Cessation Outcomes Among Quitline Callers in Three States During a National Tobacco Education Campaign

Abstract

IntroductionAntismoking mass media campaigns, such as the Centers for Disease Control and Prevention’s Tips from Former Smokers (Tips) campaign, increase the number of tobacco users calling tobacco quitlines. Few studies have investigated long-term tobacco use cessation for callers during antismoking media campaigns. Studies have suggested that callers during campaigns may be less committed to quitting and have lower quit rates. This study examines tobacco user cessation outcomes 7 months after quitline enrollment during the 2012 Tips campaign (March 19 through June 10, 2012).MethodsWe analyzed data for 715 tobacco users who enrolled in the Nebraska, North Carolina, or Texas state quitline multiple-call programs during the 2012 Tips campaign and responded to a 7-month postenrollment survey (38.5% survey response rate). We used multivariable logistic regression analyses to determine whether 7-day and 30-day point prevalence abstinence rates 7 months after enrollment were related to level of exposure to the campaign.ResultsIn multivariable models, only lower nicotine dependence and higher call completion were associated with higher odds of 7-day and 30-day abstinence 7 months after enrollment. Tips campaign exposure was not associated with abstinence.ConclusionOnce enrolled in quitline counseling, quitline callers achieved similar outcomes regardless of Tips campaign exposure levels. While the campaign did not appear to directly affect odds of tobacco abstinence through quitlines, antismoking mass media campaigns such as Tips are valuable in increasing tobacco users’ exposure to quitlines and thus increasing their likelihood of making a quit attempt and eventually achieving tobacco abstinence.

Factors Predicting Client Re-Enrollment in Tobacco Cessation Services in a State Quitline

“…Differences between men and women in quitline service use is an emerging area of research, and research shows that such differences exist in quit outcomes ( 22 ). Our study is the first to find that men are less likely than women to re-engage in cessation services, consistent with evidence showing that men in general underuse quitlines ( 23 ). This finding may indicate the need for tailored outreach and re-engagement strategies for male smokers (eg, use of multimodal strategies such as apps and text messages to increase adherence and re-engagement).…”

Emergency Department–Initiated Tobacco Control: Update of a Systematic Review and Meta-Analysis of Randomized Controlled Trials

“…Anders et al ( 24 ) and Bernstein et al ( 25 , 26 ) provided NRT gratis to their patients. Participants with higher levels of nicotine dependence were less likely to benefit from exposure to tobacco counseling in EDs or other settings ( 34 , 42 – 44 ). Additionally, providing NRT during cessation counseling (alone or in combination with other pharmacologic strategies) increased the number of quit attempts and abstinence rates in certain patient groups ( 45 , 46 ).…”

Long-term Quit Rates in Fax-Referred as Compared to Self-Referred Tobacco Quitline Registrants

“…Additionally, fax-referred registrants who did not complete the follow-up survey were more likely to be female, but this was not observed among self-callers. Quit outcomes have shown to be worse among women, [22][23][24] American Indians, 25,26 those who are more nicotine dependent, 1,20,27 and the uninsured. 27,28 Because those lost to follow-up are likely to have poorer quit outcomes, the authors used basic imputation where self-callers and fax-referred registrants who were lost to follow-up were assumed to have continued smoking.…”