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Pro-active telephone counselling-quitlines
Kawaldip Sehmi
Abstract
Background
Today we are all connected to the centre of some communication network. Be it via a simple mobile phone that only receives phones and SMS texts or a complex palm top device that is connected to the internet, a media centre and your personal e-mail account/ office receiving videos, e-mails and images.
Keeping triggers, motivation and support issues aside, today we have the option to broadcasted (General Media) or narrowcast (Hand held device SMS, Video etc) information to a smoker. Guidelines and best practice evidence shows that information that is conveyed in real time and with an as close a fit as possible to the smoker's personal circumstance has a greater efficacy than general and non-personalised information. Timely, pertinent (relevant) and personally received advice has greater efficacy than general advice.
Approaches to smoking cessation can be client centred or problem centred. Finding solutions and support can be with patient involvement or patient exclusion. Four helping styles result from these permutation:
· Telling-problem centred and excludes the client
· Manipulating-client centred but excludes the client
· Advising-problem centred, however, includes the client
· Counselling-Client centred AND includes the client
Proactive Quitlines
Proactive Quitlines offer telephone counselling and support to the client with his/her agreement in a structured manner to best fit their lifestyle and likely withdrawal stages during the quit attempt.
This is a very client centred and client inclusive service delivered to their armchair, office, during a journey or other place and delivered via standard phones or mobile phones.
Advantages are:
· Cost per patient to the service and cost to the patient (travel and other)
· Flexible-can be delivered anywhere (even when on holidays abroad)
· Offers reassurance to the client (there is always someone at the other end of my phone) and can be critical in relapse prevention
· Access to groups who do not want to visit hospital located clinics
· Can be of greatest value as a population based intervention when combined with a reactive public health campaign and community pharmacist service as validation and recording of number of quitters made possible
· Results show:
-- Increase the use of the local services
-- More people access self-help materials
-- More people use referred services
-- More people use NRT
-- More people use counselling
-- Increase callers' chance of quitting
-- Increase the quitting of smokers in communities where the quitline is advertised
Zhu Stretch et al (1996) Telephone counselling for smoking cessation: effects of single and multiple session interventions Journal Consulting and Clinical Psychology 64 202-211
Borland et al (2001) The effectiveness of callback counselling for smoking cessation; a Randomized trail Addiction 96 881-889
Zhu, Tedeschi et al (2002) Evidence of real-world effectiveness of a telephone quitline for smokers New England Journal of Medicine 337, 1087-1093
Zhu Stretch et al (1996) Telephone counselling for smoking cessation: effects of single and multiple session interventions Journal Consulting and Clinical Psychology 64 202-211
Biography
Kawaldip Sehmi B Sc. MBA
Director of Health Inequalities at QUIT
Has a cross-sectional experience of working on health and development issues. Director of Health Inequalities at QUIT with particular focus on smoking cessation and heart disease. Has led the collaboration work with UK's leading heart disease charity, the British Heart Foundation, to provide Asian Quitline, Arabic Quitline, Health MOT and Lifestyle Screening services to over 100,000 smokers since 1997.
Having worked with international agencies on public health programmes in developing countries, has a good understanding and grounding in community development, enhancing social capital and developing capacity in "communities of practice" settings.
Kawaldip Sehmi
Director-Health Inequalities, QUIT
211 Old Street
London
EC1V 9NR
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