A randomized controlled trial of Telephone Counseling with smokeless tobacco users: the ChewFree Minnesota study Journal Article uri icon
  • Although a considerable body of evidence supports telephone quit lines for smoking cessation, much less is known about the effectiveness of proactive Telephone Counseling with smokeless tobacco (ST) users. We conducted a randomized controlled trial comparing Telephone Counseling with the distribution of a self-help manual for ST cessation. We recruited 406 adult ST users throughout the state of Minnesota and randomized them to receive either: (a) a self-help manual (Manual only) or (b) a self-help manual plus proactive telephone-based cessation counseling (Telephone Counseling). The telephone-based treatment included up to four calls in support of quitting, and personalized various cognitive and behavioral strategies that are generally considered effective in tobacco cessation (such as setting a quit date, examining patterns of use, developing stress reduction skills, avoiding known triggers to use). Participants were surveyed by phone at 3 and 6 months to assess both point prevalence and continued abstinence. Prolonged abstinence from all tobacco was 6.8% and 30.9% (p < .001) at 3 months and 9.8% and 30.9% (p < .001) at 6 months in Manual only and Telephone Counseling, respectively. We found older age, lower dependency, and increased readiness predicted quitting success. Proactive telephone-based counseling is an effective strategy for improving cessation rates among ST users. Future research should determine the components contributing to the intervention success.

  • Link to Article
    publication date
  • 2008
  • published in
  • *Health Knowledge, Attitudes, Practice
  • *Patient Education as Topic
  • *Telephone
  • *Tobacco, Smokeless
  • Cognitive Behavioral Therapy/*methods/statistics & numerical data
  • Counseling/*methods/statistics & numerical data
  • Minnesota/epidemiology
  • Pamphlets
  • Predictive Value of Tests
  • Self Efficacy
  • Self-Help Groups
  • Social Support
  • Tobacco Use Cessation/*methods/psychology/statistics & numerical data
  • Treatment Outcome
  • Additional Document Info
  • 10
  • issue
  • 9