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Telephone care co-ordination for tobacco cessation: randomised trials testing proactive versus reactive models
Scott E Sherman1,2, Paul Krebs1,2, Laura S York3
1VA NY Harbor Healthcare System, New York, New York, USA.
Tobacco Control
|February 13, 2017
Summary
Proactive outreach via quitline significantly improved smoking cessation rates compared to reactive engagement. This approach also increased medication use, highlighting its effectiveness for long-term abstinence.
Area of Science:
- Public Health
- Behavioral Science
- Clinical Trials
Background:
- Smoking cessation interventions are crucial for public health.
- Evaluating different engagement strategies in telephone-based treatments is essential.
Purpose of the Study:
- To compare proactive versus reactive engagement in telephone-based smoking cessation treatment.
- To assess the effectiveness of quitline counseling versus self-help materials.
Main Methods:
- Two parallel studies were conducted with smokers interested in quitting.
- Participants were randomized to proactive or reactive engagement with either a quitline or self-help materials.
- Data were collected across 35 Department of Veterans Affairs (VA) sites.
Main Results:
- Proactive quitline intervention led to higher 6-month abstinence rates (21.0% vs 16.4%, p=0.03).
- No significant difference was observed in the self-help group (16.9% vs 16.5%, p=0.88).
- Proactive outreach significantly increased cessation medication use in both quitline and self-help studies.
Conclusions:
- Proactive outreach combined with quitline intervention is effective for long-term smoking abstinence.
- Both intervention types demonstrated high rates of cessation medication utilization.
- Healthcare sites should prioritize proactive outreach and counseling for smoking cessation.
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