A centralised telephone service for tobacco cessation: the California experience
Shu-Hong Zhua, Christopher M Andersona, Cynthia E Johnsona, Gary Tedeschia, April Roeselerb
a University of
California, San Diego, California, USA, b California Department of Health Services,
Tobacco Control Section, Sacramento, California, USA
Correspondence to: Dr Shu-Hong Zhu, University of California, San Diego, Mail Code 0905, 9500 Gilman Drive, La Jolla, CA 92093-0905, USA; email: szhu{at}ucsd.edu
OBJECTIVE
To provide
an overview of the California Smokers' Helpline, an increasingly
popular telephone program for tobacco cessation in California since
1992. As many states, regions, and nations are contemplating various
telephone programs as part of large scale anti-tobacco campaigns, this
paper presents a practical model.
DESIGN
The Helpline
provides Californians with free cessation services that include
counselling, self help quit kits, and cessation related information.
Services are provided in six spoken languages plus a line for the
hearing impaired. The program is promoted statewide by media campaigns,
health care providers, local tobacco control programs, and the public
school system.
SETTING
The Helpline
is centrally operated through the University of California, San Diego
and provides services statewide via telephone.
RESULTS
The Helpline
has served over 100 000 tobacco users and has become the chief
cessation resource for the Comprehensive Tobacco Control Program in
California. Media was the most important referral source for Helpline
callers (50%), followed by health care providers (20%). About one
third of the callers were ethnic minorities and 17% were 24 years old
or younger. Compared to California smokers in general, the callers were
more dependent on nicotine and more likely to live with other smokers,
but they were also more likely to have tried to quit recently and were
more ready to try again. Two randomised trials have demonstrated the
efficacy of the Helpline's counselling protocol.
CONCLUSION
A
centralised helpline operation can be an accessible and effective
service for tobacco users and should be included in any large scale,
comprehensive tobacco control program.
Keywords: telephone helpline; tobacco cessation program
© 2000 by Tobacco Control
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