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North American Quitline Consortium
March 2012


Time-Sensitive News

Release of the 2012 Surgeon General's Report – Conference Call on March 8 from 3:00-4:30 pm ET! 
Today, Thursday March 8th,  Dr. Regina M. Benjamin, U.S.Surgeon General released A Report of the Surgeon General: Preventing Tobacco Use Among Youth and Young Adults. This report represents the 31st Surgeon General’s report focused on tobacco use and its devastating effects. Join CDC’s Office on Smoking and Health for a call to support the release of the report on Thursday March 8th from 3:00 pm-4:15pm ET.
Dr. Regina M. Benjamin, U.S. Surgeon General, Dr. Tim McAfee, Director of the Office on Smoking and Health and Dr. Terry Pechacek, Associate Director for Science, Office on Smoking and Health, will provide a detailed review of the major scientific conclusions of the report and there will be an opportunity for questions.  
» learn more about the webcast
» to learn more about materials related to the report click here

Webinar on Web-based Cessation Programs TODAY, 2:00-2:30 p.m. ET!
Today’s call (March 8, 2012) will feature Amanda Graham, Ph.D. (Schroeder Institute for Tobacco Research and Policy Studies at Legacy) who will be speaking on “Improving Adherence to Web-Based Cessation Programs: A Social Network Approach .” Dr. Graham will talk about using a social network intervention approach to improve adherence to both counseling and medication protocols for web-based tobacco cessation programs.  For more information about her presentation, call-in information, and other future speakers, see http://www.naquitline.org/?page=CallInformation.
 
This webinar is part of NAQC’s “Coffee Break” series, a monthly 30-minute webinar designed to serve as an informal forum to discuss current, upcoming, and potential quitline-related research; facilitate communication and interaction between researchers; and create and support connections between researchers and quitlines. Typically, the presenter gives a 10-15 minute presentation on a newly published research article, a new methodology for conducting research or collecting data, a description of a newly funded study, etc. There are 10-15 minutes at the end of each presentation for questions. The calls are scheduled 2:00 to 2:30pm eastern time on the second Thursday of each month. To join the mailing list to receive information about future coffee break calls and quitline research information click here. The presentation slides and call recordings for past presentations are available here.
» learn more 

Save the Date!  March 15th Release of the HHS/CDC’s National Tobacco Education Campaign!
Join the U.S. Department of Health and Human Services and the Center for Disease Control and Prevention via webcast for the launch of the National Tobacco Education Campaign on Thursday, March 15 from 12:30 to 1:30 pm ET. Webcast information will be made available soon! Although we expect that ads will not be aired until March 19, quitlines should expect quite a bit of earned media on March 15th and 16th related to the announcement. Ads will run more frequently in areas where smoking prevalence is highest. NAQC encourages states to share updated media buy plans with their service providers. We will provide additional information as it becomes available.
» learn more

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NAQC News

Participate in March 14th Seminar - Public-Private Partnerships: Developing a Plan to Expand Health Plan Coverage of Quitline Services!
Join us on Wednesday, March 14th from 3:30-5PM ET for part two of NAQC’s three part series on Public-Private Partnerships!
 
Once a state tobacco cessation coverage assessment is completed (as described in the Phase I seminar), it is time to convene key stakeholders to develop a plan to address gaps in cessation services and/or expand or enhance current services.  During this seminar, participants will learn how to utilize state assessment data to engage health plans, employer groups and other key stakeholders in collaboratively identifying strategies to advance cessation coverage in their state.
» learn more 

FY2011 Annual Survey Update!
Thank you for your participation in the FY2011 Annual Survey of Quitlines! NAQC staff will be following up with you over the next few weeks if we have any questions about the data you provided. We will be sending you your FY2011 benchmarks, updating the “metrics” section of quitline profiles, and releasing final survey results once the data cleaning process has completed. As always, if you have any questions or concerns, please let us know at annualsurvey@naquitline.org.

