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Effectiviteit van telefonische coaching om te stoppen met roken

Resultaten bij rokende ouders

  • Published:
Verslaving

Samenvatting

Rokende ouders vormen een belangrijke subgroep binnen de populatie van volwassen rokers. De huidige studie onderzocht de effectiviteit van een telefonisch coachingstraject voor rokende ouders om te stoppen met roken. Rokende ouders werden geworven via de basisscholen van hun kinderen. Vervolgens werden ouders at random toegewezen aan telefonische coaching of een standaardzelfhulpbrochure. Er waren drie meetmomenten waarop ouders en kinderen een vragenlijst invulden: bij de voormeting, bij de nameting na drie maanden en bij de nameting na twaalf maanden. Ouders die deelnamen aan telefonische coaching hadden een grotere kans om te stoppen met roken in vergelijking met ouders die een zelfhulpbrochure ontvingen. Daarnaast gebruikten ouders die deelnamen aan telefonische coaching vaker nicotinevervangers, rookten ze minder sigaretten per dag, ondernamen ze vaker een stoppoging en stelden ze vaker een volledig rookverbod in huis in. Telefonische coaching is een effectieve methode om ouders te ondersteunen bij het stoppen met roken. Zelfs bij ouders die niet gestopt zijn had telefonische coaching positieve effecten.

Summary

Effectiveness of telephone counseling for smoking cessation among parents

Kathrin Schuck, Jonathan Bricker, Roy Otten, Marloes Kleinjan, Thomas Brandon & Rutger Engels

We tested the effectiveness of tailored quitline (telephone) counselling among smoking parents recruited into cessation support through their children’s primary schools. We conducted a two-arm randomized controlled trial with 3-month and 12-month follow- up. Smoking parents were recruited through their children’s primary schools and received either quitline counseling in combination with tailored supplementary materials or a standard self-help brochure. Parents who received quitline counseling were more likely to report 7-day point prevalence abstinence at 12month assessment than those who received a standard self-help brochure. Parents who received quitline counseling were more likely to use nicotine replacement therapy than those who received a standard self-help brochure. Among parents who did not achieve abstinence, those who received quitline counseling smoked fewer cigarettes at 3-months assessment and 12-month assessment, were more likely to make a quit attempt, to achieve 24hours abstinence, and to implement a complete home smoking ban than those who received a standard self-help brochure. Quit-line counseling 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.

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Figuur 1

Notes

  1. In 2013 was dit STIVORO, een inmiddels opgeheven expertisecentrum voor tabakspreventie.

  2. Zie www.trimbos.nl/webwinkel/productoverzicht-webwinkel/alcohol-endrugs/s/ss0006-stoppen-met-roken_willen-en-kunnen.

  3. Alle onderzoeksdeelnemers zijn door de hulplijn gebeld. Mogelijke redenen voor het niet-ontvangen van de telefonische coaching zijn dat deelnemers afzagen van de telefoongesprekken of dat zij herhaaldelijk niet bereikbaar waren en na schriftelijke benadering geen contact opnamen met de hulplijn.

  4. De zelfhulpbrochures zijn door de Radboud Universiteit Nijmegen verstuurd naar alle onderzoeksdeelnemers. Mogelijke redenen voor het niet ontvangen van de zelfhulp brochure zijn onjuiste adresgegevens of andere verzendfouten.

  5. Gebaseerd op het uitgangspunt dat het percentage van deelnemers met een negatieve testuitslag (dus biochemisch bevestigde rookabstinentie) 18-32 (5088,9%) van 36 zal zijn.

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Correspondence to Kathrin Schuck MSc.

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K. Schuck MSc is junior onderzoeker bij het Behavioural Science Institute van de Radboud Universiteit Nijmegen. E-mail: k.schuck@bsi.ru.nl.

Dr. J.B. Bricker is senior onderzoeker bij het Fred Hutchinson Cancer Research Center te Seattle en senior onderzoeker bij het Department of Psychology van de University ofWashington.

Dr. R. Otten is universitair docent bij het Behavioural Science Institute van de Radboud Universiteit Nijmegen.

Dr. M. Kleinjan is universitair docent bij het Behavioural Science Institute van de Radboud Universiteit Nijmegen.

Prof. dr. T.H. Brandon is hoofd van de afdeling Health Outcomes and Behavior bij het H. Lee Moffitt Cancer Center te Tampa en hoogleraar bij het Department of Psychology van de University of South Florida te Tampa.

Prof. dr. R.C.M.E. Engels is hoogleraar bij het Behavioural Science Institute van de Radboud Universiteit Nijmegen en bestuursvoorzitter van het Trimbosinstituut te Utrecht.

Dit artikel is een aangepaste versie van ‘Effectiveness of proactive telephone counseling for smoking cessation in parents: results of a randomized controlled trial’, geaccepteerd voor publicatie in Addiction.

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Schuck, K., Bricker, J., Otten, R. et al. Effectiviteit van telefonische coaching om te stoppen met roken. VERSLAVING 10, 3–21 (2014). https://doi.org/10.1007/s12501-014-0012-8

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  • DOI: https://doi.org/10.1007/s12501-014-0012-8

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