Review of strategies to recruit smokers for smoking cessation: A population impact perspective

Article (PDF Available)inCadernos de saúde pública / Ministério da Saúde, Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública 24 Suppl 4(4):s621-34 · February 2008with15 Reads
DOI: 10.1590/S0102-311X2008001600013 · Source: PubMed
Abstract
This paper reviews published articles describing several instruments used currently to "capture" the attention of smokers for quit-smoking interventions and emphasizes the distinction between the strategies used to reach eligible individuals and those used to recruit them for the proposed smoking cessation intervention. The search for articles was conducted using MEDLINE, PsychARTICLE, and LILACS. Key words for the search included recruitment, enrollment, reach, smoking cessation, quitline, and helpline mentioned in the abstracts and titles of the articles. Articles published in English, Portuguese, and Spanish through November 2006 that emphasized capture instruments related to different populations and specific interventions were included in this review. Twenty-nine studies met the inclusion criteria. Studies that used active and mixed strategies reached, on average, a smaller and less diverse possible number of eligible individuals and had greater participation proportions than those that used reactive strategies. Future studies are needed to evaluate the effectiveness of new associations between current interventions and reactive capture strategies, in view of the potential for increasing the population impact related to reactive capture.

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    • "Services like Quitline also rely on a motivated tobacco user to initiate contact with the service (Ali, 2007). Szklo (2008), in a meta-analysis of recruitment strategies, noted that while reactive recruitment strategies reached large and varied numbers, they only motivated smaller and less varied groups of individuals. While the CDC estimates that 8% of smokers could access Quitline, only about 2.2% of Pennsylvania smokers do so (CDC, 2010b). "
    [Show description] [Hide description] DESCRIPTION: This dissertation evaluated the predictors of tobacco reduction in 192, 18-24 year old, low-income, low-education, and non-treatment seeking tobacco users. The subjects were participants in a study of an intervention that consisted of a referral to Quitline or brief direct treatment intervention (Zanis et al., 2011). The outcome measures included: (1) attempted to quit, (2) reduced tobacco consumption, (3) increased motivation to quit, or (4) quit smoking. Twenty four factors (including demographics, tobacco use, tobacco quit patterns, professional interventions, and community resources) were examined for predicting each of these outcomes. This research utilized secondary data provided by Clinical Outcomes Group Inc. (COGI). Following the initial recruitment encounter, 53 persons dropped out. Analysis revealed that those who dropped out were different from those who were found for follow-up related to employment status, years of education, and ethnicity. The drop outs were more likely to be unemployed, have less than 12 years of education, and be non-White. Linear or logistic regression statistical models were used to identify which variables predict successful tobacco attempts to quit, reduced use, change in motivation, and cessation. The variables 1 year quit attempts, quitting with best friend, and use of NRT significantly predicted attempts to quit. Baseline smoking volume significantly predicted reduction of use. The variables weight gain while quitting and friend’s advice to quit significantly predicted change in motivation to quit. Baseline smoking volume significantly predicted whether or not a person quit smoking. The findings will be useful in developing successful tobacco reduction interventions that are primarily targeted towards difficult to reach and treat 18-24 year old tobacco users, especially by focusing on the use of NRT, 1 year quit attempts, quitting with best friend, family advice to quit, baseline smoking volume, friends advice to quit, and weight gain while quitting.
    Full-text · Research · May 2016 · Cadernos de Saúde Pública
  • [Show abstract] [Hide abstract] ABSTRACT: Creative and innovative strategies to recruit smokers are essential for improving tobacco control activities. Currently in Brazil, through health warning messages on cigarette packs, there is a permanent and intense spread of messages that provoke feelings of loss associated with smoking, which is important to encourage access to smoking quitlines. The study analyzed the call rate for telephone counseling after introducing a new strategy for reactive recruitment focused on the theme 'smoking causes shortness of breath', adapted to the subway setting in Rio de Janeiro, as compared to the rates for two existing reactive strategies. Regardless of age bracket, there was a higher response to the new proposed strategy. Despite the major awareness-raising in Brazil concerning the ills of tobacco, new communications formats approaching personally relevant themes can increase the number and range of smokers recruited for telephone counseling to support cessation.
    Full-text · Article · Nov 2009
  • [Show abstract] [Hide abstract] ABSTRACT: Criatividade e inovação das estratégias de recrutamento de fumantes são fundamentais para aprimorar as ações de controle do tabagismo. Atualmente, no Brasil, por meio das imagens de advertência presentes nos maços de cigarros, há uma divulgação permanente e intensa de mensagens que provocam sentimentos de perda associados ao tabagismo, os quais são importantes para estimular o acesso a linhas telefônicas de apoio à cessação. Comparou-se a taxa de ligação para aconselhamento telefônico observada após introdução de nova estratégia de recrutamento reativo focada no tema "fumar é perder fôlego" e adaptada ao cenário do metrô do Rio de Janeiro, com as taxas verificadas para duas outras estratégias reativas existentes. Independentemente da faixa etária, houve maior resposta para a nova estratégia proposta. Apesar da grande sensibilização, no Brasil, quanto aos malefícios do tabaco, novos formatos de comunicação abordando temas de relevância pessoal podem aumentar a quantidade e diversidade da população de fumantes recrutada para serviços de aconselhamento telefônico de suporte à cessação.
    Full-text · Article · Nov 2009
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