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North American Quitline Consortium
November 2012

Time-Sensitive News

Webinar on November 14! 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.

During this 90-minutes webinar, NAQC members will:

  • Hear a proposed description of electronic referral;
  • Learn about the Meaningful Use Initiative and timely opportunities to incorporate quitline e-referral into meaningful use;
  • Hear about progress-to-date and lessons learned from states using e-referrals; and
  • Have an opportunity to provide feedback on next steps we should take as a Consortium.
If you have missed any past webinars, please make sure to visit the Webinar Archive Page to access materials, recordings, and summaries. 
» register today!

Deadline: November 19, 2012! KY Tobacco Cessation Quitline Services RFP!
The KY Tobacco Cessation Quitline Services solicitation is now available on their vendor self-service website. For more details, please visit the link below and scroll through to search for the RFP number (RFP 728 1300000119 1).  
» learn more

Webinar on November 28! November Election Results: Implications for Tobacco Control!
Presented by the Tobacco Control Network (TCN)
@ 12-1:30pm PT/1-2:30pm MT/2-3:30pm CT/3-4:30pm ET
This webinar will provide highlights from the 2012 federal and state election results and their implications for the FDA’s future tobacco work, key state election results that could affect tobacco control, and, of course the outcomes of the ballot initiatives in Missouri and North Dakota.  This is an opportunity to learn about new political trends (and little known facts) that will help us plan our future tobacco control program and policy strategies.
  • Pete Fisher, Vice President, State Issues, Campaign for Tobacco-Free Kids
  • Additional speakers will be announced after Election Day!
Registration is required. Prior to the call, dial-in information and materials will be provided to registered participants. Each person who will be on the call should register separately. This applies even to participants calling from a conference room or other shared location.
» register today!

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UPCOMING WEBINARS: December 12 and January 16!
Quitline Service Offering Models: What’s Changing and What’s Staying the Same?
NAQC’s recently published Quality Improvement Initiative Issue Paper, Quitline Service Offering Models: A Review of the Evidence and Recommendations for Practice in Times of Limited Resources,makes recommendations for most effectively using limited resources when determining service offering options and outlines the evidence to support decision-making. Join us for a discussion with the paper’s author and others to explore the ever-changing landscape of service offerings, budgets, target audiences and the evidence base.
» register today!

Quitline Cost Sharing Models: New Research to Inform Our Practice!
Public-private cost sharing partnerships provide states with a way to increase reach without increasing their financial costs to operate quitline services. Such partnerships distribute costs between state tobacco programs and private payers such as health insurance companies, employer groups and unions.  Additionally, as more states engage in cost sharing partnerships, it is essential to compile information to help inform national and state efforts.  

In this webinar, Julie Rainey and Vanessa Klisch from Professional Data Analysts, Inc. (PDA) will share their recent research findings on existing cost-sharing models discovered through a series of interviews with state quitline administrators and service providers and present considerations for states employing different models. Jessie Saul, NAQC’s Director of Research, will introduce new NAQC Annual Survey of Quitlines questions based on the cost-sharing typology developed by PDA in order to capture a broader view of these efforts and discuss ways that findings might be used to track progress and improve practice.   
» register today!

A Case Study to Support Gaining Federal Medicaid Match for State Tobacco Cessation Quitlines!
With the goal to inspire, support, encourage and direct states in their cost-sharing efforts, A Case Study to Support Gaining Federal Medicaid Match for State Tobacco Cessation Quitlines: Maryland, offers quick-to-read yet detailed guidance from one successful state, with broader lessons learned through NAQC’s Medicaid Learning Community woven throughout.  Important things to consider before moving forward in partnership with Medicaid are highlighted, as well as building blocks for success. 
» learn more

