Journal of Smoking Cessation

Original Articles

Integrated Phone Counselling and Text Messaging Services at Quitlines: An Acceptability Study

Lorien C. Abromsa1 c1, Philip Carrolla1, Ashley L. Boala1, Judith Mendela1 and Kelly M. Carpentera2

a1 The George Washington University School of Public Health and Health Services, Washington, DC

a2 Alere Wellbeing, Inc, Seattle, WA


Introduction: With evidence to support the use of text messaging for smoking cessation, some quitlines in North America have incorporated text messaging into their service offerings.

Aims: This study sought to evaluate whether integrated phone counselling and text messaging services are acceptable to quitline callers, and to identify strategies for improving text messaging services in the context of a quitline.

Methods: Thirty-five adult callers of the New Mexico state quitline who had enrolled in multi-call phone counselling and Text2Quit, a text messaging programme, were interviewed by phone. Interviews assessed use and acceptability of the phone counselling and text messaging interventions.

Results: Use of phone counselling and text messaging was generally high among participants. While most participants reported that they would highly recommend Text2Quit (75.8%) or phone counselling (78.8%) individually, a relatively higher proportion indicated they would highly recommend the combined services (93.9%). Suggestions for improvement focused on increased customisation and personalisation.

Conclusions: This study provides preliminary evidence for the acceptability of integrated phone counselling and text messaging services. Research is needed that explores the impact of these widely-used integrated services on smoking cessation.


  • Tobacco control;
  • smoking cessation;
  • mHealth;
  • text messaging;
  • SMS;
  • quitline


c1 Address for correspondence: Lorien C. Abroms, The George Washington University, 2175 K Street, NW, Suite 700, Washington, DC 20037: Email: