Effectiveness of Proactive and Reactive Services at the Swedish National Tobacco Quitline in a...
Friday, July 11, 2014
Posted by: Natalia Gromov
Tob Induc Dis. 2014 Jun 3;12(1):9. doi:
Proactive and Reactive Services at the Swedish National Tobacco Quitline in a
Nohlert E, Ohrvik J,
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 12months. 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.