A multicentre randomized trial of combined individual and telephone counselling for smoking cessation |
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Authors: | Josep M. Ramon,Isabel Nerin,Araceli Comino,Cristina Pinet,Francesc Abella,José M Carreras,Marta Banque,Antoni Baena,Sergio Morchon,Adriana Jimenez-Muro,Adriana Marqueta,Assumpcio Vilarasau,Raquel Bullon,Cristina Masuet-Aumatell |
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Affiliation: | 1. Bellvitge Biomedical Research Institute (IDIBELL), Smoking Cessation Clinic, Preventive Medicine Department, Bellvitge University Hospital, Feixa Llarga s/n 08907 Hospitalet de Llobregat, Barcelona, Spain;2. Smoking Cessation Clinic, Department of Medicine, Psychiatry and Dermatology, School of Medicine, Zaragoza University, C/Domingo Miral, s/n 50009 Zaragoza, Spain;3. Smoking Cessation Unit, Plan Integral de Tabaquismo, Consejeria de Sanidad y Consumo, Consejería de Sanidad y Seguridad Social Ctra. San Amaro, s/n 51001, Ceuta, Spain;4. Smoking Cessation Clinic, Psychiatry Department, Sant Pau University Hospital, c/Sant Antoni Maria Claret, 165 08025 Barcelona, Spain;5. Smoking Cessation Clinic, Santa Maria Hospital, Av. Alcalde Rovira i Roure 44 25198 Lleida, Spain;6. Smoking Cessation Clinic, Pulmonology Department, Carlos III Hospital, c/Sinesio Delgado 10 20029 Madrid, Spain |
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Abstract: | ObjectiveThe present study assessed the effectiveness of smoking cessation programs combining individual and telephone counselling, compared to individual or telephone counselling alone.MethodA randomized, multicentre, open-label trial was performed between January 2009 and July 2011 at six smoking cessation clinics in Spain. Of 772 smokers assessed for eligibility, 600 (77%) met inclusion criteria and were randomized. Smokers were randomized to receive individual counselling, combined telephone and individual counselling, or telephone counselling. The primary outcome was biochemically validated continuous abstinence at 52 weeks.ResultsThe 52-week abstinence rate was significantly lower in the telephone group compared to the combined group (20.1% vs. 29.0%; OR, 1.32; 95% CI, 1.1–2.7) and to the individual counselling group (20.1% vs. 27.9%; OR, 1.37; 95% CI, 1.0–2.8). The 52-week abstinence rates were not significantly higher in the combined group than the individual group (OR, 0.97; 95% CI, 0.7–1.4).ConclusionIndividual counselling and combined individual and telephone counselling were associated with higher 52-week abstinence rates than telephone counselling alone. A combined approach may be highly useful in the clinical treatment of smokers, as it involves less clinic visits than individual counselling alone, thus reducing the program cost, and it increases patient compliance compared to telephone counselling alone. |
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Keywords: | Randomized multicentre trial Smoking cessation Individual counselling Telephone counselling |
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