From staying in touch with friends and family, to ordering-in on nights where we just can’t decide what’s for dinner...there are plenty of reasons why we pick up the phone to make a call. But for those who smoke, can accessing support over the phone help them in putting out their cigarettes for good?
Every year, around seven million people die as a result of smoking tobacco (1;2). Although a staggering statistic, many of us are familiar with the dangers of smoking—cancer, heart disease, pneumonia, chronic obstructive pulmonary disease, gum disease, stroke, cataracts, and the list goes on (1-5). In fact, lifetime smokers die an average of 10 years earlier than non-smokers (6-8). Fortunately, quitting smoking brings immediate and long-term health benefits (6;8)—such as fewer complications after a surgery, and a reduced risk of developing a chronic disease and premature death (6;8;9).
To the over one billion folks who smoke globally (6;10), the benefits of quitting, along with the wide variety of support strategies that are now available, should bring hope and motivation.
One strategy that aims to help those who smoke find success at the end of their quit journey is telephone counselling (1). Some telephone counselling services are ‘on-demand’, while others are more ‘in-depth’. Smoking helplines or quitlines can offer both levels of service. Their on-demand features allow individuals who smoke or their family members to call in and get information on smoking, or brief advice about quitting. Other, more in-depth, services include counsellors connecting with individuals and scheduling ongoing calls as needed, or the opportunity to register in structured programs with calls from a counsellor built in (1;11-13). In-depth telephone counselling can also be provided by other health care providers in different settings (1).
So, should people who smoke rush to the phone lines?
What the research tells us
One recent systematic review looked at telephone counselling as an approach for helping people who smoke—mainly adults in the general population—to quit.
The review’s authors made two key findings. First, the chances of quitting may be higher in people who receive continuing telephone support (e.g., one or more additional calls) from a counsellor after calling into a helpline, compared to people who call the helpline and then receive self-help materials and/or counselling limited to one call. In fact, the chances of stopping could be 20% to 60% higher in those getting ongoing phone support initiated by a counsellor. Second, telephone support initiated by a counsellor or health care provider in settings outside of helplines where folks are receiving other forms of quitting assistance (e.g., medication, self-help materials, etc.), may also increase the likelihood of successfully quitting. With this type of counselling, it's reported that the chances of quitting could be 15% to 35% higher.
At this time, more research on the effects of on-demand telephone counselling, as well as a better understanding of different aspects of telephone counselling programs—such as the number of phone calls received, timing of calls, and combination with other quitting strategies—is needed (1).
If you’re looking to quit smoking, consider checking out your local, regional, or national smoking helpline to see if you can register for in-depth telephone counselling services. Click on the following link for information on phone and online supports across Canada: https://www.canada.ca/en/health-canada/services/smoking-tobacco/quit-smoking/tips-help-someone-quit-smoking/you-can-quit-smoking-we-can-help.html. For those already receiving quitting services in different health care settings, discuss the possibility of adding telephone support to your treatment plan.