Predictors of cessation treatment outcome and treatment moderators among smoking parents receiving quitline counselling or self-help material

• Published in: Preventive medicine Vol. 69; pp. 126 - 131
• Main Authors: Schuck, Kathrin, Otten, Roy, Kleinjan, Marloes, Bricker, Jonathan B, Engels, Rutger C.M.E
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier Inc 01.12.2014; Elsevier
• Subjects: Adult; Biological and medical sciences; Counseling - statistics & numerical data; Female; Humans; Intention to Treat Analysis; Internal Medicine; Logistic Models; Male; Medical sciences; Middle Aged; Miscellaneous; Moderators; Motivation; Netherlands - epidemiology; Parents - psychology; Predictors; Prevention and actions; Public health. Hygiene; Public health. Hygiene-occupational medicine; Quitline counselling; Quitline support; Randomized Controlled Trials as Topic; Self-help; Self-Help Devices - statistics & numerical data; Smoking - epidemiology; Smoking - psychology; Smoking - therapy; Smoking cessation; Smoking Cessation - methods; Smoking Cessation - psychology; Socioeconomic Factors; Tobacco Use Cessation Products; Tobacco, tobacco smoking; Toxicology; Treatment Outcome; Withholding Treatment; Netherlands; Smoking cessation; Treatment outcome; Self-help; Quitline counselling; Quitline support; Moderators; Predictors; Prognosis; Poison withdrawal; Support; Parent; Materials; Prediction; Tobacco smoking; Self; Council; Tobacco; Treatment; Shutdown; Evolution; Predictive factor
• ISSN: 0091-7435; 1096-0260
• DOI: 10.1016/j.ypmed.2014.09.014

Abstract Objective Several cessation treatments effectively enhance cessation, but it is not always clear which treatment may be most suitable for a particular client. We examined predictors of treatment outcome and treatment moderators among smoking parents in the Netherlands. Method We conducted secondary analyses of a randomized controlled trial in which smoking parents received either quitline counselling (n = 256) or a self-help brochure (n = 256). Data collection was completed in October 2012. Endpoints were 7-day point prevalence abstinence and 6-month prolonged abstinence at 12-month follow-up. Potential predictors and moderators included socio-demographic characteristics, smoking-related variables, and child-related variables. Results Male gender, higher employment status, lower daily cigarette consumption, higher levels of confidence in quitting, presence of a child with a chronic respiratory illness, and wanting to quit for the health of one's child predicted abstinence at 12 months. Significant treatment moderators were intention to quit and educational level. Quitline counselling was effective regardless of intention to quit and educational level, but self-help material was less effective among less motivated and lower educated parents. Conclusion Certain subgroups of smokers, such as parents who are concerned about the health of their child, are particularly receptive to cessation support. Individual characteristics should be considered in treatment selections.