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Telephone-Based Coaching: A Comparison of Tobacco Cessation Programs in an Integrated Health Care System
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3 2017
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Source: Am J Health Promot. 31(2):136-142
[PDF-732.16 KB]
Details:
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Alternative Title:Am J Health Promot
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Personal Author:
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Description:Purpose
Many Americans continue to smoke, increasing their risk of disease and premature death. Both telephone-based counseling and in-person tobacco cessation classes may improve access for smokers seeking convenient support to quit. Little research has assessed whether such programs are effective in real-world clinical populations.
Design
Retrospective cohort study comparing wellness coaching participants with two groups of controls.
Setting
Kaiser Permanente, Northern California (KPNC), a large integrated health care delivery system.
Subjects
241 patients who participated in telephonic tobacco cessation coaching from 1/1/2011–3/31/2012, and two control groups: propensity-score matched controls, and controls who participated in a tobacco cessation class during the same period. Wellness coaching participants received an average of two motivational interviewing based coaching sessions that engage the patient, evoke their reason to consider quitting and help them establish a quit plan.
Measures
Self-reported quitting of tobacco and fills of tobacco cessation medications within 12 months of follow-up.
Analysis
Logistic regressions adjusting for age, gender, race/ethnicity, and primary language.
Results
After adjusting for confounders, tobacco quit rates were higher among coaching participants vs. matched controls (31% vs. 23%, P<0.001) and comparable to class attendees (31% vs. 29%, P=0.28). Coaching participants and class attendees filled tobacco-cessation prescriptions at a higher rate (47% for both) than matched controls (6%, P<0.001).
Conclusions
Telephonic wellness coaching was as effective as in-person classes and was associated with higher rates of quitting compared to no treatment. The telephonic modality may increase convenience and scalability for health care systems looking to reduce tobacco use and improve health.
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Source:
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Pubmed ID:26559720
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Pubmed Central ID:PMC5118192
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Document Type:
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Funding:
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Volume:31
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Issue:2
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