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dc.contributor.authorNair, Uma S.
dc.contributor.authorReikowsky, Ryan C.
dc.contributor.authorWertheim, Betsy C.
dc.contributor.authorThomson, Cynthia A.
dc.contributor.authorGordon, Judith S.
dc.date.accessioned2018-10-10T21:11:04Z
dc.date.available2018-10-10T21:11:04Z
dc.date.issued2018-09
dc.identifier.citationNair, U. S., Reikowsky, R. C., Wertheim, B. C., Thomson, C. A., & Gordon, J. S. (2018). Quit Outcomes and Program Utilization by Mode of Entry Among Clients Enrolling in a Quitline. American Journal of Health Promotion, 32(7) 1510-1517. https://doi.org/10.1177/0890117117749366en_US
dc.identifier.issn0890-1171
dc.identifier.issn2168-6602
dc.identifier.pmid29325439
dc.identifier.doi10.1177/0890117117749366
dc.identifier.urihttp://hdl.handle.net/10150/630107
dc.description.abstractPurpose: To investigate how mode of entry into a quitline influences program utilization and quit outcomes among clients seeking cessation services. Design: This is a retrospective analysis of clients receiving quitline services from January 2011 to June 2016. Setting: The study was conducted at the Arizona Smokers' Helpline. Participants: Enrolled clients completed a 7-month follow-up (N = 18 650). Measures: The independent variable was referral mode of entry (ie, proactive, passive, and self-referral). Outcome variables included tobacco cessation medication use, number of coaching sessions completed, and 30-day tobacco abstinence at 7 months. Analysis: Logistic regression was used to analyze tobacco abstinence after controlling for potential confounders. Results: Compared to self-referred clients, proactively referred clients were least likely (odds ratio [OR]: 0.88; 95% confidence interval [CI]: 0.81-0.97), whereas passively referred clients were most likely (OR: 1.14; 95% CI: 1.00-1.30) to report tobacco abstinence. Proactively referred (OR: 0.79; 95% CI: 0.70-0.88), but not passively referred, clients were 21% less likely to report tobacco cessation medication use than self-referred clients. Conclusion: Proactive referrals are associated with lower utilization of tobacco cessation medication and less successful quit outcomes; however, provider referrals are critical to reaching tobacco users who may have more significant health risks and barriers to quitting. Examining potential barriers among both providers and provider-referred clients is needed to inform improvements in training providers on brief interventions for tobacco cessation.en_US
dc.description.sponsorshipArizona Department of Health Services [ADHS11-007339, ADHS16-106672, ADHS13-026130:5]; National Cancer Institute [P30 CA023074]en_US
dc.language.isoenen_US
dc.publisherSAGE PUBLICATIONS INCen_US
dc.relation.urlhttp://journals.sagepub.com/doi/10.1177/0890117117749366en_US
dc.rightsCopyright © 2018, © SAGE Publications.en_US
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/
dc.subjecttobaccoen_US
dc.subjectcessationen_US
dc.subjectquitline servicesen_US
dc.subjectprovider referralsen_US
dc.subjectmode of entryen_US
dc.titleQuit Outcomes and Program Utilization by Mode of Entry Among Clients Enrolling in a Quitlineen_US
dc.typeArticleen_US
dc.contributor.departmentUniv Arizona, Mel & Enid Zuckerman Coll Publ Hlthen_US
dc.contributor.departmentUniv Arizona, Canc Ctren_US
dc.contributor.departmentUniv Arizona, Coll Nursingen_US
dc.identifier.journalAMERICAN JOURNAL OF HEALTH PROMOTIONen_US
dc.description.collectioninformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.en_US
dc.eprint.versionFinal accepted manuscripten_US
dc.source.journaltitleAmerican Journal of Health Promotion
dc.source.volume32
dc.source.issue7
dc.source.beginpage1510
dc.source.endpage1517
refterms.dateFOA2018-10-10T21:11:04Z


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