Effectiveness of additional follow-up telephone counseling in a smoking cessation clinic in Beijing and predictors of quitting among Chinese male smokers

Abstract

BackgroundNo previous studies have investigated whether additional telephone follow-up counseling sessions after face-to-face counseling can increase quitting in China, and whether this strategy is feasible and effective for promoting smoking cessation is still unclear.MethodsA non-randomized controlled study was conducted in Beijing. We compared the quit rates of one group which received face-to-face counseling (FC) alone (one session of 40 min) to another group which received the same face-to-face counseling plus four follow-up sessions of brief telephone counseling (15–20 min each) at 1 week, 1, 3 and 6 month follow-up (FCF). No smoking cessation medication was provided. From October 2008 to August 2013, Chinese male smokers who sought treatment in a part-time regular smoking cessation clinic of a large general hospital in Beijing were invited to participate in the present study. Eligible male smokers (n = 547) were divided into two groups: FC (n = 149) and FCF (n = 398). Main outcomes were self-reported 7-day point prevalence and 6 month continuous quit rates at 12 month follow-up.ResultsBy intention to treat, at 12 month follow-up, the 7-day point prevalence and 6 month continuous quit rates of FC and FCF were 14.8 % and 26.4 %, and 10.7 % and 19.6 % respectively. The adjusted odds ratios (95 % confidence intervals) of quitting in FCF compared to FC was 2.34 (1.34–4.10) (P = 0.003) and 2.41 (1.28–4.52) (P = 0.006), respectively. Stepwise logistic regression showed that FCF, being married, unemployed and a lower Fagerström score were significant independent predictors of 6 month continuous quitting at 12 month follow-up.ConclusionsUsing systematically collected data from real-world practice, our smoking cessation clinic has shown that the additional telephone follow-up counseling sessions doubled the quit rate.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-2718-5) contains supplementary material, which is available to authorized users.

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“…A recent Cochrane review showed that individual behavioral counseling of >10 min significantly increases the likelihood of cessation by 40–60% than a minimal contact control (brief advice, usual care or provision of self‐help materials). Additional telephone follow‐up counseling sessions are also reported to double the quit rate at 12‐month follow up. A specialized counseling intervention has proved more effective for helping patients cease smoking than a usual state quit‐line.…”

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Very brief physician advice and supplemental proactive telephone calls to promote smoking reduction and cessation in Chinese male smokers with no intention to quit: a randomized trial

“…The questionnaires were developed based on questionnaires used in the smoking cessation clinics of Hong Kong and Guangzhou [15][16][17], with minor revisions for more practical application in our smoking cessation clinic in Beijing [18]. The questionnaires were developed based on questionnaires used in the smoking cessation clinics of Hong Kong and Guangzhou [15][16][17], with minor revisions for more practical application in our smoking cessation clinic in Beijing [18].…”

“…Data were collected at the first visit and at 1 week, 1-, 3-, 6-and 12-month follow-up interviews using standardized, structured questionnaires. The questionnaires were developed based on questionnaires used in the smoking cessation clinics of Hong Kong and Guangzhou [15][16][17], with minor revisions for more practical application in our smoking cessation clinic in Beijing [18].…”