formalize partnerships with health care providers that include physician-assisted access to established treatment resources, such as smoking quit-lines.…”

Section: Reducing Cvd Disparities By Reducing Smoking Disparitiesmentioning

confidence: 99%

Smoking and health disparities

Vidrine

Reitzel²,

Wetter³

2009

Curr Cardio Risk Rep

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Cardiovascular disease (CVD) is the leading cause of death in the United States. Both socioeconomic and racial/ethnic disparities exist for CVD morbidity and mortality, whereby individuals of low socioeconomic status (SES) and members of minority groups are at increased risk of CVD-related disease and death. Smoking is a major contributor to CVD. Quitting smoking can help to improve cardiovascular health and prevent future CVD-related incidents. However, low SES and racial/ethnic minority smokers are less likely to use or have access to effective resources for quitting and less likely to successfully quit smoking. Moreover, the widespread implementation of population-based tobacco cessation approaches may have had the unintended effect of increasing tobacco-related disparities attributable to SES, contributing to CVD-related health disparities. Vulnerable populations of smokers must be provided with effective and accessible treatments for tobacco dependence in order to reduce health disparities.

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Section: Reducing Cvd Disparities By Reducing Smoking Disparitiesmentioning

confidence: 99%

Smoking and health disparities

Vidrine

Reitzel²,

Wetter³

2009

Curr Cardio Risk Rep

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“…In the Netherlands, one-third of quitters receive assistance in quitting and fewer than 1% of smokers contact the national quitline [13]. Research suggests that the use of cessation support can be increased substantially by different strategies aimed to increase awareness of available services [14].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of proactive quitline counselling for smoking parents recruited through primary schools: results of a randomized controlled trial

et al. 2014

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AimsTo test the effectiveness of tailored quitline (telephone) counselling among smoking parents recruited into cessation support through their children's primary schools. Design Two-arm randomized controlled trial with 3-and 12-month follow-up. Setting Proactive telephone counselling was administered by the Dutch national quitline. Participants Smoking parents were recruited through their children's primary schools and received either intensive quitline support in combination with tailored supplementary materials (n = 256) or a standard self-help brochure (n = 256). Measurements The primary outcome was 7-day point-prevalence abstinence at 12-month follow-up. Also measured were baseline characteristics, use of and adherence to nicotine replacement therapy and pharmacotherapy, smoking characteristics and implementation of a home smoking ban. Findings Parents who received quitline counselling were more likely to report 7-day point-prevalence abstinence at 12-month assessment [34.0 versus 18.0%, odds ratio (OR) = 2.35, confidence interval (CI) = 1.56-3.54] than those who received a standard self-help brochure. Parents who received quitline counselling were more likely to use nicotine replacement therapy (P < 0.001) than those who received a standard self-help brochure. Among parents who did not achieve abstinence, those who received quitline counselling smoked fewer cigarettes at 3-month (P < 0.001) and 12-month assessment (P < 0.001), were more likely to make a quit attempt (P < 0.001), to achieve 24 hours' abstinence (P < 0.001) and to implement a complete home smoking ban (P < 0.01). Conclusions Intensive quitline support tailored to smoking parents is an effective method for helping parents quit smoking and promoting parenting practices that protect their children from adverse effects of smoking.

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“…Worldwide, few smokers utilize tobacco quitlines (Borland & Segan, 2006;Ossip-Klein & McIntosh, 2003). Should proactive referral prove to be an effective and cost-effective innovation, it could improve the reach of quitlines and help drive down smoking rates at a time when progress appears to be stalled (Centers for Disease Control and Prevention, 2009) in many countries.…”

Section: Discussionmentioning

confidence: 98%

A Pilot Trial of Proactive Versus Reactive Referral to Tobacco Quitlines

Stoltzfus¹,

Ellerbeck

Hunt

et al. 2011

J Smok Cessat

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Overview:Many U.S. hospitals use fax-referral to quitlines to provide outpatient follow-up. It is important to understand whether it is better to refer all smokers, or only those ready to quit, to quitline services. The purpose of this pilot project was to evaluate the feasibility and intermediate out-comes of a proactive (offering fax referral to all smokers) versus a reactive (pre-screening for readiness to quit within the next 30 days) approach to quitline fax-referral.Method:We employed a pre-test, post-test comparison group design in which a script-based reactive approach was employed over a two-week period and a script-based proactive approach was employed in the following two-week period. Scripts were inserted into the counselling protocols of a pre-existing inpatient treatment program.Major Findings:We enrolled 45 patients — 25 during the reactive, and 20 during the proactive block. In the reactive group, 12 (48%) indicated that they were ready to quit smoking and accepted fax-referral to the quitline. Nine (75%) were successfully contacted and enrolled in the quitline, for an overall quitline enrolment rate of 36% (9/25). In the proactive group, all accepted fax-referral to the quitline and 11 were successfully contacted and enrolled by the quitline for an overall enrolment rate of 55% (11/20). Quitlines were able to reach and enrol a higher proportion of patients referred to them, when patients were pre-screened for readiness to quit. Offering quitline referral, regardless of readiness to quit, potentially expands the reach and possibly the impact of quitline counselling.

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The potential of quitlines to increase smoking cessation

Cited by 76 publications

References 28 publications

Smoking and health disparities

Smoking and health disparities

Effectiveness of proactive quitline counselling for smoking parents recruited through primary schools: results of a randomized controlled trial

A Pilot Trial of Proactive Versus Reactive Referral to Tobacco Quitlines

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