NAQC Newsroom: Research

They Came, But Will They Come Back? An Observational Study of Re-Enrollment Predictors for the Oklah

Thursday, March 26, 2020  
Posted by: Natalia Gromov
Laura A Beebe, Lindsay M Boeckman, Paola G Klein, Jessie E Saul, Stephen R Gillaspy
They Came, But Will They Come Back? An Observational Study of Re-Enrollment Predictors for the Oklahoma Tobacco Helpline.
Am J Health Promot, 34 (3), 261-268 Mar 2020, PMID: 31878792, DOI: 10.1177/0890117119890789

Purpose: Although quitlines reach 1% to 2% of tobacco users annually, additional efforts are needed to increase their impact. We hypothesized that offering less intensive services would increase the rate of re-enrollment in any service, as well as re-enrollment in more intensive services. This study describes the enrollment patterns and identifies re-enrollment predictors for Oklahoma Tobacco Helpline (OTH) participants.
Results: Individual services were more frequently selected (n = 17 266) than MC (n = 14 326), despite all users being eligible for MC. A much higher proportion of IS registrants re-enrolled than MC registrants (16% vs 3%, P < .0001) Among the IS cohort, those who received an NRT follow-up call were 14.7 times more likely to re-enroll in IS, and 7.8 times more likely to re-enroll in MC, than those who were not reached by phone.
Conclusions: Access to free NRT without a telephone-coaching requirement is a draw for tobacco users, especially those with lower income and the uninsured. The results suggest the value of increasing use of nonphone services in an effort to increase interest in quitting and reach.