Telephone counseling for smoking cessation

Oxford University, Department of Primary Health Care, Old Road Campus, Headington, Oxford, UK OX3 7LF.
Cochrane database of systematic reviews (Online) (Impact Factor: 6.03). 07/2006; 3(3):CD002850. DOI: 10.1002/14651858.CD002850.pub2
Source: PubMed


Smoking contributes to many health problems including cancers and heart and lung diseases. People trying to quit smoking can be helped with medication or through behavioural support such as specialist counselling and group therapy. Support, information and counselling are offered either face-to-face or by telephone. Counselling via telephone hotlines can be provided as part of a programme or separately, and can potentially reach large numbers of people. Our review of trials found telephone counselling to be effective; multiple sessions are likely to be most helpful .

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Available from: Rafael Perera, Nov 05, 2015
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    • "After reviewing 22 Randomized Controlled Trials (RCTs), Pan et al. reported that the quit rate in the treatment group (with additional telephone counseling) was 64 % greater than that in the comparison group[9]. According to a 2013 Cochrane systematic review, Stead et al. reported that telephone counseling as an adjunct to brief intervention or counseling increased quit rates, compared to brief intervention or counseling alone, and the relative risk (95 % confidence internal) was 1.4 (1.2–1.7)[10]. It is worth noting that most of the trials, which were included in both of the above reviews, were performed in western, developed highincome countries, but none of the included trials were conducted in China Mainland. "
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    ABSTRACT: Background: No previous studies have investigated whether additional telephone follow-up counseling sessions after face-to-face counseling can increase quitting in China, and whether this strategy is feasible and effective for promoting smoking cessation is still unclear. Methods: A non-randomized controlled study was conducted in Beijing. We compared the quit rates of one group which received face-to-face counseling (FC) alone (one session of 40 min) to another group which received the same face-to-face counseling plus four follow-up sessions of brief telephone counseling (15-20 min each) at 1 week, 1, 3 and 6 month follow-up (FCF). No smoking cessation medication was provided. From October 2008 to August 2013, Chinese male smokers who sought treatment in a part-time regular smoking cessation clinic of a large general hospital in Beijing were invited to participate in the present study. Eligible male smokers (n = 547) were divided into two groups: FC (n = 149) and FCF (n = 398). Main outcomes were self-reported 7-day point prevalence and 6 month continuous quit rates at 12 month follow-up. Results: By intention to treat, at 12 month follow-up, the 7-day point prevalence and 6 month continuous quit rates of FC and FCF were 14.8 % and 26.4 %, and 10.7 % and 19.6 % respectively. The adjusted odds ratios (95 % confidence intervals) of quitting in FCF compared to FC was 2.34 (1.34-4.10) (P = 0.003) and 2.41 (1.28-4.52) (P = 0.006), respectively. Stepwise logistic regression showed that FCF, being married, unemployed and a lower Fagerström score were significant independent predictors of 6 month continuous quitting at 12 month follow-up. Conclusions: Using systematically collected data from real-world practice, our smoking cessation clinic has shown that the additional telephone follow-up counseling sessions doubled the quit rate.
    Preview · Article · Dec 2015 · BMC Public Health
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    • "Once discharged from hospital, participants in the Supported Care arm will receive up to 16 weeks of psychosocial [44] and 12 weeks of pharmacological support [12,13,45]. Psychosocial support will initially be delivered through five weekly telephone support calls, followed by 7 weeks of weekly or fortnightly telephone support calls (tailored based on participants preference), tapering to 4 weeks of fortnightly support calls between weeks 12 and 16 (Figure  1). "
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    ABSTRACT: Background: Smoking rates, and associated negative health outcomes, are disproportionately high among people with mental illness compared to the general population. Smoke-free policies within mental health hospitals can positively impact on patients' motivation and self-efficacy to address their smoking. However, without post-discharge support, preadmission smoking behaviours typically resume. This protocol describes a randomised controlled trial that aims to assess the efficacy of linking mental health inpatients to community-based smoking cessation supports upon discharge as a means of reducing smoking prevalence. Methods/Design: Eight hundred participants with acute mental illness will be recruited into the randomised controlled trial whilst inpatients at one of four psychiatric inpatient facilities in the state of New South Wales, Australia. After completing a baseline interview, participants will be randomly allocated to receive either: 'Supported Care', a multimodal smoking cessation intervention; or 'Normal Care', consisting of existing hospital care only. The 'Supported Care' intervention will consist of a brief motivational interview and a package of self-help material for abstaining from smoking whilst in hospital, and, following discharge, 16 weeks of motivational telephone-based counselling, 12 weeks of free nicotine replacement therapy, and a referral to the Quitline. Data will be collected at 1, 6 and 12 months post-discharge via computer-assisted telephone interview. The primary outcomes are abstinence from smoking (7-day point prevalence and prolonged cessation), and secondary outcomes comprise daily cigarette consumption, nicotine dependence, quit attempts, and readiness to change smoking behaviour. Discussion: If shown to be effective, the study will provide evidence in support of systemic changes in the provision of smoking cessation care to patients following discharge from psychiatric inpatient facilities.
    Full-text · Article · Jul 2014 · Trials
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    • "The present study indicates a further improvement. Even though international comparisons are difficult due to considerable differences in treatment protocols, organization, and techniques [8,10,13], the effectiveness in the present study compares favourably with most other reports, even those including NRT [2,5,8,10,11,20-22]. The specific definition used to define the study base at the SNTQ, yet, always has to be taken into consideration when comparing results to other quitlines. "
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    ABSTRACT: The Swedish National Tobacco Quitline (SNTQ), which has both a proactive and a reactive service, has successfully provided tobacco cessation support since 1998. As there is a demand for an increase in national cessation support, and because the quitline works under funding constraints, it is crucial to identify the most clinically effective and cost-effective service. A randomized controlled trial was performed to compare the effectiveness of the high-intensity proactive service with the low-intensity reactive service at the SNTQ.
    Full-text · Article · Jun 2014 · Tobacco Induced Diseases
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