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Evaluating the effectiveness of proactive telephone counselling for smoking cessation in a randomized controlled trial

Gilbert, H; Sutton, S; (2006) Evaluating the effectiveness of proactive telephone counselling for smoking cessation in a randomized controlled trial. ADDICTION , 101 (4) 590 - 598. 10.1111/j.1360-0443.2006.01398.x.

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Abstract

Aim To evaluate the effectiveness of repeated-contact proactive telephone counselling for smoking cessation in a UK setting. Design Randomized controlled trial. Setting The Quitline((R)), an established national telephone counselling service available throughout the UK. Participants and intervention A total of 1457 callers to the Quitline in 2000 and 2001 were allocated randomly to a Control group to receive usual care or to a Repeated Contact group to be offered five proactive calls in addition to usual care. Measurements Prolonged abstinence and 24-hour point-prevalent abstinence 6 and 12 months after recruitment, quit attempts and 24-hour periods of abstinence in non-quitters. Findings No significant differences were found between the Repeated Contact and Control groups on prolonged or point-prevalent abstinence. On an intention-to-treat basis, 9.5% of the Control group were abstinent for longer than 6 months at the 12-month follow-up, compared with 9.3% of the Repeated Contact group; 18.9% and 20.2%, respectively, were point-prevalent abstinent at the 6-month follow-up. Significantly more non-quitters in the Control group made a quit attempt in the first 6 months following recruitment than in the Repeated Contact group (62.6%/56.1%, P < 0.05). Conclusions Proactive telephone counselling did not significantly increase abstinence rates, and appeared to decrease quit attempts, in callers to the Quitline. A non-structured, client-led counselling protocol and insufficient pre-quit motivational counselling could account for the lack of effect.

Type: Article
Title: Evaluating the effectiveness of proactive telephone counselling for smoking cessation in a randomized controlled trial
DOI: 10.1111/j.1360-0443.2006.01398.x
Keywords: proactive counselling, quitline, smoking cessation, telephone helplines, SELF-HELP MATERIALS, QUIT SMOKING, SMOKERS, INTERVENTIONS
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health
URI: http://discovery.ucl.ac.uk/id/eprint/118549
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