ERIC Number: EJ918807
Record Type: Journal
Publication Date: 2011
Abstractor: As Provided
Does Extended Telephone Callback Counselling Prevent Smoking Relapse?
Segan, C. J.; Borland, R.
Health Education Research, v26 n2 p336-347 Apr 2011
This randomized controlled trial tested whether extended callback counselling that proactively engaged ex-smokers with the task of embracing a smoke-free lifestyle (four to six calls delivered 1-3 months after quitting, i.e. when craving levels and perceived need for help had declined) could reduce relapse compared with a revised version of Quitline's standard service (four calls in the first month after quitting which focused primarily on the task of helping ex-smokers deal with daily cravings and now also systematically alerted clients to the upcoming task of adapting to life as a non-smoker). One thousand and four hundred and forty-four smokers or recent ex-smokers were randomized at recruitment: 734 usual care and 710 intervention. An inclusion criterion of subsequently quitting for at least 1 week gave 346 usual care and 352 intervention participants. Seventy-four per cent of intervention participants accepted extra calls and received 4.3 on average but only 1.7 more post-quitting calls than usual care group. No significant differences were found between extended contact and usual care groups on continuous abstinence (both 27% at 12 months) or any other cessation outcome. The tasks of quitting framework introduced in preparation for the trial might have contributed to service improvement in relapse prevention (10% increased quit rate compared with an earlier trial). However, the extra sessions did not provide any benefit.
Descriptors: Intervention, Smoking, Counseling Effectiveness, Prevention, Control Groups, Experimental Groups, Critical Incidents Method, Health Promotion, Recidivism, Outcomes of Treatment, Pretests Posttests, Telephone Surveys, Comparative Analysis
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Publication Type: Journal Articles; Reports - Research
Education Level: Adult Education
Authoring Institution: N/A