NAQC Conference 2012: Registration and Call for Abstracts are Now Open!
It is with great pleasure that NAQC invites all members and others dedicated to improving the effectiveness of and access to quitline services to register for our upcoming conference. NAQC Conference 2012, QUITLINE INNOVATION AND SUSTAINABILITY: Exploring Strategies and Seizing Opportunities in Challenging Times, will take place August 13th and 14th in Kansas City, Missouri as an ancillary meeting to the National Conference on Tobacco or Health. Registration is open until July 27, 2012. Submit your abstracts today! Learn more here.
» learn more

NEW: MDS Streamlining Document Released!
Due to upcoming national promotions of both U.S. and Canadian toll-free quitline numbers, quitlines in both countries are preparing for what could be a dramatic increase in call volume. As quitlines increase their capacity to handle surges in call volume, and make contingency plans, one issue that has come up multiple times is whether and how to streamline collection of Minimal Data Set intake data (as a strategy for decreasing the time for intake). In late 2011 and early 2012, the Minimal Data Set Workgroup met to discuss these issues and make recommendations on ways to streamline MDS. The workgroup’s recommendations are provided in the document available on the NAQC website (click here).
 
Quitlines are encouraged to use the guidance document (click here) and discussion guide template (click here) as a starting point for internal discussions about revising their data collection procedures. The documents are NOT intended to replace the in-depth discussion that each quitline’s funder/administrator and service provider organizations will need to conduct. Through such discussion, NAQC hopes to facilitate the maintenance of quitline standards for intake questions while satisfying the needs of numerous different organizations and stakeholders, to the greatest extent possible. NAQC staff is available for additional technical assistance if quitlines have questions that cannot be answered with the information presented here. For additional help, comments, or questions, please contact Jessie Saul, NAQC’s Director of Research, at jsaul@naquitline.org.
» learn more

NEW: CDC Requests Quitlines Add New Intake Question to Evaluate National Tobacco Education Campaign!
At the request of state quitlines, the CDC has proposed wording for a new intake question that will help quitlines track the number of tobacco users who contact quitlines as a result of the National Tobacco Education Campaign. The question is not part of the MDS. CDC will be asking US quitlines to report on responses to this question both in aggregate as part of their quarterly Services Survey as well as individual-level data for the national quitline data warehouse. The question wording is: In the past three months, did you hear about 1-800-QUIT-NOW from any advertisements with smokers telling personal stories and tips about living with health problems? 1. Yes; 2. No; 3. Unsure

NEW: Research & Evaluation Listserv – Sign Up Today!
NAQC is happy to announce the creation of a new listserv dedicated to quitline research and evaluation issues. To subscribe to the listserv, please contact Natalia Gromov at ngromov@naquitline.org.

NAQC Membership Drive!
NAQC’s membership drive for fiscal year 2013 began on February 16. You may take advantage of the early bird renewal special and win a free registration to the NAQC Conference if you renew by May 31st . To avoid lapse in your membership benefits, please submit payment for your dues by July 1, 2012 (payments are accepted in a form of a check, credit card payment, and online renewal). Please refer to the membership page for more information.

Please make sure that you are making the most of your membership with NAQC and making use of important benefits such as the member only networking Listserv.

For questions regarding membership, please contact Natalia Gromov at 800-398-5489 ext 701 or membership@naquitline.org.
» learn more

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Tobacco Control
 
U.S. Government Continues to Vigorously Defend New Graphic Health Warnings!
On March 7th, the US government filed a notice of appeal in US District Court (Washington) seeking to overturn Judge Richard Leon’s February 29th decision that the government’s new regulations on graphic health warnings for cigarettes violates the tobacco companies’ rights to free speech.
 
