Effectiveness of Proactive Quitline Counseling for Smoking Parents Recruited Through Primary Schools
Wednesday, February 12, 2014
Posted by: Natalia Gromov
Addiction.
2014 Jan 15. doi: 10.1111/add.12485. [Epub ahead of print]
Effectiveness of
Proactive Quitline Counseling for Smoking Parents Recruited Through Primary
Schools: Results of a Randomized Controlled Trial.
Schuck K, Bricker JB, Otten
R, Kleinjan M, Brandon TH, Engels RC
This study tested the effectiveness of tailored quitline (telephone) counseling
among smoking parents recruited into cessation support through their children's
primary schools. DESIGN: Two-arm randomized controlled trial with 3-months and
12-months follow-up. SETTING: Proactive telephone counseling was administered
by the Dutch national quitline. PARTICIPANTS: Smoking parents were recruited
through their children's primary schools and received either intensive quitline
support in combination with tailored supplementary materials (n=256) or a
standard self-help brochure (n=256). MEASUREMENTS: The primary outcome was
7-day point prevalence abstinence at 12-months follow-up. FINDINGS: Parents who
received quitline counseling were more likely to report 7-day point prevalence
abstinence at 12-months assessment (34.0% vs. 18.0%, OR=2.35, CI=1.56-3.54)
than those who received a standard self-help brochure. Parents who received
quitline counseling were more likely to use nicotine replacement therapy
(p<0.001) than those who received a standard self-help brochure. Among
parents who did not achieve abstinence, those who received quitline counseling
smoked fewer cigarettes at 3-months assessment (p<0.001) and 12-months
assessment (p<0.001), were more likely to make a quit attempt (p<0.001),
to achieve 24-hours abstinence (p<0.001), and to implement a complete home
smoking ban (p<0.01). CONCLUSIONS: Intensive quitline support tailored to
smoking parents is an effective method for helping parents quit smoking and
promoting parenting practices that protect their children from adverse effects
of smoking.
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