Determining an appropriate scheme for “Quitline” in Japan

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  • TANIGUCHI Chie
    Department of Nursing Sugiyama Jogakuen University Department of Nursing Nagoya University Graduate school of Medicine
  • TANAKA Hideo
    Division of Epidemiology and Prevention, Aichi Cancer Center Research Institute

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  • 日本での禁煙ホットライン（クイットライン）の展開と，その方向性
  • ニホン デ ノ キンエン ホットライン(クイットライン)ノ テンカイ ト,ソノ ホウコウセイ

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Abstract

Objectives “Quitline” is a telephone helpline that advises smokers who are contemplating quitting. Many countries, including East Asian countries, have been conducting nationwide quitline services; however, this has not been conducted in Japan. The aim of this study was to characterize quitline services abroad and review their efficacy in helping smokers quit, in order to determine an appropriate scheme for Japan.<br/>Methods We investigated the present condition of quitline in Australia, New Zealand, Korea, Hong Kong, Singapore, Taiwan, Thailand, the United States, and the United Kingdom, focusing on its modalities. Subsequently, we searched “Medline”and “Cochrane Database of Systematic Review”using free text terms of “hotlines”and “smoking cessation”to review the efficacy of the modalities used by the quitline services. Relevant articles from the reference lists were also identified.<br/>Results In Asia Pacific countries, various tools were used by the quitline services, including a quit booklet, website, mobile phone service, and e-mail. Some of these countries conducted proactive counseling by a quitline counselor. There have been several meta-analyses and randomized-control trials showing the efficacy of individually tailored materials in quitline services. To introduce an effective quitline service in Japan, it is desirable to provide individually tailored materials. In addition, as Japanese smokers can easily access smoking cessation advice in hospitals, health check-up settings, and pharmacies, quitline services should be connected with this infrastructure.<br/>Conclusion To introduce an effective nationwide quitline service in Japan, it is necessary to provide various individually tailored materials that complement the smoking cessation infrastructure.

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