MINTO Prevention and Rehabilitation Centre, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Prev Med. 2013 Jun;56(6):390-7. doi: 10.1016/j.ypmed.2013.02.018. Epub 2013 Feb 26.
To determine whether telephone-based smoking cessation follow-up counseling (FC), when delivered as part of a multi-component intervention program is associated with increased rates of follow-up support and smoking abstinence.
A cluster randomized controlled-trial was conducted within family medicine practices in Ontario, Canada. Consecutive adult patients who smoked were enrolled at two time points, the baseline period (2009) and the post-intervention period (2009-2011). Smoking abstinence was determined by telephone interview 4 months following enrollment. Both groups implemented a multi-component intervention program. Practices randomized to the FC group could also refer patients to a follow-up support program which involved 5 telephone contacts over a 2-month period.
Eight practices, 130 providers, and 928 eligible patients participated in the study. No statistically significant difference in 7-day point-prevalence abstinence was observed between intervention groups. There was a significant increase in referral to follow-up in both intervention groups. Significantly higher rates of smoking abstinence [25.7% vs. 11.3%; adjusted OR 3.1 (95% CI: 1.1, 8.6), p<0.05] were documented among the twenty-nine percent of FC participants who were referred to the follow-up support program compared to the MC group.
Access to external follow-up support did not increase rates at which follow-up support was delivered.
确定电话戒烟随访咨询（FC）是否与随访支持和戒烟率的提高有关，作为多组分干预计划的一部分。
在加拿大安大略省的家庭医学实践中进行了一项集群随机对照试验。在基线期（2009 年）和干预后期（2009-2011 年），连续招募了吸烟的成年患者。通过电话访谈在入组后 4 个月确定戒烟情况。两组均实施了多组分干预计划。随机分配到 FC 组的实践也可以将患者转介到随访支持计划，该计划包括在 2 个月内进行 5 次电话联系。
8 个实践、130 个提供者和 928 名合格患者参与了研究。干预组之间的 7 天点预患病率戒烟率没有统计学上的显著差异。两组的转介到随访的人数均有所增加。在被转介到随访支持计划的 FC 参与者中，有 29%的人记录到更高的戒烟率[25.7%比 11.3%；调整后的 OR 3.1（95%CI：1.1, 8.6），p<0.05]，与 MC 组相比。
获得外部随访支持并没有增加提供随访支持的比例。
