Conclusions Offering free nicotine replacement therapy or additional (proactive) counselling to standard helpline support had no additional effect on smoking cessation.
As a general guide, the 12-month quit rates are around 6% for brief GP advice, 9% for proactive counselling, 6-12% for nicotine replacement therapies with counselling, and 12-19% for pharmacotherapies with counselling[ 6].
Interventions Two interventions were offered in addition to standard support: six weeks' nicotine replacement therapy, provided free, and proactive counselling sessions (repeat telephone calls from, and interaction with, cessation advisors).
All participants received standard support and, in addition, combinations of two interventions: intensive proactive counselling with or without nicotine replacement therapy (see supplementary figure for contacts between participants in the trial arms and quitline).
Results At six months, 17.7% (n=229) of those offered nicotine replacement therapy reported smoking cessation compared with 20.1% (n=261) not offered such therapy (odds ratio 0.85, 95% confidence interval 0.70 to 1.04), and 18.2% (n=236) offered proactive counselling reported smoking cessation compared with 19.6% (n=254) offered standard support (0.91, 0.75 to 1.11).
To study whether proactive educational counselling, in addition to routine clinical care, reduces psychological morbidity and improves quality of life and client satisfaction among women who suffer suboptimal outcomes during childbirth.
Subsequently, the CATI randomly allocated the smoker to proactive telephone counselling (n = 769) or self-help materials (n = 793).
Identifying characteristics associated with successful quitting by actively recruited smokers could help to distinguish those most likely to benefit from proactive telephone counselling.
Interviewees were positive about the potential use of pharmacotherapy for relapse prevention, but were negative about the possibility of introducing proactive telephone counselling for this purpose.
Objective To compare the effects of free nicotine replacement therapy or proactive telephone counselling in addition to standard smoking cessation support offered through a telephone quitline.
There is a lack of proactive telephone counselling trials with actively recruited smokers that examined baseline characteristics associated with prolonged cessation.
