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Article: Effects of simple active referrals of different intensities on smoking abstinence and smoking cessation services attendance: a cluster-randomized clinical trial

TitleEffects of simple active referrals of different intensities on smoking abstinence and smoking cessation services attendance: a cluster-randomized clinical trial
Authors
KeywordsActive referral
Clinical trial
Community smoker
Lay counsellor
Service use
Smoking cessation
Issue Date2020
PublisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1360-0443
Citation
Addiction, 2020, v. 115 n. 10, p. 1902-1912 How to Cite?
AbstractBackground and aims: Proactive brief cessation advice by a lay counsellor combined with a referral to a smoking cessation service (active referral) is effective in increasing service use and quitting in community smokers. We compared the effect of two modified approaches to referrals on the cessation outcomes in community smokers. Design: Three-arm cluster-randomized trial. Setting: General community in Hong Kong. Participants: Daily cigarette smokers (n = 1163; 77.7% male). Interventions: Participants were randomized to receive on-site active referral (OSR, n = 395), where lay counsellors helped participants make appointments with a smoking cessation service of their choice plus tailored reminders; mobile text messaging referral (TMR, n = 385), where participants were encouraged to use a smoking cessation service via text messages; or brief cessation advice only (control, n = 383). Measurements: The primary outcome was a self-reported 7-day point-prevalence abstinence at 6 months post-treatment initiation. Secondary outcomes included 7-day point-prevalence abstinence at 3 and 18 months, biochemically validated abstinence, smoking reduction and the use of cessation services at 3, 6 and 18 months. Findings: Using intention-to-treat analysis, the OSR (17.7%) and TMR (17.1%) groups had significantly higher self-reported abstinence than the control (12.0%) group at 6 months [odds ratio (OR) for OSR versus control = 1.58, 95% confidence interval (CI) = 1.06–2.36; OR for TMR versus control = 1.52, 95% CI = 1.01–2.28; both P < 0.05]. The corresponding validated abstinence rates at 6 months were 7.6, 7.8 and 3.9% (OR for TMR versus control = 2.02, 95% CI = 1.07–3.81; OR for TMR versus control = 2.07, 95% CI = 1.10–3.92; both P < 0.05). Self-reported and validated abstinence were similar at 18 months. OSR groups had higher rates of smoking cessation service use than the control group at all follow-ups (all P < 0.001). The smoking reduction rates were similar in continuing smokers. Conclusions: Simple active referrals (in person or via text messaging) to smoking cessation services increased abstinence rates among smokers in Hong Kong compared with general brief cessation advice. On-site active referral increased the use of smoking cessation services compared with general brief cessation advice.
Persistent Identifierhttp://hdl.handle.net/10722/281665
ISSN
2023 Impact Factor: 5.2
2023 SCImago Journal Rankings: 2.129
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWeng, X-
dc.contributor.authorLuk, TT-
dc.contributor.authorSuen, YN-
dc.contributor.authorWu, Y-
dc.contributor.authorLi, HCW-
dc.contributor.authorCheung, YTD-
dc.contributor.authorKwong, ACS-
dc.contributor.authorLai, VWY-
dc.contributor.authorChan, SSC-
dc.contributor.authorLam, TH-
dc.contributor.authorWang, MP-
dc.date.accessioned2020-03-22T04:17:59Z-
dc.date.available2020-03-22T04:17:59Z-
dc.date.issued2020-
dc.identifier.citationAddiction, 2020, v. 115 n. 10, p. 1902-1912-
dc.identifier.issn0965-2140-
dc.identifier.urihttp://hdl.handle.net/10722/281665-
