In-Person and Telephone Treatment of Tobacco Dependence: A Comparison of Treatment Outcomes and Participant Characteristics
Menée dans l'Etat de l'Arkansas entre 2005 et 2008 auprès de 7 267 fumeurs, cette étude américaine analyse leurs choix concernant deux modalités d'intervention contre la dépendance tabagique, intervention téléphonique ou en face-à-face, et évalue l'efficacité de ces deux modalités en fonction des caractéristiques socio-démographiques des participants
Objectives : We compared participant characteristics and abstinence outcomes of smokers who chose in-person or telephone tobacco dependence treatment. Methods : We provided the same treatment content to 7267 smokers in Arkansas between 2005 and 2008 who self-selected treatment modality; examined demographic, clinical, environmental, and treatment utilization differences between modalities; and modeled outcomes and participants's choice of modality with logistic regression. Results : At end of treatment, in-person participants were more likely to be abstinent than telephone participants, and smokers of higher socioeconomic status (SES) were more likely to be abstinent with telephone treatment than lower-SES smokers. Long term, modality had no effect on treatment outcomes. Higher-SES smokers and smokers exposed to more treatment content were more likely to achieve long-term abstinence, regardless of modality. Men and more recalcitrant smokers were more likely to choose in-person treatment; lower-SES, ethnic minority, and more dependent smokers were more likely to choose telephone treatment. Conclusions : Treatment modality attracts different groups of smokers, but has no effect on long-term abstinence. Multiple treatment modalities are needed to provide treatment to a heterogeneous population of smokers. More research is needed to understand the influences on treatment choice.