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Enrolling Smokers from Health Systems into Quitline Services: ‘Results of two enrollment strategies’

Published online by Cambridge University Press:  11 November 2014

Barrett Sewali ,
Janet L. Thomas ,
Hongfei Guo ,
Kevin Peterson ,
Jasjit S. Ahluwalia ,
Matthew J. Carpenter ,
Christi Patten ,
Edward F. Ellerbeck  and
Kolawole S. Okuyemi
Barrett Sewali*
Affiliation:
Department of Family Medicine and Community Health, University of Minnesota, Medical School, Minneapolis, MN, USA Program in Health Disparities Research, University Of Minnesota, Medical School, Minneapolis, MN
Janet L. Thomas
Affiliation:
Program in Health Disparities Research, University Of Minnesota, Medical School, Minneapolis, MN Masonic Cancer Center, University Of Minnesota, Minneapolis, MN Center for Health Equity, University Of Minnesota, Medical School, Minneapolis, MN Department of Medicine, University of Minnesota, Medical School, Minneapolis, MN, USA
Hongfei Guo
Affiliation:
Division of Biostatistics, School of Public Health, and Clinical and Translational Science Institute, University of Minnesota, Minneapolis, MN
Kevin Peterson
Affiliation:
Department of Family Medicine and Community Health, University of Minnesota, Medical School, Minneapolis, MN, USA
Jasjit S. Ahluwalia
Affiliation:
Masonic Cancer Center, University Of Minnesota, Minneapolis, MN Center for Health Equity, University Of Minnesota, Medical School, Minneapolis, MN Department of Medicine, University of Minnesota, Medical School, Minneapolis, MN, USA
Matthew J. Carpenter
Affiliation:
Department of Psychiatry, Medical University of South Carolina, Charleston, SC
Christi Patten
Affiliation:
Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN
Edward F. Ellerbeck
Affiliation:
Department of Preventive Medicine and Public Health, University of Kansas Medical Center, Kansas City, KS
Kolawole S. Okuyemi
Affiliation:
Department of Family Medicine and Community Health, University of Minnesota, Medical School, Minneapolis, MN, USA Program in Health Disparities Research, University Of Minnesota, Medical School, Minneapolis, MN Masonic Cancer Center, University Of Minnesota, Minneapolis, MN Center for Health Equity, University Of Minnesota, Medical School, Minneapolis, MN
*
Address for correspondence: Barrett Sewali, MBChB., M.P.H., Department of Family Medicine and Community Health 717 Delaware St. SE. Ste. 166 Minneapolis, MN 55414. Email: [email protected]
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Abstract

Objective: To determine the effects of motivational interviewing (MI) counselling versus a minimal intervention control on the enrollment of smokers in the Minnesota QUITPLAN Helpline.

Study design: Two-group randomized controlled trial of 235 community-dwelling adult smokers. Participants were randomly assigned to receive either a three-session phone based motivational interviewing intervention (n = 118) or the control (n = 117) consisting of mailed printed materials about the Minnesota QUITPLAN helpline services.

Data collection: Participants completed demographic and smoking-related survey questionnaire at baseline (by mail) and at weeks 4 and 26 (by phone) follow-up. Quitline enrollment status data was provided by the Minnesota QUITPLAN Helpline.

Principal findings: At week 4 follow-up, a higher proportion of participants in the MI group (22.3%) had enroled in the Minnesota QUITPLAN Helpline compared to those in the control arm (13.6%; p = 0.098). At week 26 follow-up, enrollment rates were similar for MI (28.0%) and control (26.5%) arms. Of those who enroled in the Helpline, participants in the MI group reported completing more Helpline sessions than those in control group (4.9 vs. 3.2; p = 0.087).

There was no significant interaction between readiness to quit and intervention for the outcome of enrollment in the Helpline.

Conclusions: A minimal intensity control such as mailing printed materials resulted in quitline enrollment rates similar to a more resource intensive intervention like motivational interviewing and several folds higher than the current state or national averages. We recommend that health plans should consider mailing smoking cessation promotional messages to encourage smokers to enrol in quitlines.

Keywords

Health SystemsSmokersSmoking Cessation HelplineMotivational Interviewing
Type
Original Articles
Information
Journal of Smoking Cessation , Volume 11 , Issue 3 , September 2016 , pp. 179 - 187
Copyright
Copyright © The Author(s) 2014 

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