CDC COMMUNITY GUIDE: Increasing Tobacco Use Cessation: Multicomponent Interventions that Include Telephone Support
CDC
An Evidence-Based Practice
Description
These multicomponent interventions provide people who use tobacco products with cessation counseling or assistance in initiating or maintaining abstinence via telephone. Telephone support can be reactive (tobacco user initiates contact) or proactive (provider initiates contact or user initiates contact with provider follow-up). Telephone support includes the use of trained counselors, health care providers, or taped messages in single or multiple sessions. Sessions usually follow a standardized protocol for providing advice and counseling, and the telephone support component is usually combined with other interventions, such as client education materials, individual or group cessation counseling, or nicotine-replacement therapies.
The Community Preventive Services Task Force recommends cessation interventions that include telephone support based on strong evidence of effectiveness that this combination intervention:
• Increases patient tobacco cessation
• Is effective in both clinical settings and when implemented community-wide
It was not possible to determine the effect of the telephone support component alone. The minimum effective combination evaluated by the Task Force was community-wide, proactive telephone support (proactive follow-up) combined with patient education materials.
The Community Preventive Services Task Force recommends cessation interventions that include telephone support based on strong evidence of effectiveness that this combination intervention:
• Increases patient tobacco cessation
• Is effective in both clinical settings and when implemented community-wide
It was not possible to determine the effect of the telephone support component alone. The minimum effective combination evaluated by the Task Force was community-wide, proactive telephone support (proactive follow-up) combined with patient education materials.
Results / Accomplishments
Results from the Systematic Reviews:
Thirty-two studies qualified for the review of this intervention.
• Client tobacco cessation over a median follow-up of 12 months (range: 5 weeks to 34 months): median increase of 2.6 percentage points (range: -3.4 to 23 percentage points; 30 studies)
• Increase in tobacco cessation rates for patient education with client telephone support compared to patient education alone: median of 2.4 percentage points (range: 0.9 to 6.3 percentage points; 6 studies)
• In all of the qualifying studies, telephone support was coordinated with additional interventions including: patient education, provider-delivered counseling, nicotine replacement, smoking cessation clinics, and televised cessation series. The client telephone support efforts were proactive in twenty-seven studies and reactive in the other five.
Thirty-two studies qualified for the review of this intervention.
• Client tobacco cessation over a median follow-up of 12 months (range: 5 weeks to 34 months): median increase of 2.6 percentage points (range: -3.4 to 23 percentage points; 30 studies)
• Increase in tobacco cessation rates for patient education with client telephone support compared to patient education alone: median of 2.4 percentage points (range: 0.9 to 6.3 percentage points; 6 studies)
• In all of the qualifying studies, telephone support was coordinated with additional interventions including: patient education, provider-delivered counseling, nicotine replacement, smoking cessation clinics, and televised cessation series. The client telephone support efforts were proactive in twenty-seven studies and reactive in the other five.
About this Promising Practice
Primary Contact
The Community Guide
1600 Clifton Rd, NE
MS E69
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
1600 Clifton Rd, NE
MS E69
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
Topics
Health / Alcohol & Drug Use
Source
Community Guide Branch Epidemiology and Analysis Program Office, Centers for Disease Control and Prevention
Location
USA
For more details
Target Audience
Adults