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Real-life effectiveness of smoking cessation delivery modes: a comparison against telephone counselling and the role of individual characteristics and health conditions in quit success.
Nicotine & Tobacco Research ( IF 4.7 ) Pub Date : 2023-11-01 , DOI: 10.1093/ntr/ntad195
Nikita L Poole 1, 2 , Math J J M Candel 3 , Marc C Willemsen 1 , Floor A van den Brand 4
Affiliation  

INTRODUCTION Professional behavioural counselling for smoking cessation can be delivered in many forms, which may not work equally well for everyone. We aim to explore in a real-world setting whether different delivery modes yield different rates of quit success and whether quit success varies based on gender, age, educational level and being treated for a health condition. METHODS We used monitoring data (n=13747) from a smoking cessation counselling provider in the Netherlands (September 2018 - August 2021) to compare differences in quit success immediately after the end of counselling and at 12-month follow-up between telephone and other modes of counselling. Participants chose which mode of counselling they received. At 12-month follow-up, we also examined differences in quit success based on demographic characteristics and whether one is being treated for various health conditions. RESULTS Participants of in-person group counselling and online in-company group counselling were significantly more likely to have quit immediately after the counselling compared to telephone counselling (OR 1.25, 95%CI=1.08-1.44; OR 1.63, 95%CI=1.18-2.24). Analyses revealed no significant differences in quit success between telephone and other modes of counselling after 12 months. Those treated for a respiratory or psychological condition were less likely to have maintained quit success, as were women, and participants with a lower educational level. CONCLUSIONS When chosen by oneself, the mode of smoking cessation counselling received does not appear to be important for long-term quit success. However, certain groups warrant extra support to prevent excessive programme attrition and unsuccessful quit attempts. IMPLICATIONS Our findings suggest that when chosen by oneself, the delivery mode of smoking cessation counselling does not appear to be important for long-term quit success. This finding is of particular relevance for those who are unable to attend in-person cessation counselling due to, for instance, reduced accessibility or mobility. We also found that women, lower educated and younger participants were more likely to drop out of the cessation programme or to not have maintained a quit attempt, signalling that disparities in smoking cessation persist when standardised counselling is given, and therefore more tailored counselling may be necessary for these groups.

中文翻译:

戒烟传递模式的现实有效性:与电话咨询的比较以及个人特征和健康状况在戒烟成功中的作用。

简介 专业的戒烟行为咨询可以通过多种形式提供,但可能并非对每个人都同样有效。我们的目标是在现实世界中探索不同的戒烟模式是否会产生不同的戒烟成功率,以及戒烟成功率是否因性别、年龄、教育水平和健康状况而有所不同。方法 我们使用荷兰戒烟咨询提供者(2018 年 9 月至 2021 年 8 月)的监测数据(n=13747)来比较电话戒烟咨询和其他戒烟咨询结束后立即戒烟成功率以及 12 个月随访时的差异。辅导方式。参与者选择他们接受的咨询方式。在 12 个月的随访中,我们还根据人口特征以及是否正在接受各种健康状况的治疗,研究了戒烟成功率的差异。结果 与电话咨询相比,现场团体咨询和在线公司内部团体咨询的参与者在咨询后立即戒烟的可能性明显更高(OR 1.25,95%CI=1.08-1.44;OR 1.63,95%CI=1.18) -2.24)。分析显示,12 个月后,电话咨询和其他方式的戒烟成功率没有显着差异。那些因呼吸系统或心理疾病而接受治疗的人不太可能保持戒烟成功,女性和教育水平较低的参与者也是如此。结论 当自行选择时,接受的戒烟咨询模式对于长期戒烟成功似乎并不重要。然而,某些团体需要额外的支持,以防止过度的计划消耗和不成功的戒烟尝试。意义 我们的研究结果表明,当自己选择时,戒烟咨询的提供方式对于长期戒烟成功似乎并不重要。这一发现对于那些由于交通便利或行动不便等原因而无法参加现场戒烟咨询的人尤其重要。我们还发现,女性、受教育程度较低和年轻的参与者更有可能退出戒烟计划或没有维持戒烟尝试,这表明在提供标准化咨询时,戒烟方面的差异仍然存在,因此可能需要更有针对性的咨询。这些群体所必需的。
更新日期:2023-11-01
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