The U.S. Court of Appeals in Washington is scheduled to hear arguments next month on the government’s challenge to a ruling Leon issued in November that canceled a Sept. 22 deadline for tobacco companies to begin displaying images such as diseased lungs and a cadaver with chest staples on an autopsy table on the top half of the front and back of all cigarette packages. It is unclear whether the three-judge panel will consider today’s appeal on April 10.

NAQC is pleased that the U.S. government continues to vigorously defend its position in the lawsuit and we look forward to having new graphic health warnings implemented at some future date. 

» learn more

Prevention Fund Update!
As you know, Congress and the Obama Administration came to an agreement on an economic package and cut the Prevention and Public Health Fund created by the Affordable Care Act to help pay for it. The cut to the Fund totals $6,250,000,000 over 10 years – a cut of over 30%. We are disappointed in this action and believe it is a shortsighted move that will cost lives and money.

The cuts to the fund enacted will begin in FY13. The level of funding for FY12 will remain at $1 billion. Under the Affordable Care Act, the Fund would have grown to $2 billion in FY15, but the cuts enacted last week will result in relatively flat funding for a number of years, and it will not grow to $2 billion until FY22. Only efforts by tobacco control and other public health advocates kept the fund from being cut further or even eliminated, so many thanks to those who helped educate members of Congress about the value of prevention.

Thanks to those efforts, even with these cuts, the Prevention Fund represents the only real opportunity for increased federal dollars for tobacco control, such as funding for the Office on Smoking and Health and the Community Transformation Grants.
» learn more

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Research
 
Nicotine Dependence as a Moderator of a Quitline-Based Message Framing Intervention.
Fucito LM, Latimer AE, Carlin-Menter S, Salovey P, Cummings KM, Makuch RW, Toll BA. Drug Alcohol Depend. 2011 Apr 1;114(2-3):229-32. Epub 2010 Oct 30.
This study examined whether nicotine dependence level moderated the effectiveness of gain-framed or standard-care counseling and printed materials provided through the New York State Smokers’ Quitline. Smokers in both arms of the study were also offered a free 2-week supply of patches, gum, or lozenge, if they were eligible.
Those smoking 10 or more cigarettes per day and medically eligible were also offered a free 2-week supply of nicotine patches, gum, or lozenge. At three months, there was no interaction observed between nicotine dependence and message condition (gain-framed vs. usual care) on the likelihood of the smoker being quit (7-day point prevalence abstinence). Among continuing smokers at 3 months, gain-framed messages appeared to reduce variability in response to counseling for all levels of nicotine dependence; both for number of cigarettes smoked per day, and for use of nicotine medications.

Fifty Communities Putting Prevention to Work: Accelerating Chronic Disease Prevention Through Policy, Systems and Environmental Change.
Bunnell R, O'Neil D, Soler R, Payne R, Giles WH, Collins J, Bauer U; Communities Putting Prevention to Work Program Group. J Community Health. 2012 Feb 10. [Epub ahead of print].
In 2010, CDC funded 50 communities to implement policy, systems, and environmental interventions in a 2-year initiative designed to reduce obesity, tobacco use, and second-hand smoke exposure. The average population reach for obesity-prevention interventions was 35%, with 26% of the interventions covering over 50% of the communities' populations. Average reach for tobacco prevention programs was 67% with 84% of interventions covering more than 50% of the communities’ populations. The authors conclude that tobacco interventions appeared to have higher potential population reach than obesity interventions within this initiative.

A Review of Smoking Cessation Interventions for Smokers Aged 50 and Older.
Zbikowski SM,  Magnusson B, Pockey JR, Tindle HA, Weaver KE. Maturitas 71 (2012): 131– 141.
The authors conducted a systematic review of randomized controlled trials of cessation interventions with smokers aged 50 and older. Thirteen articles met eligibility criteria for inclusion in the review. Nearly all the treatments combined counseling with other strategies. Eight provided medications for smoking cessation. Nine of the 13 reported a significant effect of the intervention at one or more time points, with three studies reporting treatment effects that sustained at 12 months or longer. In general, more intensive interventions and those with combined approaches including medications and follow-up counseling achieved the best outcomes. The authors conclude that while quit rates and relative effectiveness of the interventions included in this study were consistent with the general smoking cessation literature, most treatment effects were short-term, and absolute quit rates were low, “leaving the vast majority of older smokers at high risk for smoking-related health conditions.” The authors also call for more research on interventions tailored for older smokers.
 
