A randomised controlled trial of proactive telephone counselling on cold-called smokers' cessation rates
Open Access
- 28 October 2010
- journal article
- research article
- Published by BMJ in Tobacco Control
- Vol. 20 (1), 40-46
- https://doi.org/10.1136/tc.2010.035956
Abstract
Objectives Active telephone recruitment (‘cold calling’) can enrol almost 45 times more smokers to cessation services than media. However, the effectiveness of proactive telephone counselling with cold-called smokers from the broader community is unknown. This study examined whether proactive telephone counselling improved abstinence, quit attempts and reduced cigarette consumption among cold-called smokers. Methods From 48 014 randomly selected electronic telephone directory numbers, 3008 eligible smokers were identified and 1562 (51.9%) smokers recruited into the randomised controlled trial. Of these, 769 smokers were randomly allocated to proactive telephone counselling and 793 to the control (ie, mailed self-help) conditions. Six counselling calls were offered to intervention smokers willing to quit within a month and four to those not ready to quit. The 4-month, 7-month and 13-month follow-up interviews were completed by 1369 (87.6%), 1278 (81.8%) and 1245 (79.9%) participants, respectively. Results Proactive telephone counselling participants were significantly more likely than controls to achieve 7-day point prevalence abstinence at 4 months (13.8% vs 9.6%, p=0.005) and 7 months (14.3% vs 11.0%, p=0.02) but not at 13 months. There was a significant impact of telephone counselling on prolonged abstinence at 4 months (3.4% vs 1.8%, p=0.02) and at 7 months (2.2% vs 0.9%, p=0.02). At 4 months post recruitment, telephone counselling participants were significantly more likely than controls to have made a quit attempt (48.6% vs 42.9%, p=0.01) and reduced cigarette consumption (16.9% vs 9.0%, p=0.0002). Conclusions Proactive telephone counselling initially increased abstinence and quitting behaviours among cold-called smokers. Given its superior reach, quitlines should consider active telephone recruitment, provided relapse can be reduced. Trial registration Australian New Zealand Clinical Trial Registry; ACTRN012606000221550.Keywords
This publication has 44 references indexed in Scilit:
- Telephone-Based Tobacco-Cessation Treatment: Re-Enrollment Among Diverse GroupsAmerican Journal of Preventive Medicine, 2008
- Tobacco cessation quitlines in North America: a descriptive studyTobacco Control, 2007
- Minimal dataset for quitlines: a best practiceTobacco Control, 2007
- Effects of frequency and duration in telephone counselling for smoking cessationTobacco Control, 2007
- Increasing reach of quitline services in a US state with comprehensive tobacco treatmentTobacco Control, 2007
- The effectiveness of callback counselling for smoking cessation: a randomized trialAddiction, 2001
- Evaluating the public health impact of health promotion interventions: the RE-AIM framework.American Journal of Public Health, 1999
- Evaluation of a Minimal Self-Help Smoking Cessation Intervention Following Cervical Cancer ScreeningPreventive Medicine, 1999
- Telephone counseling for smoking cessation: Effects of single-session and multiple-session interventions.Journal of Consulting and Clinical Psychology, 1996
- Does tailoring matter? The impact of a tailored guide on ratings and short-term smoking-related outcomes for older smokersHealth Education Research, 1994