Tobacco quitline performance: Comparing the impacts of early cessation and proactive re-engagement on callers’ smoking status at follow-up at 12 months
Introduction While tobacco Quitlines are effective in the promotion of smoking cessation, the majority of callers who wish to quit still fail to do so. The aim of this study was to determine if 12-month tobacco Quitline smoking cessation rates could be improved with re-engagement of callers whose fi...
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2023-02-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.tobaccoinduceddiseases.org/Tobacco-quitline-performance-Comparing-the-impacts-of-nearly-cessation-and-proactive,159125,0,2.html |
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| author | Daniel G. Cassidy Xin-Qun Wang Indika Mallawaarachchi Kara P. Wiseman Jon O. Ebbert John A. Blue Star Chase A. Aycock Rosemary Estevez Burns John R. Jones Andrea E. Krunnfusz Jennifer P. Halbert Natalie M. Roy Jordan M. Ellis Juinell B. Williams Robert C. Klesges Gerald W. Talcott |
| author_facet | Daniel G. Cassidy Xin-Qun Wang Indika Mallawaarachchi Kara P. Wiseman Jon O. Ebbert John A. Blue Star Chase A. Aycock Rosemary Estevez Burns John R. Jones Andrea E. Krunnfusz Jennifer P. Halbert Natalie M. Roy Jordan M. Ellis Juinell B. Williams Robert C. Klesges Gerald W. Talcott |
| author_sort | Daniel G. Cassidy |
| collection | DOAJ |
| description | Introduction
While tobacco Quitlines are effective in the promotion of smoking
cessation, the majority of callers who wish to quit still fail to do so. The aim of
this study was to determine if 12-month tobacco Quitline smoking cessation rates
could be improved with re-engagement of callers whose first Quitline treatment
failed to establish abstinence.
Methods
In an adaptive trial, 614 adult smokers, who were active duty, retired,
and family of military personnel with TRICARE insurance who called a tobacco
Quitline, received a previously evaluated and efficacious four-session tobacco
cessation intervention with nicotine replacement therapy (NRT). At the scheduled
follow-up at 3 months, callers who had not yet achieved abstinence were offered
the opportunity to re-engage. This resulted in three caller groups: 1) those who
were abstinent, 2) those who were still smoking but willing to re-engage with
an additional Quitline treatment; and 3) individuals who were still smoking but
declined re-engagement. A propensity score-adjusted logistic regression model
was generated to compare past-7-day point prevalence abstinence at 12 months
post Quitline consultation.
Results
Using a propensity score adjusted logistic regression model, comparison of
the three groups resulted in higher odds of past-7-day point prevalence abstinence
at follow-up at 12 months for those who were abstinent at 3 months compared to
those who re-engaged (OR=9.6; 95% CI: 5.2–17.8; Bonferroni adjusted p<0.0001),
and relative to those who declined re-engagement (OR=13.4; 95% CI: 6.8–26.3;
Bonferroni adjusted p<0.0001). There was no statistically significant difference
in smoking abstinence between smokers at 3 months who re-engaged and those
who declined re-engagement (OR=1.39; 95% CI: 0.68–2.85).
Conclusions
Tobacco Quitlines seeking to select a single initiative by which to
maximize abstinence at follow-up at 12 months may benefit from diverting
additional resources from the re-engagement of callers whose initial quit attempt
failed, toward changes which increase callers’ probability of success within the
first 3 months of treatment.
TRIAL REGISTRATION
This study is registered at clinicaltrials.gov (NCT02201810). |
| first_indexed | 2024-03-13T09:58:48Z |
| format | Article |
| id | doaj.art-85d313d890b44a94ab828d966415fc7a |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-03-13T09:58:48Z |
| publishDate | 2023-02-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-85d313d890b44a94ab828d966415fc7a2023-05-23T11:04:11ZengEuropean PublishingTobacco Induced Diseases1617-96252023-02-0121February1910.18332/tid/159125159125Tobacco quitline performance: Comparing the impacts of early cessation and proactive re-engagement on callers’ smoking status at follow-up at 12 monthsDaniel G. Cassidy0https://orcid.org/0000-0002-3932-522XXin-Qun Wang1Indika Mallawaarachchi2Kara P. Wiseman3Jon O. Ebbert4https://orcid.org/0000-0002-7975-3704John A. Blue Star5Chase A. Aycock6Rosemary Estevez Burns7John R. Jones8Andrea E. Krunnfusz9Jennifer P. Halbert10Natalie M. Roy11Jordan M. Ellis12https://orcid.org/0000-0002-9952-0115Juinell B. Williams13Robert C. Klesges14https://orcid.org/0000-0003-1314-5092Gerald W. Talcott15https://orcid.org/0000-0002-5954-4921Wilford Hall Ambulatory Surgical Center, Joint Base San Antonio, Lackland AFB, Texas, United StatesDepartment of Public Health Sciences, School of Medicine, University of Virginia, Charlottesville, United StatesDepartment of Public Health Sciences, School of Medicine, University of Virginia, Charlottesville, United StatesDepartment of Public Health Sciences, School of Medicine, University of Virginia, Charlottesville, United StatesMayo Clinic Comprehensive Cancer Center, Mayo Clinic, Rochester, United StatesWilford Hall Ambulatory Surgical Center, Joint Base San Antonio, Lackland AFB, Texas, United StatesWilford Hall Ambulatory Surgical