Offering Population-based Tobacco Treatment in a Healthcare Setting: A Randomized Controlled Trial.
Rigotti NA, Bitton A, Kelley JK, Hoeppner BB, Levy DE, Mort E. Am J Prev Med. 2011 Nov;41(5):498-503.
This study tested the effectiveness of adding a direct-to-smoker (DTS) outreach to regular clinic-based care, compared to regular clinic care. The DTS outreach consisted of three monthly letters offering free tobacco cessation treatment including up to 8 weeks of nicotine patches and proactive referral to the state quitline for multisession counseling. Of 413 eligible smokers, 43 (10.4%) in the DTS group accepted the treatment offer. Of those 43, 42 (98%) requested NRT, and 30 (70%) requested counseling. A higher proportion of the DTS group compared to control had used NRT (11.6% vs. 3.9%) or any tobacco treatment (14.5% vs. 7.3%) and reported having quit tobacco (5.3% vs. 1.1%, 7-day point prevalence abstinence) (4.1% vs. 0.6%, 30-day point prevalence abstinence). The intervention did not increase smokers’ use of counseling or non-NRT medication. The authors conclude that a population-based outreach offering free tobacco treatment to smokers in a health center was a feasible, cost-effective way to increase the reach of treatment (primarily NRT) and to increase short-term quit rates.
 
Quitting Trajectories of Chinese Youth Smokers Following Telephone Smoking Cessation Counseling: A Longitudinal Study.
Wong DC, Chan SS, Fong DY, Leung AY, Lam DO, Lam TH. Nicotine Tob Res. 2011 Sep;13(9):848-59. Epub 2011 May 12.
This study examined the quitting trajectories of Chinese youth smokers after they received quitline services. 402 Chinese youth smokers (ages 12-25) were included in the study. Three distinct quitting trajectory groups were identified: quitters, reducers, and persistent smokers. Study participants who intended to quit at baseline, perceived confidence to quit, and perceived importance of quitting were more likely to have successfully quit smoking at six-month follow-up. Those who had pro-smoking attitudes were less likely to have quit. The authors conclude that short-term goals such as an abrupt quit attempt or immediately reducing cigarette consumption by half may be the key to help youth smokers quit successfully.

  
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Announcements

SOPHE Webinar on March 9th: The Smoking Cessation and Reduction in Pregnancy Treatment (SCRIPT) Program: Helping Pregnant Women Quit Smoking 
This webinar was developed to inform health educators across the United States about SCRIPT, the evidence-based program designed to help pregnant women quit smoking, and about training materials developed by SOPHE to help organizations adopt SCRIPT as part of routine prenatal care. Speakers will present from 3:00pm-4:15 pm followed by a Q & A session. Find additional details at the link below.
» learn more

8th National LGBT Health Equity Summit Update!
 Abstracts Open, Abstract Submission for the 8th National LGBT Health Equity Summit is now open. Abstracts must be submitted by March 19th, 2012 at 11:59 pm EST. For more information and to fill out the application form online, please click HERE.
Seeking Youth for Youth Planning Committee, In addition to the Summit Planning Committee the Network is seeking applications from youth age 16-24 to be a part of the Summit Youth Planning Committee. We will be accepting applications until March 9th and we are looking to select 6-8 youth from across the country to assist with a youth presence at the summit. For more information please click HERE, and make sure you share the information below to your networks, and/or interested youth.
Online Payment and Registration Options Now Available, Online Registration and Payment for the Summit is now available! 

» 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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