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North American Quitline Consortium
July 2010


Maximizing Reach Case Studies Now Available
NAQC has developed a Web repository of case studies on states that have achieved a reach that is at least three times higher than the median reach of all state quitlines. The information shared in this resource will help other members identify mechanisms and approaches for increasing the reach of their quitlines and is intended to compliment NAQC’s 2009 publication, Increasing Reach of Tobacco Cessation Quitlines. These case studies focus on experiences with various strategies intended to increase the reach of a state quitline. Each case study highlights the methods employed to maximize reach, opportunities, challenges, and lessons learned by states and their partners. Case studies are being produced as a series and new ones will appear in the coming months.
» view case studies

2009 NAQC Annual Survey Results Now Available
A webinar was given in July highlighting findings from the 2009 NAQC Annual Survey of quitlines. To view the webinar presentation slides, go to the webinar info page. Additional findings, detailed tables, and a fact sheet will be posted on the 2009 Annual Survey Web page in August. Information will be included with the webinar summary that will be sent to webinar registrants in early August. For more information on the Annual Survey, contact Jessie Saul, Director of Research, at jsaul@naquitline.org.

Coming Soon: Minimal Data Set for Web
Many quitlines have begun to expand the mechanisms by which tobacco users can enter a quitline program, including online entry points. In order to maintain consistent data collection elements, many have attempted to use the Minimal Data Set in an online environment. Initial feedback has indicated that the current MDS is not particularly well-suited for use online.

To address these concerns, a workgroup of NAQC members and external experts has been convened to develop a modified version of the Minimal Data Set for use in an online environment. Final recommendations will be made to the MDS Update workgroup in September, and an approved modified MDS for Web will be released this fall. The guidance for implementation will emphasize the need for flexibility between quitlines, depending on the goals, environmental context, and technological capacity specific to each quitline’s situation when considering whether and how to implement MDS questions online. For more information, contact Jessie Saul, Director of Research, at jsaul@naquitline.org.

Membership Renewal Period Extended
NAQC’s membership drive for fiscal year 2011 began at the end of April and has been extended to August 16 to accommodate members’ approval timelines. Please note that payments are accepted in the form of a check, credit card payment, and online renewal. Please refer to the membership page for more information. For questions regarding membership, please contact Natalia Gromov at 602-279-2719 x1 or via e-mail.

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Tobacco Control

OSH and FDA Seek Support for New FDA Tobacco Regulations
CDC’s Office on Smoking and Health (OSH) and the Food and Drug Administration (FDA) are working to educate consumers, public health partners, and the general public about new tobacco regulations that took effect July 22, 2010. These regulations prohibit the tobacco industry from distributing or introducing into the U.S. market any tobacco products for which the labeling or advertising contains the descriptors "light,” "low,” "mild,” or any similar descriptor, irrespective of the date of manufacture. However, consumers may continue to see some products with these descriptors for sale in stores after July 22 because retailers are permitted to sell off their inventory.
» learn more

Comprehensive State-by-State Analysis of Medicaid Coverage of Tobacco Cessation Released
Partnership for Prevention's ActionToQuit program has released a comprehensive state-by-state analysis of Medicaid coverage of tobacco cessation. Prepared in collaboration with the American Lung Association, Saving Lives and Money - Helping People on Medicaid Quit Tobacco provides clear guidance to states on necessary steps to provide a comprehensive cessation benefit in accordance with recommendations of the United States Public Health Service. With the recent passage of health reform (Affordable Care Act) which requires that all state Medicaid programs provide comprehensive tobacco cessation care to pregnant women, this is a unique opportunity for states to go farther and expand coverage for the entire Medicaid population.
» learn more

OSH Appoints Dr. Tim McAfee as New Director
CDC has announced the appointment of Dr. Tim McAfee to the position of Director, Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, CDC, effective September 12, 2010. Tim McAfee, M.D., M.P.H., joins CDC as the Director, Office on Smoking and Health, following a distinguished career in tobacco control as a clinician, researcher, and public health evaluator. Since 2003, he has served as the Chief Medical Officer for Free & Clear. He helped found and served on the Board of Directors of the North American Quitline Consortium, as well as numerous state and national tobacco policy advisory groups.
» learn more

Local Smoking Cessation Workshops Coming to Your Communities, Sponsored by Pfizer
Smoking cessation workshops, led by ATTUD certified Tobacco Treatment Specialists, are coming to communities across the country for people who want to learn about quitting smoking. The free, hour-long workshops can accommodate as many as 20 people at a time and include presentations from a former smoker who quit with a prescription treatment option and support. These workshops provide attendees with a non-judgmental environment where they can learn about tools (e.g., plans, treatment options) to help them make a quit attempt.
» learn more

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Nicotine Replacement Therapy Use Among Adolescent Smokers Seeking Cessation Treatment
Botello-Harbaum M, Schroeder JR, Collins CC, Moolchan ET. Ethn Dis. 2010 Spring;20(2):180-4.
This study examined use of nicotine replacement therapy (NRT) in a sample of adolescent smokers seeking smoking cessation treatment in the Baltimore, MD metropolitan area. NRT was not provided as part of this observational study. The study found that European American youths are more likely than their ‘other’ counterparts to use NRT after adjusting for age and smoking severity, while African American youths are less likely than their ‘other’ counterparts to use NRT. The authors conclude that racial/ethnic disparities exist in accessing smoking cessation options (specifically NRT) among adolescents. Further research is needed to fully elucidate factors contributing to these differences in order to facilitate increased smoking cessation rates among all adolescents.