Center, Joint Base San Antonio, Lackland AFB, Texas, United StatesWilford Hall Ambulatory Surgical Center, Joint Base San Antonio, Lackland AFB, Texas, United StatesWilford Hall Ambulatory Surgical Center, Joint Base San Antonio, Lackland AFB, Texas, United StatesWilford Hall Ambulatory Surgical Center, Joint Base San Antonio, Lackland AFB, Texas, United StatesDepartment of Public Health Sciences, School of Medicine, University of Virginia, Charlottesville, United StatesWilford Hall Ambulatory Surgical Center, Joint Base San Antonio, Lackland AFB, Texas, United StatesWilford Hall Ambulatory Surgical Center, Joint Base San Antonio, Lackland AFB, Texas, United StatesDepartment of Psychology, East Carolina University, Greenville, United StatesDepartment of Public Health Sciences, School of Medicine, University of Virginia, Charlottesville, United StatesWilford Hall Ambulatory Surgical Center, Joint Base San Antonio, Lackland AFB, Texas, United StatesIntroduction While tobacco Quitlines are effective in the promotion of smoking cessation, the majority of callers who wish to quit still fail to do so. The aim of this study was to determine if 12-month tobacco Quitline smoking cessation rates could be improved with re-engagement of callers whose first Quitline treatment failed to establish abstinence. Methods In an adaptive trial, 614 adult smokers, who were active duty, retired, and family of military personnel with TRICARE insurance who called a tobacco Quitline, received a previously evaluated and efficacious four-session tobacco cessation intervention with nicotine replacement therapy (NRT). At the scheduled follow-up at 3 months, callers who had not yet achieved abstinence were offered the opportunity to re-engage. This resulted in three caller groups: 1) those who were abstinent, 2) those who were still smoking but willing to re-engage with an additional Quitline treatment; and 3) individuals who were still smoking but declined re-engagement. A propensity score-adjusted logistic regression model was generated to compare past-7-day point prevalence abstinence at 12 months post Quitline consultation. Results Using a propensity score adjusted logistic regression model, comparison of the three groups resulted in higher odds of past-7-day point prevalence abstinence at follow-up at 12 months for those who were abstinent at 3 months compared to those who re-engaged (OR=9.6; 95% CI: 5.2–17.8; Bonferroni adjusted p<0.0001), and relative to those who declined re-engagement (OR=13.4; 95% CI: 6.8–26.3; Bonferroni adjusted p<0.0001). There was no statistically significant difference in smoking abstinence between smokers at 3 months who re-engaged and those who declined re-engagement (OR=1.39; 95% CI: 0.68–2.85). Conclusions Tobacco Quitlines seeking to select a single initiative by which to maximize abstinence at follow-up at 12 months may benefit from diverting additional resources from the re-engagement of callers whose initial quit attempt failed, toward changes which increase callers’ probability of success within the first 3 months of treatment. TRIAL REGISTRATION This study is registered at clinicaltrials.gov (NCT02201810).http://www.tobaccoinduceddiseases.org/Tobacco-quitline-performance-Comparing-the-impacts-of-nearly-cessation-and-proactive,159125,0,2.htmlabstinencequitlinenicotine replacement therapytobacco cessation interventionproactive re-engagement |
| spellingShingle | Daniel G. Cassidy Xin-Qun Wang Indika Mallawaarachchi Kara P. Wiseman Jon O. Ebbert John A. Blue Star Chase A. Aycock Rosemary Estevez Burns John R. Jones Andrea E. Krunnfusz Jennifer P. Halbert Natalie M. Roy Jordan M. Ellis Juinell B. Williams Robert C. Klesges Gerald W. Talcott Tobacco quitline performance: Comparing the impacts of early cessation and proactive re-engagement on callers’ smoking status at follow-up at 12 months Tobacco Induced Diseases abstinence quitline nicotine replacement therapy tobacco cessation intervention proactive re-engagement |
| title | Tobacco quitline performance: Comparing the impacts of
early cessation and proactive re-engagement on callers’
smoking status at follow-up at 12 months |
| title_full | Tobacco quitline performance: Comparing the impacts of
early cessation and proactive re-engagement on callers’
smoking status at follow-up at 12 months |
| title_fullStr | Tobacco quitline performance: Comparing the impacts of
early cessation and proactive re-engagement on callers’
smoking status at follow-up at 12 months |
| title_full_unstemmed | Tobacco quitline performance: Comparing the impacts of
early cessation and proactive re-engagement on callers’
smoking status at follow-up at 12 months |
| title_short | Tobacco quitline performance: Comparing the impacts of
early cessation and proactive re-engagement on callers’
smoking status at follow-up at 12 months |
| title_sort | tobacco quitline performance comparing the impacts of early cessation and proactive re engagement on callers smoking status at follow up at 12 months |
| topic | abstinence quitline nicotine replacement therapy tobacco cessation intervention proactive re-engagement |
| url | http://www.tobaccoinduceddiseases.org/Tobacco-quitline-performance-Comparing-the-impacts-of-nearly-cessation-and-proactive,159125,0,2.html |
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