Understanding the Barriers to Use of Free, Proactive Telephone Counseling for Tobacco Dependence

Sheffer, Christine E.; Brackman, S. Laney; Cottoms, Naomi; Olsen, M. W.

doi:10.1177/1049732311404248

Cited by 28 publications

(28 citation statements)

References 33 publications

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“…Callers may be hesitant to participate in counseling because of a lack of trust in the counselors or a lack of knowledge that counseling may increase their ability to quit smoking [20]. Callers may also be more interested in trying to quit on their own as most smokers quit without the use of counseling or medication [21].…”

Section: Discussionmentioning

confidence: 99%

Telephone Smoking Cessation Quitline Use Among Pregnant and Non-pregnant Women

Bombard

Farr

Dietz

et al. 2012

Matern Child Health J

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To describe characteristics, referrals, service utilization, and self-reported quit rates among pregnant and non-pregnant women enrolled in a smoking cessation quitline. This information can be used to improve strategies to increase pregnant and non-pregnant smokers’ use of quitlines. We examined tobacco use characteristics, referral sources, and use of services among 1,718 pregnant and 24,321 non-pregnant women aged 18–44 years enrolled in quitline services in 10 states during 2006–2008. We examined self-reported 30-day quit rates 7 months after enrollment among 246 pregnant and 4,123 non-pregnant women and, within groups, used Chi-square tests to compare quit rates by type of service received. The majority of pregnant and non-pregnant callers, respectively, smoked ≥10 cigarettes per day (62 %; 83 %), had recently attempted to quit (55 %; 58 %), smoked 5 or minutes after waking (59 %; 55 %), and lived with a smoker (63 %; 48 %). Of callers, 24.3 % of pregnant and 36.4 % of non-pregnant women were uninsured. Pregnant callers heard about the quitline most often from a health care provider (50 %) and non-pregnant callers most often through mass media (59 %). Over half of pregnant (52 %) and non-pregnant (57 %) women received self-help materials only, the remainder received counseling. Self-reported quit rates at 7 months after enrollment in the subsample were 26.4 % for pregnant women and 22.6 % for non-pregnant women. Quitlines provide needed services for pregnant and non-pregnant smokers, many of whom are uninsured. Smokers should be encouraged to access counseling services.

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Section: Discussionmentioning

confidence: 99%

Telephone Smoking Cessation Quitline Use Among Pregnant and Non-pregnant Women

Bombard

Farr

Dietz

et al. 2012

Matern Child Health J

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“…quitting actually caused poor health has been reported previously in qualitative studies. 63 In terms of increased physical activity, several African-American participants spoke of intense fears about breathlessness and bringing on an asthma attack or the like. Collectively, the African-American focus group participants had an underlying belief that smoking cessation and increased physical activity were health goals that were not attainable.…”

Section: Discussionmentioning

confidence: 99%

Smoking Cessation in Pulmonary Care Subjects: A Mixed Methods Analysis of Treatment-Seeking Participation and Preferences

et al. 2016

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Smoking cessation program attendance in this sample of mostly African-American smokers was poor. Increased knowledge about cessation benefits and access to full-course pharmacotherapy, particularly in those without a COPD diagnosis and who do not have a maternal history of cancer, may be high-priority targets to promote cessation program uptake in this population. Increased knowledge and access to safe forms of physical activity may also be beneficial.

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“…18–21 Other barriers to quitline use include the need of multiple sessions of telephone counseling, which in turn requires regular and private access to a telephone, as well as other resources that are not available to all smokers. 22 Addressing this lack of knowledge and credibility could significantly boost the proportion of smokers who are able to successfully quit when regularly referred by the health care community. One way to increase the reach of these services is to harness the health care system to identify and refer smokers to quitlines proactively.…”

Section: Introductionmentioning

confidence: 99%

Promoting Tobacco Cessation and Smoke-Free Workplaces Through Community Outreach Partnerships in Puerto Rico

Díaz‐Toro¹,

Fernández²,

Correa-Fernández³

et al. 2014

cpr

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Background Puerto Rico (PR) has a lower smoking prevalence than the United States (14.8% vs. 21.2%, respectively); nevertheless, the five leading causes of death are associated with smoking. There is a need to implement evidence-based tobacco control strategies in PR. Objectives The Outreach Pilot Program (OPP) was designed to engage communities, health professionals, and researchers in a network to advance health promotion activities and research to increase the use of the PR Quitline (PRQ) among smokers and promoting policies in support of smoke-free workplaces. Methods Using community-based participatory research (CBPR) methods, the OPP mobilized a network of community and academic partners to implement smoking cessation activities including referrals to the PRQ, adoption of evidence-based smoking cessation programs, and promotion of smoke-free legislation. Results Eighty organizations participated in the OPP. Collaborators implemented activities that supported the promotion of the PRQ and smoke-free workplaces policy and sponsored yearly trainings, including tobacco control conferences. From 2005 to 2008, physician referrals to the PRQ increased from 2.6% to 7.2%. The number of annual smokers receiving cessation services through the PRQ also increased from 703 to 1,086. The OPP shepherded a rigorous smoke-free law through participation in the development, promotion, and implementation of the smoke-free workplaces legislation as well as the creation of the PR Tobacco Control Strategic Plan, launched in 2006. Conclusions This project demonstrates the feasibility of developing a successful and sustainable community-based outreach program model that enlists the participation of academic researchers, community organizations, and health care providers as partners to promote tobacco control.

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Understanding the Barriers to Use of Free, Proactive Telephone Counseling for Tobacco Dependence

Cited by 28 publications

References 33 publications

Telephone Smoking Cessation Quitline Use Among Pregnant and Non-pregnant Women

Telephone Smoking Cessation Quitline Use Among Pregnant and Non-pregnant Women

Smoking Cessation in Pulmonary Care Subjects: A Mixed Methods Analysis of Treatment-Seeking Participation and Preferences

Promoting Tobacco Cessation and Smoke-Free Workplaces Through Community Outreach Partnerships in Puerto Rico

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