OBJECTIVES: State and national tobacco quitlines have expanded rapidly and offer a range of services. We examined the effectiveness and cost effectiveness of offering callers single session versus multisession counselling, with or without free nicotine patches. METHODS: This 3x2 randomised trial included 4614 Oregon tobacco quitline callers and compared brief (one 15-minute call), moderate (one 30-minute call and a follow-up call) and intensive (five proactive calls) intervention protocols, with or without offers of free nicotine patches (nicotine replacement therapy, NRT). Blinded staff assessed tobacco use by phone at 12 months. RESULTS:Abstinence odds ratios were significant for moderate (OR = 1.22, CI = 1.01 to 1.48) and intensive (OR = 1.29, CI = 1.07 to 1.56) intervention, and for NRT (OR = 1.58, CI = 1.35 to 1.85). Intent to treat quit rates were as follows: brief no NRT (12%); brief NRT (17%); moderate no NRT (14%); moderate NRT (20%); intensive no NRT (14%); and intensive NRT (21%). Relative to brief no NRT, the added costs for each additional quit was $2467 for brief NRT, $1912 for moderate no NRT, $2109 for moderate NRT, $2641 for intensive no NRT, and $2112 for intensive NRT. CONCLUSION: Offering free NRT and multisession telephone support within a state tobacco quitline led to higher quit rates, and similar costs per incremental quit, than less intensive protocols.
RCT Entities:
OBJECTIVES: State and national tobacco quitlines have expanded rapidly and offer a range of services. We examined the effectiveness and cost effectiveness of offering callers single session versus multisession counselling, with or without free nicotine patches. METHODS: This 3x2 randomised trial included 4614 Oregon tobacco quitline callers and compared brief (one 15-minute call), moderate (one 30-minute call and a follow-up call) and intensive (five proactive calls) intervention protocols, with or without offers of free nicotine patches (nicotine replacement therapy, NRT). Blinded staff assessed tobacco use by phone at 12 months. RESULTS: Abstinence odds ratios were significant for moderate (OR = 1.22, CI = 1.01 to 1.48) and intensive (OR = 1.29, CI = 1.07 to 1.56) intervention, and for NRT (OR = 1.58, CI = 1.35 to 1.85). Intent to treat quit rates were as follows: brief no NRT (12%); brief NRT (17%); moderate no NRT (14%); moderate NRT (20%); intensive no NRT (14%); and intensive NRT (21%). Relative to brief no NRT, the added costs for each additional quit was $2467 for brief NRT, $1912 for moderate no NRT, $2109 for moderate NRT, $2641 for intensive no NRT, and $2112 for intensive NRT. CONCLUSION: Offering free NRT and multisession telephone support within a state tobacco quitline led to higher quit rates, and similar costs per incremental quit, than less intensive protocols.
Authors: S M Hall; K L Delucchi; W F Velicer; C W Kahler; J Ranger-Moore; D Hedeker; J Y Tsoh; R Niaura Journal: Nicotine Tob Res Date: 2001-08 Impact factor: 4.244
Authors: Shu-Hong Zhu; Christopher M Anderson; Gary J Tedeschi; Bradley Rosbrook; Cynthia E Johnson; Michael Byrd; Elsa Gutiérrez-Terrell Journal: N Engl J Med Date: 2002-10-03 Impact factor: 91.245
Authors: Jaimee L Heffner; Roger Vilardaga; Laina D Mercer; Julie A Kientz; Jonathan B Bricker Journal: Am J Drug Alcohol Abuse Date: 2014-11-14 Impact factor: 3.829
Authors: Lisa M Fucito; Amy E Latimer; Shannon Carlin-Menter; Peter Salovey; K Michael Cummings; Robert W Makuch; Benjamin A Toll Journal: Drug Alcohol Depend Date: 2010-10-30 Impact factor: 4.492
Authors: Rebecca A Krukowski; Marion E Hare; Gerald W Talcott; Leslie A Gladney; Karen C Johnson; Phyllis A Richey; Mehmet Kocak; Patrick L Keller; Ann Hryshko-Mullen; Robert C Klesges Journal: Obesity (Silver Spring) Date: 2018-10 Impact factor: 5.002
Authors: Jonathan B Bricker; Terry Bush; Susan M Zbikowski; Laina D Mercer; Jaimee L Heffner Journal: Nicotine Tob Res Date: 2014-06-16 Impact factor: 4.244