Telephone counselling for smoking cessation
Lindsay F Stead1, Jamie Hartmann-Boyce, Rafael Perera
1Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Woodstock Road, Oxford, UK, OX2 6GG.
The Cochrane Database of Systematic Reviews
|August 13, 2013
Summary
Proactive telephone counselling significantly increases quitting rates for smokers using quitlines and other support services. Multiple calls, ideally three or more, are more effective than brief interventions or pharmacotherapy alone.
Area of Science:
- Public Health
- Behavioral Science
- Clinical Trials
Background:
- Telephone services offer vital information and support for smoking cessation.
- Counselling can be delivered proactively or reactively through smoking cessation helplines.
Purpose of the Study:
- To evaluate the effectiveness of proactive and reactive telephone support for smoking cessation, delivered via helplines and other settings.
Main Methods:
- Systematic review and meta-analysis of 77 randomized or quasi-randomized controlled trials.
- Included studies involved proactive or reactive telephone counselling for smokers and recent quitters.
- Primary outcome was smoking abstinence at six months, using biochemically validated rates where available.
Main Results:
- Proactive telephone counselling significantly increased quit rates among helpline users (RR 1.37) and in other settings (RR 1.27).
- Multiple counselling sessions (three or more) showed greater benefit compared to minimal interventions or pharmacotherapy alone.
- The benefit of counselling was less pronounced when combined with pharmacotherapy compared to self-help materials or brief advice.
Conclusions:
- Proactive telephone counselling is an effective strategy for smoking cessation, particularly when delivered through quitlines.
- Call-back counselling enhances the utility of telephone quitlines.
- Evidence suggests a dose-response relationship, with multiple calls yielding better outcomes than brief interventions.
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