Telephone counselling for smoking cessation
L F Stead1, R Perera, T Lancaster
1Oxford University, Department of Primary Health Care, Old Road Campus, Headington, Oxford, UK OX3 7LF. lindsay.stead@dphpc.ox.ac.uk
The Cochrane Database of Systematic Reviews
|July 21, 2006
Summary
Proactive telephone counseling significantly increases smoking cessation rates, especially when multiple calls are provided. This intervention is most effective for smokers motivated to quit, enhancing the utility of quitlines.
Area of Science:
- Public Health
- Behavioral Science
- Clinical Trials
Background:
- Telephone services offer vital information and support for smoking cessation.
- Counselling interventions can be delivered proactively or reactively via helplines.
Purpose of the Study:
- To evaluate the effectiveness of proactive and reactive telephone support in aiding smokers to quit.
- To assess the impact of call frequency on smoking cessation outcomes.
Main Methods:
- Systematic review and meta-analysis of randomized and quasi-randomized controlled trials.
- Searched Cochrane Tobacco Addiction Group trials register for studies on telephone counseling and quitlines.
- Main outcome: Odds Ratio (OR) for abstinence at six months, using biochemically validated rates where available.
Main Results:
- Forty-eight trials involving over 35,000 participants were included.
- Proactive call-back counseling (multiple sessions) significantly increased long-term cessation (OR 1.41, 95% CI 1.27-1.57).
- Telephone counseling not initiated by helpline calls also improved quitting rates (OR 1.33, 95% CI 1.21-1.47).
Conclusions:
- Proactive telephone counseling is effective for motivated smokers, with a dose-response relationship observed.
- Three or more calls significantly increase quitting odds compared to minimal interventions.
- Telephone quitlines, enhanced by call-back counseling, are valuable resources for smoking cessation.
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