Telephone-Based Smoking Cessation Counseling Service: Satisfaction and Outcomes in Vietnamese Smokers

Background: As a method to acknowledge the devastating health and economic impacts of tobacco usage worldwide, telephone-based tobacco cessation counseling services have emerged as a potential tool to aid people in their quitting process. This study explores the satisfaction of smokers who use the QUITLINE service and factors associated with their quit attempts and cessation. Methods: A cross-sectional survey of 110 participants was conducted from June to July 2016 at the Respiratory Center at Bach Mai Hospital, Hanoi, Vietnam. Multivariate logistic regression was used, and it was found that the percentage of people quitting smoking increased after using the service. Results: In total, 65.5% of participants were completely satisfied with the counseling service. The mean score of staff/s capacity/responsiveness, motivation, and service convenience were 4.37 +/- 0.78, 4.30 +/- 0.81, and 4.27 +/- 0.66, respectively. The smoking relapse rate was relatively high at 58.3%, which mainly resulted from cravings and busy work (26.2% and 14.3%, respectively). A higher satisfaction score in Staffs' capacity and responsiveness was negatively associated with ever tried to quit smoking in consecutive 24 h and actually quit smoking after receiving counseling. Meanwhile, a higher score in the Motivation domain was positively associated with both quit attempt indicators as well as actually quitting smoking after receiving counseling (OR = 9.48; 95%CI = 2.27; 39.57). Conclusions: These results suggest that it is crucial for decision makers to place more focus on countermeasures for smoking relapse and to strengthen the capacity of staff, especially in motivating clients. Interventions should also be maintained throughout a long period of time to prevent relapse.

Automated summary

This study examined the satisfaction of smokers who used the QUITLINE service and identified factors associated with their quit attempts and cessation. The results showed that 65.5% of participants were completely satisfied with the counseling service, but the smoking relapse rate was relatively high. The study also found that staff's capacity and motivation were associated with quit attempts and successful cessation, suggesting the need to focus on preventing smoking relapse and strengthening staff training to improve client motivation.