期刊
JOURNAL OF SMOKING CESSATION
卷 15, 期 2, 页码 67-75出版社
HINDAWI LTD
DOI: 10.1017/jsc.2020.10
关键词
Retention; tobacco quitlines
资金
- Arizona Department of Health Services [ADHS11-007339, ADHS16-106672, ADHS13-026130:5]
- National Cancer Institute of the National Institutes of Health [P30 CA023074]
Introduction. Quitlines are standard care for smoking cessation; however, retaining clients in services is a problem. Little is known about factors that may predict dropout. Aims. To examine predictors of retention while in-program and at follow-up for clients enrolling in a state quitline. Methods. This was a retrospective analysis of quitline enrolled clients from 2011 to 2017 (N= 49,347). Client retention in-program was categorized as (a) low adherence to treatment (receiving zero coaching calls), moderate (1-2 calls), and high adherence (3+ calls). Dropout at follow-up included participants who were not reached for the 7-month follow-up. Results. More than half the sample dropped out during treatment; 61% were not reached for follow-up. Women (odds ratio (OR) = 1.21; 95% confidence interval (CI) = [1.16, 127]) and those with high levels of nicotine dependence (OR = 1.03; 95% CI = [1.02, 1.04]) were more likely to have moderate adherence to treatment (1-2 coaching calls). Dropout at follow-up was more likely among clients who used nicotine replacement therapy (OR = 1.14; 95% CI = [1.09, 1.19]) and less likely among those who had high treatment adherence (OR = 0.41; 95% CI = [0.39, 0.42]). Conclusion. Given the relapsing nature of tobacco use and the harms related to tobacco use, quitlines can improve their impact by offering tailored services to enhance client engagement and retention in-treatment and at follow-up.
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