RESEARCH PAPER
Tobacco cessation outcomes: The case for milestone-based services
Disa Cornish 1  
,  
Ki Park 2
,  
 
 
More details
Hide details
1
Department of Health, Recreation, and Community Services, University of Northern Iowa, Cedar Falls, Iowa, United States
2
Center for Social and Behavioral Research, University of Northern Iowa, Cedar Falls, Iowa, United States
Publish date: 2018-10-11
Submission date: 2018-06-14
Final revision date: 2018-09-05
Acceptance date: 2018-10-03
 
Tob. Prev. Cessation 2018;4(October):33
KEYWORDS:
TOPICS:
ABSTRACT:
Introduction:
This study focuses on a Midwest State’s tobacco quitline. The purpose was to understand possible relationships between services provided and cessation rates.

Methods:
The data examined in this study came from aggregated intake/treatment data and follow-up interview data. The overall response rate was 22.9%. Measures included quit rate, quit duration, length of services, number of services, stage of change, confidence to quit, and source of referral.

Results:
The dataset included 1452 cases; 77% enrolled in services only once, 17% enrolled twice and 6% enrolled three or more times. Use of medication was higher among those who quit [χ2(1)=7.1, p=0.009, Cramer’s V=0.07] than among those who did not. Use of e-cigarettes was lower among those who quit at the time of follow-up [χ2(1)=31.5, p<0.001, Cramer’s V=0.15]. Respondents who had quit at the time of the follow-up were significantly more likely to have reported a higher confidence to quit at intake [χ2(1)=24.1, p<0.001, Cramer’s V=0.13]. Among those who improved their stage of change during treatment, 35% had quit at follow-up, compared with 18% among those who did not improve.

Conclusions:
Study findings related to stage of change and associations between confidence and cessation may have meaningful implications. Cessation success may depend on what is accomplished during treatment and the intersection of clients’ motivation, satisfaction, confidence, and cessation status at the end of treatment.

CORRESPONDING AUTHOR:
Disa Cornish   
Department of Health, Recreation, and Community Services, University of Northern Iowa, WRC 203, 50614- 0241 Cedar Falls, United States
 
REFERENCES (13):
1. North American Quitline Consortium: About NAQC 2017. http://www.naquitline.org/?pag.... Accessed September 2017.
2. Centers for Disease Control and Prevention: CDC 2014. https://www.cdc.gov/tobacco/qu.... Accessed September 2017.
3. Cummins SE, Bailey L, Campbell S, Koon-Kirby C, Zhu SH. Tobacco cessation quitlines in North America: a descriptive study. Tob Control. 2007;16(Suppl 1):i9–15. doi: 10.1136/tc.2007.020370
4. Ossip-Klein D, McIntosh S. Quitlines in North America: Evidence base and applications. The American Journal of the Medical Sciences. 2003;326(4). doi:10.1097/00000441-200310000-00010
5. Stead L, Perera R, Lancaster T. Telephone counselling for smoking cessation. Cochrane Database of Systematic Reviews. 2006;19(3). doi:10.1002/14651858.CD002850.pub2
6. Stead LF, Perera R, Lancaster T. A systematic review of interventions for smokers who contact quitlines. Tobacco Control. 2007;16(Suppl 1). doi:10.1136/tc.2006.019737
7. Tinkelman D, Wilson SM, Willett J, Sweeney CT. Offering free NRT through a tobacco quitline: impact on utilisation and quit rates. Tobacco Control. 2007;16(Suppl 1). doi:10.1136/tc.2007.019919
8. Hollis JF, McAfee TA, Fellows JL, Zbikowski SM, Stark M, Riedlinger K. The effectiveness and cost effectiveness of telephone counselling and the nicotine patch in a state tobacco quitline. Tobacco Control. 2007;16(Suppl 1). doi:10.1136/tc.2006.019794
9. Jardin BF, Cropsey KL, Wahlquist AE, et al. Evaluating the effect of access to free medication to quit smoking: a clinical trial testing the role of motivation. Nicotine & Tobacco Research. 2014;16(7). doi:10.1093/ntr/ntu025
10. North American Quitline Consortium: Results from the FY2016 NAQC annual survey of quitlines 2017. http://c.ymcdn.com/sites/www.n.... Accessed September 2017.
11. Prochaska J. Decision making in the Transtheoretical Model of behavior change. Medical Decision Making. 2008;28(6):845-849. doi:10.1177/0272989X08327068
12. Campbell HS, Ossip‐Klein D, Bailey L, Saul J. Minimal dataset for quitlines: a best practice. Tobacco Control. 2007;16(Suppl 1):i16-i20. doi:10.1136/tc.2007.019976
13. North American Quitline Consortium: NAQC-recommended quality standard: measuring quit rates 2017. http://www.naquitline.org/?pag... Accessed September 2017.
eISSN:2459-3087