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01.12.2015 | Research article | Ausgabe 1/2016 Open Access

BMC Public Health 1/2016

Effectiveness of additional follow-up telephone counseling in a smoking cessation clinic in Beijing and predictors of quitting among Chinese male smokers

BMC Public Health > Ausgabe 1/2016
Lei Wu, Yao He, Bin Jiang, Fang Zuo, Qinghui Liu, Li Zhang, Changxi Zhou, Miao Liu, Hongyan Chen, KK Cheng, Sophia S. C. Chan, Tai Hing Lam
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s12889-016-2718-5) contains supplementary material, which is available to authorized users.

Competing interests

All authors declare that they have no competing interests.

Authors’ contributions

YH, BJ and THL helped design the study and analyzed the data. BJ, FZ, QHL, CXZ and LZ helped data collection and field operations. THL and SSCC contributed to the setting up of the clinic, design of the interventions and provided training. All authors helped prepare the manuscript. We thank LX, JHZ and JF for research assistance in the interview of follow-up. All authors read and approved the final manuscript.



No previous studies have investigated whether additional telephone follow-up counseling sessions after face-to-face counseling can increase quitting in China, and whether this strategy is feasible and effective for promoting smoking cessation is still unclear.


A non-randomized controlled study was conducted in Beijing. We compared the quit rates of one group which received face-to-face counseling (FC) alone (one session of 40 min) to another group which received the same face-to-face counseling plus four follow-up sessions of brief telephone counseling (15–20 min each) at 1 week, 1, 3 and 6 month follow-up (FCF). No smoking cessation medication was provided. From October 2008 to August 2013, Chinese male smokers who sought treatment in a part-time regular smoking cessation clinic of a large general hospital in Beijing were invited to participate in the present study. Eligible male smokers (n = 547) were divided into two groups: FC (n = 149) and FCF (n = 398). Main outcomes were self-reported 7-day point prevalence and 6 month continuous quit rates at 12 month follow-up.


By intention to treat, at 12 month follow-up, the 7-day point prevalence and 6 month continuous quit rates of FC and FCF were 14.8 % and 26.4 %, and 10.7 % and 19.6 % respectively. The adjusted odds ratios (95 % confidence intervals) of quitting in FCF compared to FC was 2.34 (1.34–4.10) (P = 0.003) and 2.41 (1.28–4.52) (P = 0.006), respectively. Stepwise logistic regression showed that FCF, being married, unemployed and a lower Fagerström score were significant independent predictors of 6 month continuous quitting at 12 month follow-up.


Using systematically collected data from real-world practice, our smoking cessation clinic has shown that the additional telephone follow-up counseling sessions doubled the quit rate.
Additional file 1: Table S1. Demographic characteristics and tobacco related factors of 407 completed and 140 lost to 12 month follow-up. Table S2. By complete case (per protocol) analysis, quit rates of two groups at 1, 3, 6 and 12 month follow-up in 407 male smokers. Table S3. By intention to treat and complete case (per protocol) analysis, quit rates of two different time period of FCF group smokers at 1, 3, 6 and 12 month follow-up. Table S4. By complete case (per protocol) analysis, logistic regression (stepwise) analysis for adjusted OR for predictors of quitting at 12 month follow-up. Table S5. 7-day point prevalence relapse and new quit rate at 3, 6 and 12 month follow-up in two groups. Figure S1. Quit rates of two groups at 1, 3, 6 and 12 month follow-up, by intention to treat and complete case (per protocol) analysis. (DOC 320 kb)
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