1. Interactive Voice Response Calls to Promote Smoking Cessation after Hospital Discharge: Pooled Analysis of Two Randomized Clinical Trials.
- Author
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Rigotti, Nancy, Chang, Yuchiao, Rosenfeld, Lisa, Japuntich, Sandra, Park, Elyse, Tindle, Hilary, Levy, Douglas, Reid, Zachary, Streck, Joanna, Gomperts, Timothy, Kelley, Jennifer, Singer, Daniel, Rigotti, Nancy A, Rosenfeld, Lisa C, Japuntich, Sandra J, Park, Elyse R, Tindle, Hilary A, Levy, Douglas E, Reid, Zachary Z, and Kelley, Jennifer H K
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INTERACTIVE voice response (Telecommunication) , *SMOKING cessation , *HOSPITAL admission & discharge , *RANDOMIZED controlled trials , *HEALTH , *SMOKING , *SMOKING & psychology , *NICOTINIC agonists , *AUTOMATIC speech recognition , *COMPARATIVE studies , *DRUGS , *LENGTH of stay in hospitals , *RESEARCH methodology , *MEDICAL cooperation , *PATIENT compliance , *RESEARCH , *RESEARCH funding , *TELEPHONES , *QUALITATIVE research , *EVALUATION research , *DISCHARGE planning , *HEALTH care reminder systems , *THERAPEUTICS - Abstract
Background: Hospitalization offers smokers an opportunity to quit smoking. Starting cessation treatment in hospital is effective, but sustaining treatment after discharge is a challenge. Automated telephone calls with interactive voice response (IVR) technology could support treatment continuance after discharge.Objective: To assess smokers' use of and satisfaction with an IVR-facilitated intervention and to test the relationship between intervention dose and smoking cessation.Design: Analysis of pooled quantitative and qualitative data from the intervention groups of two similar randomized controlled trials with 6-month follow-up.Participants: A total of 878 smokers admitted to three hospitals. All received cessation counseling in hospital and planned to stop smoking after discharge.Intervention: After discharge, participants received free cessation medication and five automated IVR calls over 3 months. Calls delivered messages promoting smoking cessation and medication adherence, offered medication refills, and triaged smokers to additional telephone counseling.Main Measures: Number of IVR calls answered, patient satisfaction, biochemically validated tobacco abstinence 6 months after discharge.Key Results: Participants answered a median of three of five IVR calls; 70% rated the calls as helpful, citing the social support, access to counseling and medication, and reminders to quit as positive factors. Older smokers (OR 1.36, 95% CI 1.20-1.54 per decade) and smokers hospitalized for a smoking-related disease (OR 1.65, 95% CI 1.21-2.23) completed more calls. Smokers who completed more calls had higher quit rates at 6-month follow-up (OR 1.49, 95% CI 1.30-1.70, for each additional call) after multivariable adjustment for age, sex, education, discharge diagnosis, nicotine dependence, duration of medication use, and perceived importance of and confidence in quitting.Conclusions: Automated IVR calls to support smoking cessation after hospital discharge were viewed favorably by patients. Higher IVR utilization was associated with higher odds of tobacco abstinence at 6-month follow-up. IVR technology offers health care systems a potentially scalable means of sustaining tobacco cessation interventions after hospital discharge.Clinical Trial Registration: ClinicalTrials.gov Identifiers NCT01177176, NCT01714323. [ABSTRACT FROM AUTHOR]- Published
- 2017
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