Outback Quit Pack: Feasibility trial of outreach smoking cessation for people in rural, regional, and remote Australia.

Autor: Guillaumier A; College of Medicine & Public Health, Flinders University, Bedford Park, South Australia, Australia., Tzelepis F; The University of Newcastle, Callaghan, New South Wales, Australia.; Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia.; Hunter New England Population Health, Wallsend, New South Wales, Australia., Paul C; The University of Newcastle, Callaghan, New South Wales, Australia.; Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia., Passey M; Faculty of Medicine and Health, University Centre for Rural Health, University of Sydney, Lismore, New South Wales, Australia., Oldmeadow C; Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia., Handley T; The University of Newcastle, Callaghan, New South Wales, Australia., McCarter K; The University of Newcastle, Callaghan, New South Wales, Australia.; Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia., Twyman L; Cancer Council NSW, Wolloomooloo, New South Wales, Australia., Baker AL; University of New South Wales, Sydney, New South Wales, Australia., Reakes K; Cancer Institute NSW, St Leonards, New South Wales, Australia., Hastings P; Cancer Institute NSW, St Leonards, New South Wales, Australia., Bonevski B; College of Medicine & Public Health, Flinders University, Bedford Park, South Australia, Australia.
Jazyk: angličtina
Zdroj: Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals [Health Promot J Austr] 2024 Oct; Vol. 35 (4), pp. 998-1009. Date of Electronic Publication: 2023 Nov 15.
DOI: 10.1002/hpja.827
Abstrakt: Background: Tobacco smoking rates are higher in rural, regional, and remote (RRR) areas in Australia, and strategies to improve access to quit supports are required. This pilot study examined the feasibility of a smoking cessation intervention for people in RRR areas who smoke with the intention of using this data to design a powered effectiveness trial.
Methods: A randomised controlled trial (RCT) of the feasibility of a 12-week 'Outback Quit Pack' intervention consisting of mailout combination nicotine replacement therapy (NRT) and a proactive referral to Quitline, compared with a minimal support control (1-page smoking cessation support information mailout) was conducted between January and October 2021. Participants recruited via mailed invitation or Facebook advertising, were adults who smoked tobacco (≥10 cigarettes/day) and resided in RRR areas of New South Wales, Australia. Participants completed baseline and 12-week follow-up telephone surveys. Outcomes were feasibility of trial procedures (recruitment method; retention; biochemical verification) and acceptability of intervention (engagement with Quitline; uptake and use of NRT).
Results: Facebook advertising accounted for 97% of participant expressions of interest in the study (N = 100). Retention was similarly high among intervention (39/51) and control (36/49) participants. The intervention was highly acceptable: 80% of the intervention group had ≥1 completed call with Quitline, whilst Quitline made 3.7 outbound calls/participant (mean 14:05 mins duration). Most of the intervention group requested NRT refills (78%). No differences between groups in self-reported cessation outcomes. Biochemical verification using expired air breath testing was not feasible in this study.
Conclusion: The Outback Quit Pack intervention was feasible and acceptable. Alternative methods for remote biochemical verification need further study. SO WHAT?: A powered RCT to test the effectiveness of the intervention to improve access to evidence-based smoking cessation support to people residing in RRR areas is warranted.
(© 2023 The Authors. Health Promotion Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of Australian Health Promotion Association.)
Databáze: MEDLINE
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