State-level Factors Influencing Tobacco Cessation Quitline Spending in 2008
Beyer EJ, Keller PA, Bailey LA, Baker TB, Fiore MC. Prev Med. 2010 Aug;51(2):191-2. Epub 2010 May 15.
This paper examined NAQC Annual Survey data from the Fiscal Year 2008 survey to explore state-level factors that may influence per-capita quitline spending. Per-capita tobacco control expenditures was the most consistent predictor of state per-capita quitline spending. This is consistent with previous findings, and is logically consistent: it is reasonable to assume that states with larger tobacco control budgets would spend a larger per-capita amount on quitlines along with all other aspects of comprehensive tobacco control programs.

However, other variables that were predictive of state per-capita quitline spending in prior years, such as consumption, political ideology, etc. were not statistically significant for FY2008. It may be that the global economic recession had an impact in this way, that the findings are exhibiting random year-to-year variation, or that quitlines have become better integrated into state tobacco control programs. The authors conclude that additional research into whether and how state-level factors influence quitline funding levels is needed to allow advocates and policy-makers to understand better how to advocate for ongoing support of these population-based services.

Do Point Prevalence and Prolonged Abstinence Measures Produce Similar Results in Smoking Cessation Studies?: A Systematic Review
Miller CL, Hill DJ, Quester PG, Hiller JE. Tobacco Control. 2009 June;18(3):235-7. Epub 2009 Feb. 11.
This study examined whether and how prolonged abstinence (PA) rates (i.e., not smoking since a quit date, with or without a grace period) or point prevalence (PP) abstinence rates (i.e., no smoking one or more days prior to the follow-up) are related in published studies. Findings indicate that PA and PP are closely related and can be used interchangeably with moderate accuracy. When odds ratio and relative risk are used as effect sizes, both measures produce similar effect sizes. PA produces a smaller effect size than PP when absolute differences in percent abstinent are used. The authors conclude that trials should continue to report both PA and PP outcomes to enhance comparisons across studies.

Cigarette Use Among High School Students --- United States, 1991—2009
Centers for Disease Control and Prevention. MMWR Weekly. July 9, 2010 / 59(26);797-801. Available at http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5926a1.htm?s_cid=mm5926a1_e
This report describes results of CDC's 2010 analysis of the national Youth Risk Behavior Survey (YRBS) data from 1991--2009 for three measures among high school students in the United States: ever smoked cigarettes, current cigarette use, and current frequent cigarette use. The findings in this report show that for three measures of cigarette use (ever smoked cigarettes, current cigarette use, and current frequent cigarette use), rates among high school students began to decline in the late 1990s, but the rate of decline slowed during 2003–2009.

These trends are consistent with trends for 30-day and daily cigarette use reported from the Monitoring the Future survey (an ongoing national study of the behaviors, attitudes, and values of 8th-, 10th- , and 12th-grade students), which also showed declines starting in the late 1990s but gradual declines most recently. As a result of the slow declines in youth smoking described in this report, the Healthy People 2010 national health objective to reduce the prevalence of current cigarette use among high school students to ≤16%§ has not been met. The authors conclude that to increase the rate of decline in cigarette use among high school students, reductions in advertising, promotions, and commercial availability of tobacco products should be combined with full implementation of community-wide, comprehensive tobacco control programs.

The findings in this report also show that since 2003 the rate of decline in current cigarette use slowed or leveled off for all racial/ethnic and sex subgroups except black female students, for which no slowing or leveling off occurred in the rate of decline after 1999. The authors recommend that more detailed research is needed to explain why current cigarette use during 2003--2009 declined more slowly among some racial/ethnic and sex subgroups of high school students but remained stable among others.

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Call for Abstracts: SBM's 32nd Scientific Meeting & Scientfic Sessions
The Society of Behavioral Medicine's Annual Meeting, which draws the nation's preeminent behavioral medicine scientists, researchers, educators and clinicians, represents a prime opportunity for sharing research! SBM welcomes your abstract for consideration. All abstracts must be submitted electronically via the online submission site by 8:59 pm PST/9:59 pm MST/10:59 pm CST/ 11:59 pm EST on Tuesday, September 14, 2010. And don't forget to mark you calendar! The 32nd SBM Annual Meeting & Scientific Sessions take place in Washington, DC, April 27-30, 2011, at the Washington Hilton.
» learn more

WEBINAR: Free NRT: Impact on Reach, Operations and Quits
Join NAQC next week for the latest installment in its webinar series, Free NRT: Impact on Reach, Operations and Quits. During this 90-minute, interactive webinar participants will learn more about how offering free NRT has served as an important strategy to maximize the reach and the effectiveness of two state quitlines. They will discuss their own experiences with integrating NRT and cessation medications and quitline services, especially as it relates to operations. Come prepared to share your own story and problem-solve challenges!
» register for Wednesday, August 11
» register for Friday, August 13

Health Promotion Practice Issues Call for Papers
Society for Public Health Education (SOPHE)’s peer-reviewed journal, Health Promotion Practice (HPP), will publish a theme issue highlighting successful technical assistance and training models to support and sustain the reduction in tobacco use in the United States. They have issued a call for papers with a deadline of Thursday, September 30, 2010. For more information, contact Madeleine Solomon at msolom3@emory.edu.

FDA Announces Tobacco Retailer Training Sessions
The U.S. Food and Drug Administration (FDA) Center for Tobacco Products hosted the first of five live retailer training sessions on federal tobacco regulations in Boston, MA on Monday, July 19. Retailers who sell tobacco are encouraged to participate in the training session in person, by phone, or by webcast. The remaining four retailer training sessions will be held this summer in Atlanta, GA, Chicago, IL, Dallas, TX, and Los Angeles, CA.
» learn more

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Funding for Connections is provided through a contract from the Centers for Disease Control and Prevention and a grant from the American Cancer Society. 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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