- Title
- 'Quitlink': Outcomes of a randomised controlled trial of peer researcher facilitated referral to a tailored quitline tobacco treatment for people receiving mental health services
- Creator
- Baker, Amanda L.; McCarter, Kristen; Filia, Sacha; Attia, John; Szwec, Stuart; Palazzi, Kerrin; White, Sarah L.; Williams, Jill M.; Wrobel, Anna L.; Ireland, Andrew; Saxby, Karinna; Ghijben, Peter; Turner, Alyna; Petrie, Dennis; Sweeney, Rohan; Segan, Catherine; Castle, David; Brophy, Lisa; Borland, Ron; Kelly, Peter J.; Bonevski, Billie; Baird, Donita
- Relation
- NHMRC.1139125 http://purl.org/au-research/grants/nhmrc/1139125]
- Relation
- Australian & New Zealand Journal of Psychiatry Vol. 58, Issue 3, p. 260-276
- Publisher Link
- http://dx.doi.org/10.1177/00048674231181039
- Publisher
- Sage
- Resource Type
- journal article
- Date
- 2023
- Description
- Objective: The aim of this study was to test the effectiveness of a tailored quitline tobacco treatment ('Quitlink') among people receiving support for mental health conditions. Methods: We employed a prospective, cluster-randomised, open, blinded endpoint design to compare a control condition to our 'Quitlink' intervention. Both conditions received a brief intervention delivered by a peer researcher. Control participants received no further intervention. Quitlink participants were referred to a tailored 8-week quitline intervention delivered by dedicated Quitline counsellors plus combination nicotine replacement therapy. The primary outcome was self-reported 6 months continuous abstinence from end of treatment (8 months from baseline). Secondary outcomes included additional smoking outcomes, mental health symptoms, substance use and quality of life. A within-trial economic evaluation was conducted. Results: In total, 110 participants were recruited over 26 months and 91 had confirmed outcomes at 8 months post baseline. There was a difference in self-reported prolonged abstinence at 8-month follow-up between Quitlink (16%, n = 6) and control (2%, n = 1) conditions, which was not statistically significant (OR = 8.33 [0.52, 132.09] p = 0.131 available case). There was a significant difference in favour of the Quitlink condition on 7-day point prevalence at 2 months (OR = 8.06 [1.27, 51.00] p = 0.027 available case). Quitlink costs AU$9231 per additional quit achieved. Conclusion: The Quitlink intervention did not result in significantly higher rates of prolonged abstinence at 8 months post baseline. However, engagement rates and satisfaction with the 'Quitlink' intervention were high. While underpowered, the Quitlink intervention shows promise. A powered trial to determine its effectiveness for improving long-term cessation is warranted.
- Subject
- tobacco treatment; smoking cessation; quitline; telephone counselling; peer worker; mental ill-health
- Identifier
- http://hdl.handle.net/1959.13/1500362
- Identifier
- uon:54905
- Identifier
- ISSN:0004-8674
- Rights
- x
- Language
- eng
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