Evaluating the effectiveness of proactive telephone counselling for smoking cessation in a randomized controlled trial.

Aim To evaluate the effectiveness of repeated-contact proactive telephone counselling for smoking cessation in a UK setting. Design Randomized controlled trial. Setting The Quitline((R)), an established national telephone counselling service available throughout the UK. Participants and intervention...

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Publicado en:Addiction Vol. 101; no. 4; pp. 590 - 599
Autores principales: Gilbert H, Sutton S
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Wiley-Blackwell Apr2006
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/j.1360-0443.2006.01398.x
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        atl: Evaluating the effectiveness of proactive telephone counselling for smoking cessation in a randomized controlled trial.
      aug:
        au:
          Gilbert H
          Sutton S
        affil: Department of Epidemiology and Public Health, University College London, London, UK; hazel.gilbert@ucl.ac.uk
      sug:
        subj:
          Counseling Evaluation
          Smoking Cessation
          Telehealth Evaluation
          Telephone Information Services Evaluation
          Adult
          Randomized Controlled Trials
          Confidence Intervals
          Evaluation Research
          Female
          Funding Source
          Male
          Middle Age
          Outcomes (Health Care)
          Post Hoc Analysis
          Random Assignment
          United Kingdom
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Aim To evaluate the effectiveness of repeated-contact proactive telephone counselling for smoking cessation in a UK setting. Design Randomized controlled trial. Setting The Quitline((R)), an established national telephone counselling service available throughout the UK. Participants and intervention A total of 1457 callers to the Quitline in 2000 and 2001 were allocated randomly to a Control group to receive usual care or to a Repeated Contact group to be offered five proactive calls in addition to usual care. Measurements Prolonged abstinence and 24-hour point-prevalent abstinence 6 and 12 months after recruitment, quit attempts and 24-hour periods of abstinence in non-quitters. Findings No significant differences were found between the Repeated Contact and Control groups on prolonged or point-prevalent abstinence. On an intention-to-treat basis, 9.5% of the Control group were abstinent for longer than 6 months at the 12-month follow-up, compared with 9.3% of the Repeated Contact group; 18.9% and 20.2%, respectively, were point-prevalent abstinent at the 6-month follow-up. Significantly more non-quitters in the Control group made a quit attempt in the first 6 months following recruitment than in the Repeated Contact group (62.6%/56.1%, P < 0.05). Conclusions Proactive telephone counselling did not significantly increase abstinence rates, and appeared to decrease quit attempts, in callers to the Quitline. A non-structured, client-led counselling protocol and insufficient pre-quit motivational counselling could account for the lack of effect.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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