Naja Sarah, Alchawa Mohamad, Adli Nada, Ahmed Wafa Mohammed, Abdu Yasamin, Singh Rajvir, Muraikhi Hissa Al, Baker Wadha Al, Bougmiza Iheb
Community Medicine Department, Hamad Medical Corporation, Doha, Qatar.
Cardiology Research Department, Hamad Medical Corporation, Doha, Qatar.
Prev Med Rep. 2023 Jun;33:102174. doi: 10.1016/j.pmedr.2023.102174. Epub 2023 Mar 11.
Smoking cessation leads to a reduction in risks of smoking-related morbidity and mortality. During the coronavirus 2019 (COVID-19) pandemic, smoking cessation services were interrupted. Providing smoking cessation counseling by telephone could be a convenient and safe alternative to traditional face-to-face service. However, the effectiveness of telephone smoking cessation counseling has not yet been thoroughly investigated. This study evaluated telephone smoking cessation counseling compared to face-to-face consultations during the COVID-19 era. In addition, it investigated the association between sociodemographic and health-related factors and cessation rates. A retrospective cohort design was used. Participants were randomly selected from two lists: (1) telephone counseling and (2) face-to-face counseling in smoking cessation clinics in five primary health care centers in Qatar between March 2020 and March 2021. Cessation rates were compared between the two groups at 1, 2, 4, 8, and 12 weeks. A multivariable logistic regression analysis was used to identify the significant associations with smoking cessation. Smokers who underwent telephone consultations had significantly lower quit rates at all follow-ups compared to those who attended face-to-face visits. At the 12-week follow-up, the adjusted odd ratio for quitting through face-to-face consultations was 1.96 (95% CI [1.15-3.35]) times higher than that achieved through telephone consultations. In addition to receiving face-to-face counseling, higher self-efficacy to cease smoking was an independent predictor of successful cessation. Providing smoking cessation counseling by telephone could be a safer but less effective mode of delivery versus traditional face-to-face encounters during the pandemic.
戒烟可降低与吸烟相关的发病和死亡风险。在2019冠状病毒病（COVID-19）大流行期间，戒烟服务被中断。通过电话提供戒烟咨询可能是传统面对面服务的一种方便且安全的替代方式。然而，电话戒烟咨询的有效性尚未得到充分研究。本研究评估了在COVID-19时代，电话戒烟咨询与面对面咨询相比的效果。此外，还调查了社会人口学和健康相关因素与戒烟率之间的关联。采用回顾性队列设计。参与者从两个列表中随机选取：（1）电话咨询；（2）2020年3月至2021年3月期间卡塔尔五个初级卫生保健中心戒烟诊所的面对面咨询。比较两组在1、2、4、8和12周时的戒烟率。使用多变量逻辑回归分析来确定与戒烟的显著关联。与参加面对面咨询的吸烟者相比，接受电话咨询的吸烟者在所有随访中的戒烟率显著较低。在12周随访时，通过面对面咨询戒烟的调整后比值比是通过电话咨询戒烟的1.96倍（95%可信区间[1.15 - 3.35]）。除了接受面对面咨询外，更高的戒烟自我效能是成功戒烟的独立预测因素。在大流行期间，与传统的面对面接触相比，并通过电话提供戒烟咨询可能是一种更安全但效果较差的服务方式。
