Predictors of client retention in a state-based tobacco quitline
Predictors of client retention in a state-based tobacco quitline
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DOI：
10.1017/jsc.2020.10
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发表时间：
2020-06-01
影响因子：
0.9
通讯作者：
Bell, Melanie L.
中科院分区：
文献类型：
--
作者：
Nair, Uma S.;Rabe, Brooke;Bell, Melanie L.
导言。戒烟热线是戒烟的标准护理；然而，留住服务中的客户是一个问题。人们对可能预测辍学的因素知之甚少。在计划中和随访时，对登记在状态停用线中的客户检查保留的预测因素。这是对2011至2017年QuiLine注册客户的回顾分析(N=49,347)。客户保留在计划内被分类为(A)对治疗的低依从性(0个指导电话)，中等(1-2个电话)，和高坚持(3+电话)。在随访时，退出的参与者包括7个月内未被联系到的参与者。超过一半的样本在治疗过程中脱落；61%的样本没有得到随访。女性(优势比(OR)=1.21；95%可信区间(CI)=[1.16,127])和高度尼古丁依赖(OR=1.03；95%CI=[1.02，1.04])更有可能适度坚持治疗(1-2次辅导电话)。在使用尼古丁替代疗法的患者中，随访时退出的可能性更大(OR=1.14；95%CI=[1.09，1.19])，而在坚持治疗的患者中，退出的可能性较小(OR=0.41；95%CI=[0.39，0.42])。鉴于烟草使用的复发性和与烟草使用相关的危害，戒烟热线可以通过提供量身定制的服务来提高其影响，以加强客户在治疗中和后续行动中的参与度和保留率。
Introduction. Quitlines are standard care for smoking cessation; however, retaining clients in services is a problem. Little is known about factors that may predict dropout.Aims. To examine predictors of retention while in-program and at follow-up for clients enrolling in a state quitline.Methods. This was a retrospective analysis of quitline enrolled clients from 2011 to 2017 (N= 49,347). Client retention in-program was categorized as (a) low adherence to treatment (receiving zero coaching calls), moderate (1-2 calls), and high adherence (3+ calls). Dropout at follow-up included participants who were not reached for the 7-month follow-up.Results. More than half the sample dropped out during treatment; 61% were not reached for follow-up. Women (odds ratio (OR) = 1.21; 95% confidence interval (CI) = [1.16, 127]) and those with high levels of nicotine dependence (OR = 1.03; 95% CI = [1.02, 1.04]) were more likely to have moderate adherence to treatment (1-2 coaching calls). Dropout at follow-up was more likely among clients who used nicotine replacement therapy (OR = 1.14; 95% CI = [1.09, 1.19]) and less likely among those who had high treatment adherence (OR = 0.41; 95% CI = [0.39, 0.42]).Conclusion. Given the relapsing nature of tobacco use and the harms related to tobacco use, quitlines can improve their impact by offering tailored services to enhance client engagement and retention in-treatment and at follow-up.