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Does offering more support calls to smokers influence quit success?
MedLine Citation:
PMID:  21464680     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: : Previous studies have found that offering additional callback counseling support to smokers calling a telephone quit line increases quit rates. However, what is less certain is the most cost-efficient protocol for offering such a service.
OBJECTIVE: : This study compares the efficacy of offering 2 versus 4 counseling callbacks after an initial call from Medicaid/uninsured adult smokers contacting the New York State Smokers' Quit Line (NYSSQL). Outcomes compared are the 7- and 30-day nonsmoker prevalence rates measured at 3-month follow-up and the cost per quit.
DESIGN: : A 2-group randomized trial was conducted.
SETTING AND PARTICIPANTS: : The study population included 1923 adult (18+ years) Medicaid/uninsured current smokers (10+ cigarettes per day) who called the NYSSQL between February and March 2009 seeking help to stop smoking. At the time of the study, the NYSSQL provided Medicaid/uninsured callers with up to 6 weeks of free nicotine medications and up to 4 counseling callbacks. Half the subjects were randomized to standard care with up to 4 counseling callbacks with the remaining subjects offered only 2 counseling callbacks. All participants were sent a minimum of a 2-week supply of nicotine replacement therapy, with some receiving up to 6 weeks. Participants were recontacted 3 months after enrollment in the study to assess smoking status.
MAIN OUTCOME MEASURES: : Quit rates, total counseling callbacks completed, reductions in cigarette consumption, and cost per quit measures.
RESULTS: : There was not a significant difference between study groups in the number of callbacks completed. There was also no difference in 7- or 30-day nonsmoker prevalence rates measured after 3 months' follow-up or reported use of the free nicotine replacement therapy between those assigned to either the 2- or 4-callback protocols. The cost per quit was essentially the same in both groups (2 callbacks-$442 per quit vs 4 callbacks-$445 per quit).
CONCLUSION: : There was no advantage in terms of quit success or cost to offering up to 4 callbacks instead of 2 callbacks.
Shannon Carlin-Menter; K Michael Cummings; Paula Celestino; Andrew Hyland; Martin C Mahoney; Jeffrey Willett; Harlan R Juster
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of public health management and practice : JPHMP     Volume:  17     ISSN:  1550-5022     ISO Abbreviation:  J Public Health Manag Pract     Publication Date:    2011 May-Jun
Date Detail:
Created Date:  2011-04-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9505213     Medline TA:  J Public Health Manag Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E9-E15     Citation Subset:  T    
New York State Smokers' Quitline, Roswell Park Cancer Institute (Drs Carlin-Menter and Mahoney and Ms Celestino) and Department of Health Behavior, Roswell Park Cancer Institute (Drs Cummings and Hyland), Buffalo; and New York State Tobacco Control Program (Dr Willett) and New York State Department of Health, Tobacco Surveillance, Evaluation, & Research (Dr Juster), Albany.
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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