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North American Quitline Consortium
October 2012

Time-Sensitive News

Deadline: October 16, 2012! A Request for Proposal has Been Issued by The Research Corporation of the University of Hawaii!
A Request for Proposal has been issued by The Research Corporation of the University of Hawaii to solicit proposals for a vendor to operate the Hawaii Tobacco Quitline -a statewide tobacco cessation service starting in January 2013.  The RFP can be downloaded at  All questions should be addressed to Joanne Watase-Yang (
Proposals must be received no later than 4:00 P.M. (HST), October 16, 2012 at the address listed in the RFP.
» learn more

FREE WEBINAR: October 23, 2012! Tobacco-Free State Psychiatric Hospitals: From Policy to Practice!
The Smoking Cessation Leadership Center (SCLC) is offering a free webinar,"Tobacco-Free State Psychiatric Hospitals: From Policy to Practice,” on October 23, 2012 at 1pm Eastern Time (90 minutes). 

Experts from the National Association of State Mental Health Program Directors(NASMHPD) and the NASMHPD Research Institute (NRI) are on the webinar panel:

• Robert Glover, PhD, Executive Director, National Association of State Mental Health Program Directors
• Lucille Schacht, PhD, Director of Statistical Analysis, NRI, Inc.
• Joseph Parks, MD, Chief Clinical Officer, Missouri Department of Mental Health, Distinguished Professor of Science, University of Missouri 

Webinar objectives: 
• Learn the methods and results of a survey on smoking policies and practices in state psychiatric hospitals
• Understand key findings and their applications to tobacco dependence interventions in psychiatric settings
• Learn how the study may inform development of more effective smoking cessation policies and practices for people living with mental illnesses

» register today! 

Deadline: December 3, 2012! 5th Annual Ottawa Conference: State of the Art Clinical Approaches to Smoking Cessation - Call for Abstracts! 
The Ottawa Conference Program Committee is now seeking abstracts for poster presentations to be displayed during the 5th Annual Ottawa Conference: State of the Art Clinical Approaches to Smoking Cessation, held on February 1-2, 2013.
» learn more

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UPCOMING WEBINAR: Electronic Quitline Referrals: How Far Have We Come and What Are the Next Steps?
Through "meaningful use”, the U.S. federal government is providing substantial incentives for health care systems to adopt electronic health records (EHRs) and use them in ways to improve quality, safety and efficiency. These incentives are having their desired effect -- nearly half of physicians in outpatient practices and over 40% of physicians in U.S. hospitals are now using EHRs. The demand on health care systems to demonstrate increased efficiency of EHRs is having a spill-over effect on quitline referrals. Indeed many quitlines are not only hearing about the importance of implementing electronic quitline referrals from their health care partners but feeling pressure to take action. In this webinar a standard definition of electronic referral will be discussed, lessons learned by quitlines that have implemented electronic referrals will be shared and critical next steps for NAQC will be explored.
If you have missed any past webinars, please make sure to visit the Webinar Archive Page to access materials, recordings, and summaries. 
» register today!

NAQC Library Now Available!
We are excited to announce that all resources on the NAQC Web site are now catalogued and easy to access from the NAQC Library. In an effort to make it easier to quickly locate resources that meet members’ needs, we have organized the resources into 33 different categories including content areas such as “Cost, Budget, and Investment,” “Evaluation,” “Medicaid,” and “Web-Assisted Tobacco Interventions.” Resources can be found in multiple sections when they relate to more than one topic. Please visit the NAQC Library for full descriptions of each category.

We hope that this effort to increase the utility of the NAQC Web site and to ease access to its many resources will better support your quitline efforts. Questions about the NAQC Library can be directed to
» learn more

FY2011 NAQC Annual Survey Results Now Available Online!
We are pleased to announce that the results of the FY2011 NAQC Annual Survey of Quitlines are now available on the 2011 Survey page. Detailed quitline-specific tables similar to those posted for 2009 and 2010 will be posted shortly. Emails containing benchmarking details on treatment reach, spending per smoker (services & medications), and quit rates, as well as all quitline metrics that will be posted on each quitline’s profile page, were sent out during the week of September 3. If you expected to receive benchmarking data for your quitline and did not, please contact Jessie Saul, NAQC’s Director of Research, at
» learn more

 Find more NAQC News in our Newsroom or go back to top.

