Effectiveness of proactive and reactive services at the Swedish National Tobacco Quitline in a randomized trial

Tobacco Induced Diseases

Ásgeir R Helgason³  John Öhrvik¹  Eva Nohlert² 

[1] Department of Medicine, Karolinska Institutet, Stockholm, Sweden;Centre for Clinical Research, Uppsala University, Västmanland County Hospital, Västerås 721 89, Sweden;Reykjavik University, Reykjavik, Iceland

关键词: Intensity;    Telephone counselling;    Quitline;    Smoking cessation;    Tobacco cessation;   

Others  :  866965
DOI  :  10.1186/1617-9625-12-9

 received in 2014-03-07, accepted in 2014-05-26,  发布年份 2014

【 摘 要 】

Background

The Swedish National Tobacco Quitline (SNTQ), which has both a proactive and a reactive service, has successfully provided tobacco cessation support since 1998. As there is a demand for an increase in national cessation support, and because the quitline works under funding constraints, it is crucial to identify the most clinically effective and cost-effective service. A randomized controlled trial was performed to compare the effectiveness of the high-intensity proactive service with the low-intensity reactive service at the SNTQ.

Methods

Those who called the SNTQ for smoking or tobacco cessation from February 2009 to September 2010 were randomized to proactive service (even dates) and reactive service (odd dates). Data were collected through postal questionnaires at baseline and after 12 months. Those who replied to the baseline questionnaire constituted the study base. Outcome measures were self-reported point prevalence and 6-month continuous abstinence at the 12-month follow-up. Intention-to-treat (ITT) and responder-only analyses were performed.

Results

The study base consisted of 586 persons, and 59% completed the 12-month follow-up. Neither ITT- nor responder-only analyses showed any differences in outcome between proactive and reactive service. Point prevalence was 27% and continuous abstinence was 21% in analyses treating non-responders as smokers, and 47% and 35%, respectively, in responder-only analyses.

Conclusion

Reactive service may be used as the standard procedure to optimize resource utilization at the SNTQ. However, further research is needed to assess effectiveness in different subgroups of clients.

Trial registration

ClinicalTrials.gov: NCT02085616

【 授权许可】

   
2014 Nohlert et al.; licensee BioMed Central Ltd.

【 图 表 】

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