The effectiveness of personalized smoking cessation strategies for callers to a Quitline service.
AIM: To assess the effectiveness of a program of computer-generated tailored advice for callers to a telephone helpline, and to assess whether it enhanced a series of callback telephone counselling sessions in aiding smoking cessation. DESIGN: Randomized controlled trial comparing: (1) untailored se...
| Published in: | Addiction Vol. 98; no. 6; pp. 837 - 847 |
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| Main Authors: | , , , , |
| Format: | clinical trial research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Jun2003
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106859361&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106859361 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Jun2003 vid: 98 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106859361 106859361 2003106227 10.1046/j.1360-0443.2003.00389.x NLM12780372 106859361 ppf: 837 ppct: 10 formats: fmt: @attributes: type: P tig: atl: The effectiveness of personalized smoking cessation strategies for callers to a Quitline service. aug: au: Borland R Balmford J Segan C Livingston P Owen N affil: VicHealth Centre for Tobacco Control, Cancer Council Victoria 1, 1 Rathdowne Street, Carlton, Victoria 3053, Australia; ron.borland@cancervic.org.au sug: subj: Smoking Cessation Telephone Information Services Counseling Surveys Victoria Nicotine Replacement Therapy Chi Square Test Logistic Regression Clinical Trials Interviews Data Analysis Software Female Male Adult Self Report Models, Theoretical Treatment Outcomes Funding Source Human Adult: 19-44 years Female Male ab: AIM: To assess the effectiveness of a program of computer-generated tailored advice for callers to a telephone helpline, and to assess whether it enhanced a series of callback telephone counselling sessions in aiding smoking cessation. DESIGN: Randomized controlled trial comparing: (1) untailored self-help materials; (2) computer-generated tailored advice only, and (3) computer-generated tailored advice plus callback telephone counselling. Assessment surveys were conducted at baseline, 3, 6 and 12 months. SETTING: Victoria, Australia. PARTICIPANTS: A total of 1578 smokers who called the Quitline service and agreed to participate. MEASUREMENTS: Smoking status at follow-up; duration of cessation, if quit; use of nicotine replacement therapy; and extent of participation in the callback service. FINDINGS: At the 3-month follow-up, significantly more (chi2(2) = 16.9; P < 0.001) participants in the computer-generated tailored advice plus telephone counselling condition were not smoking (21%) than in either the computer-generated advice only (12%) or the control condition (12%). Proportions reporting not smoking at the 12-month follow-up were 26%, 23% and 22%, respectively (NS) for point prevalence, and for 9 months sustained abstinence; 8.2, 6.0, and 5.0 (NS). In the telephone counselling group, those receiving callbacks were more likely than those who did not to have sustained abstinence at 12 months (10.2 compared with 4.0, P < 0.05). Logistic regression on 3-month data showed significant independent effects on cessation of telephone counselling and use of NRT, but not of computer-generated tailored advice. CONCLUSION: Computer-generated tailored advice did not enhance telephone counselling, nor have any independent effect on cessation. This may be due to poor timing of the computer-generated tailored advice and poor integration of the two modes of advice. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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