Tobacco Control

FTC Releases Cigarette and Smokeless Tobacco Marketing Reports for 2009 and 2010!
The Federal Trade Commission released its reports on cigarette and smokeless tobacco marketing as well as sales volumes for 2009 and 2010. The latter shows that the number of cigarettes sold and given away in the U.S. fell by 10 percent in 2009, the second largest increase since the FTC began reporting sales data in 1963. This decline shows the impact of the 62-cent increase in the federal cigarette tax that took effect April 1, 2009, and is powerful confirmation that cigarette tax increases are one of the most effective ways to reduce smoking.
» learn more

Tobacco-Free College Campus Initiative Launched on September 12!

In September, Assistant Secretary for Health of the U.S. Department of Health and Human Services, Howard Koh, M.D., M.P.H., launched the Tobacco-Free College Campus Initiative to encourage college campuses across the nation to adopt tobacco-free policies. He was joined at the Michigan School of Public Health by University of Michigan President Mary Sue Coleman, fellow educational leaders and tobacco policy experts throughout the region. On the registration page for this event was a document prepared by the Americans for Non-Smokers' Rights Foundation (ANRF) in July 2012, which listed the number of colleges and universities in the U.S. with smoke-free and tobacco-free policies. 
Recent studies have shown that cigarette and cigar use, including flavored cigars, cigarillos and little cigars, is on the rise and is highest among African American and Latino youth and young adults. These numbers include a significant amount of college students at Historically Black Colleges and Universities (HBCUs) which make the push for the Tobacco-Free College Campus Initiative a must for local organizations, government agencies, communities and individual citizens concerned about the plight of our youth. NAATPN and its partners fully intend to align themselves  as a resource to HBCUs and their communities to further this national effort.

 » learn more

New Study: Quit Line + Combo Meds=Higher Quit Rates!
A breakthrough research study has shown that smokers who called the national tobacco quitline (1-800-QUIT-NOW) and received a combination of quit-smoking medications quit at much higher rates. Offering callers the nicotine patch plus nicotine gum and four counseling calls helped half the callers quit smoking. 
» learn more

Find more Tobacco Control in our Newsroom or go back to top.

