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The effectiveness of personalized smoking cessation strategies for callers to a Quitline service

Borland, Ron, Balmford, James, Segan, Catherine, Livingston, Patricia and Owen, Neville 2003, The effectiveness of personalized smoking cessation strategies for callers to a Quitline service, Addiction, vol. 98, no. 6, pp. 837-846, doi: 10.1046/j.1360-0443.2003.00389.x.

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Title The effectiveness of personalized smoking cessation strategies for callers to a Quitline service
Author(s) Borland, Ron
Balmford, James
Segan, Catherine
Livingston, Patricia
Owen, Neville
Journal name Addiction
Volume number 98
Issue number 6
Start page 837
End page 846
Publisher Wiley Interscience
Place of publication Malden, Mass.
Publication date 2003-06
ISSN 0965-2140
1360-0443
Keyword(s) computer tailoring
quitlines
smoking cessation
telephone counselling
tobacco control
transtheoretical model
Summary Aim To assess the effectiveness of a program of computer-generated tailored advice for callers to a telephone helpline, and to assess whether it enhanced a series of callback telephone counselling sessions in aiding smoking cessation.

Design Randomized controlled trial comparing: (1) untailored self-help materials; (2) computer-generated tailored advice only, and (3) computer-generated tailored advice plus callback telephone counselling. Assessment surveys were conducted at baseline, 3, 6 and 12 months.

Setting Victoria, Australia.

Participants A total of 1578 smokers who called the Quitline service and agreed to participate.

Measurements Smoking status at follow-up; duration of cessation, if quit; use of nicotine replacement therapy; and extent of participation in the callback service.

Findings At the 3-month follow-up, significantly more (χ2(2) = 16.9; P < 0.001) participants in the computer-generated tailored advice plus telephone counselling condition were not smoking (21%) than in either the computer-generated advice only (12%) or the control condition (12%). Proportions reporting not smoking at the 12-month follow-up were 26%, 23% and 22%, respectively (NS) for point prevalence, and for 9 months sustained abstinence; 8.2, 6.0, and 5.0 (NS). In the telephone counselling group, those receiving callbacks were more likely than those who did not to have sustained abstinence at 12 months (10.2 compared with 4.0, P < 0.05). Logistic regression on 3-month data showed significant independent effects on cessation of telephone counselling and use of NRT, but not of computer-generated tailored advice.

Conclusion Computer-generated tailored advice did not enhance telephone counselling, nor have any independent effect on cessation. This may be due to poor timing of the computer-generated tailored advice and poor integration of the two modes of advice.


Language eng
DOI 10.1046/j.1360-0443.2003.00389.x
Field of Research 111712 Health Promotion
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2003, Society for the Study of Addiction to Alcohol and Other Drugs
Persistent URL http://hdl.handle.net/10536/DRO/DU:30006599

Document type: Journal Article
Collections: School of Health and Social Development
School of Nursing and Midwifery
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