Tobacco Quitlines: Opportunities for Innovation to Increase Reach and Effectiveness.
Thursday, November 17, 2022
Posted by: Natalia Gromov
Sheffer CE.
Tobacco Quitlines:
Opportunities for Innovation to Increase Reach and Effectiveness.
[published online ahead of print, 2022 Oct 22]. Prev Med. 2022;107319.
doi:10.1016/j.ypmed.2022.107319
The largest tobacco treatment network in North America, Tobacco Quitlines are
an effective population-based approach to increase tobacco cessation; however,
overall reach has decreased significantly in the past decade. A new generation
of innovations responsive to evolving shifts in communication preferences,
supported by research, and focused on increasing the impact of services have
the potential to reinvigorate this network. The goal of this narrative review
was to identify opportunities for innovation in Quitline service delivery, synthesize
evidence for these opportunities, and identify gaps in the research. Innovation
was defined as significant shift in current practice by utilizing novel
theoretical concepts, approaches, methodologies, or interventions. The
Experimental Medicine Approach informed the identification of gaps in the
research. The specific domains were selected by reviewing previous reviews,
commentaries, calls for action, and a recent report on promising practices.
Evidence was garnered primarily from systematic reviews. Opportunities included
automated and interactive digital therapeutics, novel health communications for
stigma-free media campaigns, methods to increase access to nicotine replacement
therapies, novel treatment options and combinations, and methods to promote
engagement with digital therapeutics. Research topics that cross multiple
domains include the consideration of theoretical frameworks, the identification
of therapeutic targets and mechanisms of action, and the development of adapted
approaches to address specific challenges and cultural responsivity. Finally,
an examination is needed to understand how to improve the speed with which
innovations are developed and implemented in this network.
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