title: Effectiveness of proactive quitline counselling for smoking parents recruited through primary schools: results of a randomized controlled trial.
abstract: OBJECTIVE
  To test the effectiveness of tailored quitline (telephone) counselling among smoking parents recruited into cessation support through their children's primary schools.
  
  
  METHODS
  Two-arm randomized controlled trial with 3- and 12-month follow-up.
  
  
  METHODS
  Proactive telephone counselling was administered by the Dutch national quitline.
  
  
  METHODS
  Smoking parents were recruited through their children's primary schools and received either intensive quitline support in combination with tailored supplementary materials (n = 256) or a standard self-help brochure (n = 256).
  
  
  METHODS
  The primary outcome was 7-day point-prevalence abstinence at 12-month follow-up. Also measured were baseline characteristics, use of and adherence to nicotine replacement therapy and pharmacotherapy, smoking characteristics and implementation of a home smoking ban.
  
  
  RESULTS
  Parents who received quitline counselling were more likely to report 7-day point-prevalence abstinence at 12-month assessment [34.0 versus 18.0%, odds ratio (OR) = 2.35, confidence interval (CI) = 1.56-3.54] than those who received a standard self-help brochure. Parents who received quitline counselling were more likely to use nicotine replacement therapy (P < 0.001) than those who received a standard self-help brochure. Among parents who did not achieve abstinence, those who received quitline counselling smoked fewer cigarettes at 3-month (P < 0.001) and 12-month assessment (P < 0.001), were more likely to make a quit attempt (P < 0.001), to achieve 24 hours' abstinence (P < 0.001) and to implement a complete home smoking ban (P < 0.01).
  
  
  CONCLUSIONS
  Intensive quitline support tailored to smoking parents is an effective method for helping parents quit smoking and promoting parenting practices that protect their children from adverse effects of smoking.
authors.affiliation: Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, The Netherlands.
authors.forename: Kathrin
authors.initials: K
authors.lastname: Schuck
authors.forename: Jonathan B
authors.initials: JB
authors.lastname: Bricker
authors.forename: Roy
authors.initials: R
authors.lastname: Otten
authors.forename: Marloes
authors.initials: M
authors.lastname: Kleinjan
authors.forename: Thomas H
authors.initials: TH
authors.lastname: Brandon
authors.forename: Rutger C M E
authors.initials: RC
authors.lastname: Engels
mesh_terms: D000328:Adult; D002648:Child; D003376:Counseling / Q000379:methods*; D005260:Female; D015277:Hotlines; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D010174:Pamphlets; D010290:Parents; D012907:Smoking / Q000628:therapy*; D016540:Smoking Cessation / Q000379:methods*; D014028:Tobacco Smoke Pollution / Q000517:prevention & control*; D014029:Tobacco Use Disorder; D016896:Treatment Outcome
chemical_list: D014028:Tobacco Smoke Pollution
keywords: Addiction; nicotine dependence; parents; quitline support; self-help; smoking cessation; telephone counselling