TY - JOUR AU - Carlini, Beatriz AU - Miles, Lyndsay AU - Doyle, Suzanne AU - Celestino, Paula AU - Koutsky, James PY - 2015 TI - Using Diverse Communication Strategies to Re-Engage Relapsed Tobacco Quitline Users in Treatment, New York State, 2014 T2 - Preventing Chronic Disease JO - Prev Chronic Dis SP - E179 VL - 12 CY - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. N2 - INTRODUCTION Most smoking cessation programs lack strategies to reach relapsed participants and encourage a new quit attempt. We used a multimodal intervention to encourage past quitline registry participants to recycle into services. METHODS We invited 3,510 past quitline participants back to quitline services, using messages consecutively delivered through Interactive Voice Response (IVR), followed by postcard and email reminders, 2 Short Messaging Services (SMS) texts, and a final cycle of IVR. The primary study outcome was recycling into a new quitline-assisted quit attempt. We used statistical analyses to assess rates and predictors of recycling (socioeconomic, health- and tobacco-related variables) with study participants and compared the study sample with registry participants not selected for the study (comparison group). RESULTS Quitline services were re-initiated by 12.2% of the intervention sample and 1.9% of the comparison group (z = 6.03, P < .001, effect size of 0.44). Most re-enrollments were done via direct IVR-transfer to the quitline. Predictors of re-enrollment were age (odds ratio [OR] = 1.45 for every 10 years of age; 95% confidence interval [CI], 1.34-1.57), number of years smoking (OR = 1.27; 95% CI, 1.18-1.36), and reporting cancer (OR = 2.32; 95% CI, 1.47-3.68) or chronic obstructive pulmonary disease (OR = 1.55; 95% CI, 1.16-2.10). Living with other smokers was correlated with a lower chance of recycling into treatment (OR = 0.72; 95% CI, 0.57-0.91). CONCLUSION Recycling previous quitline participants using a proactive, IVR-based intervention is effective in reinitiating quitline-assisted quit attempts. Older, long-term smokers reporting chronic conditions are more likely than younger smokers to re-engage in quitline support when these methods are used. SN - 1545-1151 UR - http://dx.doi.org/10.5888/pcd12.150191 DO - 10.5888/pcd12.150191 ER -