Thoracic Research Centre, Faculty of Medicine, The University of Queensland, Chermside, Australia.
The Australian e-Health Research Centre, Commonwealth Scientific and Industrial Research Organisation, Herston, Queensland, Australia.
Health Educ Behav. 2024 Feb;51(1):43-53. doi: 10.1177/10901981231206068. Epub 2023 Oct 17.
Telephone-based services are a practical and effective behavioral support for smoking cessation, yet no in-depth analyses of this counseling have been conducted. Understanding the general content of Quitline conversations can help to improve current practices and may inform future interventions. Therefore, we aimed to independently explore conversation themes, topics, and client questions during Quitline counseling sessions with Quitline clients in Queensland, Australia. A purposive sample of 30 recorded counseling sessions, completed between January and March 2019, were de-identified, transcribed, and thematically analyzed. Seven themes, encompassing 35 topics, were derived from 26 initial calls and four follow-up calls: (1) Client details and building rapport; (2) Client history and motivation to quit; (3) Pharmacotherapy; (4) Behavioral aspects of quitting and relationship with smoking; (5) Understanding nicotine dependence and other important considerations; (6) Additional support and smoking cessation resources; and (7) Planning, goal setting and follow-up. Three themes emerged from 18 client questions including (1) Pharmacotherapy safety and contraindications; (2) Pharmacotherapy instructions and mechanism of action; and (3) Physiology of nicotine dependence. This is the first qualitative analysis of the content of Quitline counseling sessions in Australia. Counselors collect and deliver a breadth of information to provide tailored, evidence-based health care, while building rapport and trust. Findings may be translatable into personalized self-help interventions that are more accessible or appealing to people reluctant to contact Quitline. Harnessing educational opportunities regarding pharmacotherapy adherence and misconceptions can improve client confidence in the product and smoking cessation outcomes. Further research will map conversations to motivational interviewing and behavior change techniques.
电话服务是一种实用且有效的戒烟行为支持方式，但针对这种咨询方式尚未进行深入分析。了解戒烟热线咨询会话的一般内容有助于改进当前的实践，并为未来的干预措施提供信息。因此，我们旨在独立探索澳大利亚昆士兰州戒烟热线客户的戒烟热线咨询会话中的对话主题、话题和客户问题。从 2019 年 1 月至 3 月完成的 26 次初始呼叫和 4 次后续呼叫中，选择了 30 个记录的咨询会话作为目的样本，对其进行去识别、转录和主题分析。从 26 次初始呼叫和 4 次后续呼叫中得出了七个主题，涵盖了 35 个话题：（1）客户详细信息和建立融洽关系；（2）客户病史和戒烟动机；（3）药物治疗；（4）戒烟的行为方面和与吸烟的关系；（5）了解尼古丁依赖和其他重要考虑因素；（6）额外支持和戒烟资源；（7）计划、设定目标和随访。18 个客户问题中出现了三个主题，包括（1）药物治疗的安全性和禁忌症；（2）药物治疗说明和作用机制；（3）尼古丁依赖的生理学。这是对澳大利亚戒烟热线咨询会话内容的首次定性分析。咨询师收集并提供广泛的信息，以提供量身定制的、基于证据的医疗保健，同时建立融洽关系和信任。调查结果可能适用于更易于访问或吸引不愿联系戒烟热线的人的个性化自助干预措施。利用有关药物治疗依从性和误解的教育机会可以提高客户对产品的信心和戒烟效果。进一步的研究将把对话映射到动机性访谈和行为改变技术上。
