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NAQC Newsroom: Research

Reaching Out, Inviting Back: Using Interactive Voice Response (IVR) Technology to Recycle Relapsed..

Thursday, July 12, 2012  
Posted by: Natalia Gromov
...Smokers Back to Quitline Treatment - A Randomized Controlled Trial.
Carlini BH, McDaniel AM, Weaver MT, Kauffman RM, Cerutti B, Stratton RM, Zbikowski SM. BMC Public Health 2012, 12:507
This study tested the efficacy of IVR technology in re-enrolling low income smokers who had previously used quitline (QL) support for a new quit attempt. 2985 previous QL callers were randomized to receive IVR screening for current smoking (control) or IVR screening plus an IVR intervention which consisted of automated questions to identify and address barriers to re-enrolling in QL services followed by an offer to be transferred to the QL for re-enrollment. Results showed that the IVR system successfully reached 23.9% of former QL participants. Of those, 27% reported they had quit smoking and were excluded from further analysis. The re-enrollment rate of the 521 smokers in the study was 3.3% for the control group and 28.2% for the intervention group (p<.001). The main barriers identified for not engaging in a new treatment cycle were low self-efficacy and lack of interest in quitting. After delivering IVR messages targeting these barriers, 32% of the smokers reporting low self-efficacy and 4.8% of those reporting lack of interest in quitting re-engaged in a new QL treatment cycle. The authors conclude that proactive IVR outreach is a promising tool to engage low income, relapsed smokers back into a new cycle of treatment. They also note that it has the potential to decrease tobacco-related disparities.



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