dc.contributor |
Reykjavík University (RU) |
dc.contributor |
Háskólinn í Reykjavík (HR) |
dc.contributor.author |
Nohlert, Eva |
dc.contributor.author |
Öhrvik, John |
dc.contributor.author |
Helgason, Asgeir R. |
dc.date.accessioned |
2018-11-29T13:19:48Z |
dc.date.available |
2018-11-29T13:19:48Z |
dc.date.issued |
2014-06-03 |
dc.identifier.citation |
Nohlert, E., Öhrvik, J., & Helgason, Á. R. (2014). Effectiveness of proactive and reactive services at the Swedish National Tobacco Quitline in a randomized trial. Tobacco Induced Diseases, 12, 9. https://doi.org/10.1186/1617-9625-12-9 |
dc.identifier.issn |
1617-9625 |
dc.identifier.uri |
https://hdl.handle.net/20.500.11815/928 |
dc.description.abstract |
Abstract
Background: The Swedish National Tobacco Quitline (SNTQ), which has both a proactive and a reactive service,
has successfully provided tobacco cessation support since 1998. As there is a demand for an increase in national
cessation support, and because the quitline works under funding constraints, it is crucial to identify the most
clinically effective and cost-effective service. A randomized controlled trial was performed to compare the effectiveness
of the high-intensity proactive service with the low-intensity reactive service at the SNTQ.
Methods: Those who called the SNTQ for smoking or tobacco cessation from February 2009 to September 2010 were
randomized to proactive service (even dates) and reactive service (odd dates). Data were collected through postal
questionnaires at baseline and after 12 months. Those who replied to the baseline questionnaire constituted the study
base. Outcome measures were self-reported point prevalence and 6-month continuous abstinence at the 12-month
follow-up. Intention-to-treat (ITT) and responder-only analyses were performed.
Results: The study base consisted of 586 persons, and 59% completed the 12-month follow-up. Neither ITT- nor
responder-only analyses showed any differences in outcome between proactive and reactive service. Point prevalence
was 27% and continuous abstinence was 21% in analyses treating non-responders as smokers, and 47% and 35%,
respectively, in responder-only analyses.
Conclusion: Reactive service may be used as the standard procedure to optimize resource utilization at the SNTQ.
However, further research is needed to assess effectiveness in different subgroups of clients.
Trial registration: ClinicalTrials.gov: NCT02085616 |
dc.description.sponsorship |
The study was supported by grants from the Swedish Heart and Lung Association, the Swedish Heart Lung Foundation, the Swedish Cancer Society, the Swedish Research Council, the Swedish Research Council for Health, Working Life and Welfare, and the County Council of Västmanland, Sweden. The funding agents had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication. |
dc.format.extent |
9 |
dc.language.iso |
en |
dc.publisher |
Biomed Central LTD |
dc.relation.ispartofseries |
Tobacco Induced Diseases;12 |
dc.rights |
info:eu-repo/semantics/openAccess |
dc.subject |
Tobacco cessation |
dc.subject |
Sálfræði |
dc.subject |
Smoking cessation |
dc.subject |
Quitline |
dc.subject |
Telephone counselling |
dc.subject |
Intensity |
dc.subject |
Fíkn |
dc.subject |
Reykingar |
dc.subject |
Psychology |
dc.title |
Effectiveness of proactive and reactive services at the Swedish National Tobacco Quitline in a randomized trial |
dc.type |
info:eu-repo/semantics/article |
dcterms.license |
© 2014 Nohlert et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative
Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain
Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article,
unless otherwise stated. |
dc.description.version |
Peer Reviewed |
dc.identifier.journal |
Tobacco Induced Diseases |
dc.identifier.doi |
10.1186/1617-9625-12-9 |
dc.contributor.school |
School of Business (RU) |
dc.contributor.school |
Viðskiptadeild (HR) |