Higher quality quit-date goal setting enhances quit attempts among quitline callers
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University of Arizona, Tucson, United States
University at Buffalo, Buffalo, United States
Benjamin R. Brady   

University of Arizona, Tucson, AZ 85721, United States
Publish date: 2019-06-06
Submission date: 2018-08-03
Final revision date: 2019-01-17
Acceptance date: 2019-05-21
Tob. Prev. Cessation 2019;5(June):20
At tobacco quitlines, coaching and cessation medications are commonly structured around setting a date for making a quit attempt. However, limited literature evaluating this practice suggests that callers do not routinely set quit-date goals. High quality goal setting may increase the frequency of caller quit attempts. In this study, we examine the quality of quit-date goal setting and its association with in-program quit attempts and the timing of callers’ first quit attempt.

Using call recordings, we scored the quality of quit-date goal setting among 90 callers enrolled at Arizona Smokers’ Helpline between August and December 2017. The primary exposure was quality of quit-date goal setting assessed using the Lorencatto et al. rating scale. Coding reliability was assessed using Cohen’s kappa. Multivariable logistic regression was used to examine the association between quality of goal setting and in-program quit attempts (>24 h tobacco free).

The mean quality goal setting score was 3.1 (range: -3 to 7). Sixty-nine callers (77%) set a quit date and 39 (43%) made a quit attempt. Compared to callers who experienced low-quality goal setting, the adjusted odds of in-program quitting for high quality goal setting was AOR=3.98 (95% CI: 1.55–10.20) and for making a quit attempt within two weeks OR=6.23 (95% CI: 1.52–25.49).

Quit-date goal setting is an important element of quitline services and callers benefit from high quality quit-date goal setting. Quitlines should establish quality improvement measures to ensure that coaches are trained to provide high quality quit-date goal setting opportunities to all callers.

We thank the Arizona Department of Health Services and Arizona Smokers’ Helpline for supporting this research. We also thank Taylor Grogg for her assistance in collecting and scoring session recordings.
The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none was reported.
This research was supported by Arizona Department of Health Services (Grants ADHS11-007339, ADHS16-106672, and ADHS13-026130:5). Services and products in support of the research project were generated by the University of Arizona Cancer Center Behavioral Measurement and Interventions Shared Resource, supported, in part, with funding from NIHNCI Cancer Center (Support Grant P30 CA023074). The content is solely the responsibility of the authors and does not necessarily represent the official views of the funding agencies or the University of Arizona.
Not commissioned; externally peer reviewed.
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