The uninsured and Medicaid Oregon tobacco user experience in a real world, phone based cessation programme

Abstract

Objective: To describe the experience of uninsured and Medicaid Oregon tobacco users who registered in Free & Clear (F&C), a telephone based cessation programme including five scheduled outbound calls. Design and setting: Using a retrospective cohort design, 1334 (423 uninsured, 806 Medicaid, and 105 commercially insured) Oregon tobacco users who registered in F&C between 18 November 1998 and 28 February 2000 were identified and followed for 12 months post-registration; 648 (48.6%) were successfully contacted at 12 months. Information was collected from the F&C database. Unconditional logistic regression, adjusted for race and education, was used. Results: The seven day quit rate at 12 months, assuming non-respondents were smokers, was 14.8% (95% confidence interval (CI) 13.0 to 16.9). This rate was significantly higher among commercially insured participants (v Medicaid but not uninsured) and among participants who completed > 5 calls (v < 5 calls). The quit rate for those contacted at 12 months was 30.6% (95% CI 27.0% to 34.3%) and varied, however not significantly, by insurance and number of calls. After adjustment, respondents who completed > 5 calls were 60% more likely to quit tobacco (odds ratio (OR) 1.6, 95% CI 0.9 to 3.1), and uninsured respondents who completed > 5 calls were 70% more likely to quit tobacco (OR 1.7, 95% CI 0.9 to 3.5), relative to those who completed < 5 calls, but the difference was not significant. Conclusions: The quit rates are similar to those reported in efficacy trials. The observed variation in quitting tobacco for respondents by number of calls completed and by insurance merits further investigation concentrating on increasing compliance with the call schedule, particularly for the uninsured.

Quitline in smoking cessation: A cost-effectiveness analysis

“…All calls are registered on computerized patient records (7). The reported quit rate of the Swedish Age Age Male Male Female Female Total Total Age (yr) sample (%) quitline (%) sample n (%) quitline n (%) sample n (%) quitline n (%) sample n (%) quitline n (%) quitline is 31 percent, similar to the results achieved in other nonrandomized trials (5). The aim of this study is a costeffectiveness analysis of this Swedish quitline.…”

Provider feedback to improve 5A's tobacco cessation in primary care: A cluster randomized clinical trial

“…Although we were unable to assess overall impact of this quitline referral process, the 4% referral rate of smokers within the clinics represents a threefold increase, compared with population-based historical data in Oregon (El-Bastawissi et al, 2003) and Wisconsin (Perry, Keller, Fraser, & Fiore, 2005). Several hundred patients referred to the quitline did not give consent to be included in this study; inclusion of these patients would have raised our overall referral rate even further.…”

Utilization of Services in a Randomized Trial Testing Phone- and Web-Based Interventions for Smoking Cessation

“…Briefly, the COMPASS study was a randomized trial comparing the effectiveness of three forms of behavioral intervention for smoking cessation (delivered by Web, phone, or an integrated phone-Web program) in conjunction with varenicline. The content of the behavioral interventions were based on Free & Clear's Quit For Life Phone Program, which has been commercially available for nearly twenty years and its effectiveness demonstrated in a range of studies (Curry et al, 1998;El-Bastawissi et al, 2003;Hollis et al, 2007;McAfee et al, 2008;Orleans et al, 1991;Ringen, Anderson, McAfee, Zbikowski, & Fales, 2002;Swan et al, 2003).…”