Factors Predicting Client Re-Enrollment in Tobacco Cessation Services in a State Quitline

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Nair, Uma S. ; Brady, Benjamin R. ; O’Connor, Patrick A. ; Bell, Melanie L.
• Description:
  Introduction
  
  Quitlines are an integral part of tobacco treatment programs and reach groups of smokers who have a wide range of barriers to cessation. Although tobacco dependence is chronic and relapsing, little research exists on factors that predict the likelihood of clients re-engaging and reconnecting with quitlines for treatment. The objective of this study was to describe factors that predict the re-enrollment of clients in Arizona’s state quitline.
  
  Methods
  
  This was a retrospective analysis of data collected from clients (N = 49,284) enrolled in the Arizona Smokers’ Helpline from January 2011 through June 2016. We used logistic regression to analyze predictors of re-enrollment in services after controlling for theoretically relevant baseline variables (eg, nicotine dependence, smokers in the home) and follow-up variables (eg, program use, quit outcome).
  
  Results
  
  Compared with clients who reported being quit after their first enrollment, clients who reported not being quit were almost 3 times as likely to re-enroll (odds ratio = 2.89; 95% confidence interval, 2.54–3.30). Other predictors were having a chronic condition or a mental health condition, greater nicotine dependence, and lower levels of social support. Women and clients not having other smokers in the home were more likely to re-enroll than were men and clients not living with other smokers.
  
  Conclusion
  
  Understanding baseline and in-program factors that predict client-initiated re-enrollment can help quitlines tailor strategies to proactively re-engage clients who may have difficulty maintaining long-term abstinence.
  
  
• Subjects:
  Adult Age Factors Arizona Female Hotlines Humans Logistic Models Male Middle Aged Original Research Recurrence Reminder Systems Retrospective Studies Sex Factors Smoking Cessation Social Support

  More +
• Source:
  Prev Chronic Dis. 15
• DOI:
  http://dx.doi.org/10.5888/pcd15.180144
• ISSN:
  1545-1151
• Pubmed ID:
  30339773
• Pubmed Central ID:
  PMC6198673
• Document Type:
  Journal Article
• Funding:
  P30 CA023074/CA/NCI NIH HHS/United States
• Volume:
  15
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:fc5b15ff4bc5cffde24b27bca24794a8840aac4c9aecaf12d403c89c83c41c05689843bda3597bfb35f556d457ae8f8232f3e2faab398f790c4ffdd8e8f48d02
• Download URL:
  https://stacks.cdc.gov/view/cdc/60337/cdc_60337_DS1.pdf
• File Type:
  [PDF - 393.77 KB ]