dc.description.abstractBackground and aims: Proactive brief cessation advice by a lay counsellor combined with a referral to a smoking cessation service (active referral) is effective in increasing service use and quitting in community smokers. We compared the effect of two modified approaches to referrals on the cessation outcomes in community smokers. Design: Three-arm cluster-randomized trial. Setting: General community in Hong Kong. Participants: Daily cigarette smokers (n = 1163; 77.7% male). Interventions: Participants were randomized to receive on-site active referral (OSR, n = 395), where lay counsellors helped participants make appointments with a smoking cessation service of their choice plus tailored reminders; mobile text messaging referral (TMR, n = 385), where participants were encouraged to use a smoking cessation service via text messages; or brief cessation advice only (control, n = 383). Measurements: The primary outcome was a self-reported 7-day point-prevalence abstinence at 6 months post-treatment initiation. Secondary outcomes included 7-day point-prevalence abstinence at 3 and 18 months, biochemically validated abstinence, smoking reduction and the use of cessation services at 3, 6 and 18 months. Findings: Using intention-to-treat analysis, the OSR (17.7%) and TMR (17.1%) groups had significantly higher self-reported abstinence than the control (12.0%) group at 6 months [odds ratio (OR) for OSR versus control = 1.58, 95% confidence interval (CI) = 1.06–2.36; OR for TMR versus control = 1.52, 95% CI = 1.01–2.28; both P < 0.05]. The corresponding validated abstinence rates at 6 months were 7.6, 7.8 and 3.9% (OR for TMR versus control = 2.02, 95% CI = 1.07–3.81; OR for TMR versus control = 2.07, 95% CI = 1.10–3.92; both P < 0.05). Self-reported and validated abstinence were similar at 18 months. OSR groups had higher rates of smoking cessation service use than the control group at all follow-ups (all P < 0.001). The smoking reduction rates were similar in continuing smokers. Conclusions: Simple active referrals (in person or via text messaging) to smoking cessation services increased abstinence rates among smokers in Hong Kong compared with general brief cessation advice. On-site active referral increased the use of smoking cessation services compared with general brief cessation advice.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1360-0443-
dc.relation.ispartofAddiction-
dc.rightsThis is the peer reviewed version of the following article: Addiction, 2020, v. 115 n. 10, p. 1902-1912, which has been published in final form at https://doi.org/10.1111/add.15029. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.-
dc.subjectActive referral-
dc.subjectClinical trial-
dc.subjectCommunity smoker-
dc.subjectLay counsellor-
dc.subjectService use-
dc.subjectSmoking cessation-
dc.titleEffects of simple active referrals of different intensities on smoking abstinence and smoking cessation services attendance: a cluster-randomized clinical trial-
dc.typeArticle-
dc.identifier.emailWeng, X: wengxue@connect.hku.hk-
dc.identifier.emailLuk, TT: lukkevin@hku.hk-
dc.identifier.emailSuen, YN: suenyn@hku.hk-
dc.identifier.emailWu, Y: ydswu@hku.hk-
dc.identifier.emailLi, HCW: william3@hkucc.hku.hk-
dc.identifier.emailCheung, YTD: takderek@hku.hk-
dc.identifier.emailChan, SSC: scsophia@hku.hk-
dc.identifier.emailLam, TH: hrmrlth@hkucc.hku.hk-
dc.identifier.emailWang, MP: mpwang@hku.hk-
dc.identifier.authorityLuk, TT=rp02827-
dc.identifier.authoritySuen, YN=rp02481-
dc.identifier.authorityLi, HCW=rp00528-
dc.identifier.authorityCheung, YTD=rp02262-
dc.identifier.authorityChan, SSC=rp00423-
dc.identifier.authorityLam, TH=rp00326-
dc.identifier.authorityWang, MP=rp01863-
dc.description.naturepostprint-
dc.identifier.doi10.1111/add.15029-
dc.identifier.pmid32149425-
dc.identifier.scopuseid_2-s2.0-85082198615-
dc.identifier.hkuros309454-
dc.identifier.volume115-
dc.identifier.issue10-
dc.identifier.spage1902-
dc.identifier.epage1912-
dc.identifier.isiWOS:000521411500001-
dc.publisher.placeUnited Kingdom-
dc.identifier.issnl0965-2140-

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