PT  - JOURNAL ARTICLE
AU  - Flora Tzelepis
AU  - Christine L Paul
AU  - John Wiggers
AU  - Raoul A Walsh
AU  - Jenny Knight
AU  - Sarah L Duncan
AU  - Christophe Lecathelinais
AU  - Afaf Girgis
AU  - Justine Daly
TI  - A randomised controlled trial of proactive telephone counselling on cold-called smokers' cessation rates
AID  - 10.1136/tc.2010.035956
DP  - 2011 Jan 01
TA  - Tobacco Control
PG  - 40--46
VI  - 20
IP  - 1
4099  - http://tobaccocontrol.bmj.com/content/20/1/40.short
4100  - http://tobaccocontrol.bmj.com/content/20/1/40.full
SO  - Tob Control2011 Jan 01; 20
AB  - Objectives Active telephone recruitment (‘cold calling’) can enrol almost 45 times more smokers to cessation services than media. However, the effectiveness of proactive telephone counselling with cold-called smokers from the broader community is unknown. This study examined whether proactive telephone counselling improved abstinence, quit attempts and reduced cigarette consumption among cold-called smokers.Methods From 48 014 randomly selected electronic telephone directory numbers, 3008 eligible smokers were identified and 1562 (51.9%) smokers recruited into the randomised controlled trial. Of these, 769 smokers were randomly allocated to proactive telephone counselling and 793 to the control (ie, mailed self-help) conditions. Six counselling calls were offered to intervention smokers willing to quit within a month and four to those not ready to quit. The 4-month, 7-month and 13-month follow-up interviews were completed by 1369 (87.6%), 1278 (81.8%) and 1245 (79.9%) participants, respectively.Results Proactive telephone counselling participants were significantly more likely than controls to achieve 7-day point prevalence abstinence at 4 months (13.8% vs 9.6%, p=0.005) and 7 months (14.3% vs 11.0%, p=0.02) but not at 13 months. There was a significant impact of telephone counselling on prolonged abstinence at 4 months (3.4% vs 1.8%, p=0.02) and at 7 months (2.2% vs 0.9%, p=0.02). At 4 months post recruitment, telephone counselling participants were significantly more likely than controls to have made a quit attempt (48.6% vs 42.9%, p=0.01) and reduced cigarette consumption (16.9% vs 9.0%, p=0.0002).Conclusions Proactive telephone counselling initially increased abstinence and quitting behaviours among cold-called smokers. Given its superior reach, quitlines should consider active telephone recruitment, provided relapse can be reduced.Trial registration Australian New Zealand Clinical Trial Registry; ACTRN012606000221550.