Promotion of Smoking Cessation with Emotional and/or Graphic Antismoking Advertising.
Farrelly Mc, Duke JC, Davis KC, Nonnemaker JM, Kamyab K, Willett JG, Juster HR. Am J Prev Med 2012.
This study examined the impact of emotional and/or graphic antismoking television ads on quit attempts in the past 12 months among adult smokers in New York State. Data from the 2003-2010 New York Adult Tobacco Surveys were analyzed. Exposure to advertising, as measured by self-reported confirmed recall and market-level gross rating points, were positively associated with an increased odds of making a quit attempt. The findings held for all smokers, for smokers who want to quit, and for smokers in different household income brackets and education levels. When data were analyzed looking at exposure to emotional and/or graphic advertisements, the findings also held. Exposure to advertisements without strong negative emotions or graphic images had no effect. The authors concluded that strongly emotional and graphic antismoking advertisements are effective in increasing population-level quit attempts among adult smokers.
Current Tobacco Use Among Adults in the United States: Findings From the National Adult Tobacco Survey.
King BA, Dube SR, Tynan MA. Am J Public Health. Published online ahead of print September 20, 2012: e1–e8.
This study used data from the 2009–2010 National Adult Tobacco Survey to estimate current use of any tobacco. National prevalence of current use was 25.2% for any tobacco; 19.5% for cigarettes; 6.6% for cigars, cigarillos, or small cigars; 3.4% for chewing tobacco, snuff, or dip; 1.5% for water pipes; 1.4% for snus; and 1.1% for pipes. The report concludes that tobacco use varies by geography and sociodemographic factors, but remains prevalent among US adults and shows the continuing need for evidence-based strategies that are proven to reduce all forms of tobacco use. Findings indicate that  tobacco use is most prevalent among Americans with less education, less income, and those who are lesbian, gay, bisexual, or transgender. Young adults aged 18-24 had the highest prevalence of tobacco use, and tobacco use among men was nearly double that among women. Prevalence of any tobacco use ranged from 14.1 percent in Utah to 37.4 percent in Kentucky. Report authors note that evidence-based strategies, such as tobacco price increases, media campaigns, and smoke-free policies, in concert with full access to clinical cessation interventions, have been shown to decrease tobacco use and reduce the health burden and economic impact of tobacco-related diseases in the United States.
Population Impact of Reimbursement for Smoking Cessation: A Natural Experiment in the Netherlands.
Willemsen MC, Segaar D, van Schayck CP. Addiction. 2012 Sep 20. [Epub ahead of print]
This study examined the impact of financial reimbursement of quitting medications in combination with telephone counseling behavioral support on the number of enrollees for the Dutch national quitline. In 2010 when there was no reimbursement for medications, a total of 848 smokers enrolled in the quitline. In 2011 when reimbursement for medications was offered, 9,091 smokers enrolled. Once reimbursement ended in 2012, the number of enrollees dropped below the 2010 level. In addition, the proportion of smokers in the population dropped from 27.2% in 2010 to 24.7% in 2011. The authors conclude that the introduction of a national reimbursement system in the Netherlands was associated with a more than ten-fold increase in telephone counseling for smoking cessation and suggests that reimbursement for smoking cessation contributed to improvements in public health.
Mapping Tobacco Quitlines in North America: Signaling Pathways to Improve Treatment.
Leischow SJ, Provan K, Beagles J, Bonito J, Ruppel E, Moor G, Saul J. Am J Public Health. 2012 Sep 20. [Epub ahead of print]
This study (KIQNIC) examined how the network of quitlines in North America interact and share new knowledge on quitline practices. Results showed that there was a strong tendency for US and Canadian quitlines to seek information from other quitlines in the same country, with few seeking information from quitlines in the other country. The network coordinating organization (the North American Quitline Consortium) is highly central to the network, acting as a broker of quitline information. The authors conclude that quitlines in North America are not isolated, but rather are part of an interconnected network with some quitline organizations playing a more central role than others. As quitline use expands, the ways quitlines share information to improve practices will become increasingly important.
Aboriginal and Torres Strait Islander Utilization of the Quitline Service for Smoking Cessation in South Australia.
Cosh S, Maksimovic L, Ettridge K, Copley D, Bowden JA. Aust J Prim Health. 2012 Jun 4. [Epub ahead of print]
This study explored use of the South Australian quitline by smokers identifying as Indigenous Australian in 2010. Results showed that the proportion of Indigenous and non-Indigenous smokers who registered for the service was comparable. Demographic variables and smoking addiction at time of registration were also similar between the two groups. However, Indigenous callers received significantly fewer callbacks than non-Indigenous callers, and were significantly less likely to set a quit date. In addition, significantly fewer Indigenous callers reported they were still successfully quit at 3 months. The authors call for more research to explore whether the service could be tailored to make it more engaging for Indigenous Australians who smoke.
Refer2Quit: Impact of Web-based skills training on tobacco interventions and quitline referrals.
Carpenter KM, Carlini BH, Painter I, Mikko AT, Stoner SA. J Contin Educ Health Prof. 2012 Jun;32(3):187-95.
This study examined the impact of a case-based CME/CE program, Refer2Quit(R2Q), which was developed to educate providers about quitlines, referral methods, and tobacco interventions. R2Q includes QL education and intervention and referral skills training tailored to provider type and work setting. Results showed the four participating health care organizations increased the fax referral rates as well as rates of referrals that converted to actual quitline registrations. Providers who completed the training expressed significantly more positive attitudes and improved self-efficacy for delivering tobacco services. At follow-up most providers reported increased delivery of tobacco interventions and QL referrals, although only 17% reported increased rates of fax referral. The study authors suggest that online education builds skills, improves knowledge, and thus increases the number and quality of fax referrals made to QLs by health care providers. Providers nonetheless reported ongoing barriers to providing tobacco services and referral, including lack of reimbursement and patient unwillingness to accept a referral.
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Deadline: October 19! Cessation Manager positions at ClearWay Minnesota!
ClearWay Minnesota is currently recruiting for two Cessation Managers. The position announcements are below. 
Cessation Manager - State Partnership Initiatives
Cessation Manager  - Health Systems Change Initiatives
» learn more 

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Funding for Connections is provided through a contract from the Centers for Disease Control and Prevention. We thank them for their support of this publication. Information and links are provided solely as a service to NAQC members and partners and do not constitute an endorsement of any organization by NAQC, nor should any be inferred.
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