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

Minnesota’s Investment in Applied Tobacco Control Research: Findings to Inform Practice and Policy!
ClearWay MinnesotaSM is pleased to share the release of our latest supplement for the American Journal of Preventive Medicine titled “Minnesota’s Investment in Applied Tobacco Control Research: Findings to Inform Practice and Policy.”  Featured in this issue are eight original articles from ClearWay Minnesota-funded Research grantees and five research articles co-authored by ClearWay Minnesota staff on topics ranging from the impact of indoor-air policies, smoking and cessation among priority populations and tobacco product regulation. Also included is a review article by Drs. David Ashley and Cathy Backinger from the Food and Drug Administration and a commentary by Dr. Howard Koh, Assistant Secretary for Health. 
One article of particular interest is The Role of Public Policies in Reducing Smoking: The Minnesota SimSmoke Tobacco Policy Model.  The model considered data on current, new and formers smokers in Minnesota from 1993 to 2011 to determine the effectiveness of tobacco control policies and programs on smoking rates. The results illustrate that a comprehensive approach to tobacco prevention, including tobacco taxes, smoke-free air laws, mass media campaigns, youth access laws and cessation treatment, have reduced smoking rates by 29 percent in Minnesota with tobacco taxes contributing the most to the decline. The model goes on to predict that if Minnesota increased the tax on tobacco products and continued aggressive mass media campaigns, the state could prevent 55,000 smoking-related deaths over the next thirty years. Dr. David Levy of Georgetown University pioneered the SimSmoke model over a decade ago has worked with various states and countries around the world. Dr. Raymond Boyle of ClearWay Minnesota conducted the SimSmoke research with Dr. Levy and Dr. Abrams. In addition to the article, be sure to check out the Fact Sheet and the News Release.
You can access copies of all the articles by visiting the ClearWay Minnesota website. If you have any questions, please contact Megan Whittet, Senior Research Program Manager, at 952-767-1415 or
» learn more

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 Cessationheld on February 1-2, 2013.
» learn more

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

Current Tobacco Use and Secondhand Smoke Exposure Among Women of Reproductive Age — 14 Countries, 2008–2010.
Centers for Disease Control and Prevention. MMWR. Nov. 2, 2012;61(43):877-882.

To examine current tobacco use and SHS exposure in women aged 15–49 years, data were analyzed from the 2008–2010 Global Adult Tobacco Survey (GATS) from 14 low- and middle-income countries: Bangladesh, Brazil, China, Egypt, India, Mexico, Philippines, Poland, Russia, Thailand, Turkey, Ukraine, Uruguay, and Vietnam. The results of this analysis indicated that, among reproductive-aged women, current tobacco smoking ranged from 0.4% in Egypt to 30.8% in Russia, current smokeless tobacco use was <1% in most coun­tries, but common in Bangladesh (20.1%) and India (14.9%), and SHS exposure at home was common in all countries, rang­ing from 17.8% in Mexico to 72.3% in Vietnam. The authors conclude that strategies promoting cessation should be a priority in high tobacco smoking prevalence countries, whereas strategies should focus on preventing smoking initiation in countries with low preva­lence.
Smoking Termination Opportunity for inPatients (STOP): Superiority of a Course of Varenicline Tartrate Plus Counseling Over Counseling Alone for Smoking Cessation: A 12-month Randomized Controlled Trial for Inpatients.
Smith BJ, Carson KV, Brinn MP, Labiszewski NA, Peters MJ, Fitridge R, Koblar SA, Jannes J, Veale AJ, Goldsworthy SJ, Litt J, Edwards D, Esterman AJ.
Thorax. 2012 Sep 19. [Epub ahead of print]

This study examined the effectiveness of varenicline tartrate plus quitline counseling compared to quitline counseling alone in an inpatient setting. Participants admitted to one of three hospitals with a smoking-related illness were randomized to 12-weeks of varenicline plus quitline counseling or quitline counseling alone, with 12-month follow-up. Results showed that more participants in the varenicline arm remained continuously abstinent (31.1%) than in the counseling only arm (21.4%) (p=0.03). The authors conclude that in an inpatient hospital setting, the combined use of varenicline plus quitline counseling can produce a successful opportunistic treatment for smokers admitted with smoking related illness. 
Quitline Cessation Counseling for Young Adult Smokers: A Randomized Clinical Trial.
Sims TH, McAfee T, Fraser DL, Baker TB, Fiore MC, Smith SS. Nicotine Tob Res. 2012 Oct 18. [Epub ahead of print]
This study tested a quitline-based smoking cessation intervention versus mailed self-help materials in smokers 18-24 years old. Participants were 410 young adults who called the Wisconsin Tobacco Quit Line for help with quitting, and were randomized to the quitline group (receiving up to four proactive counseling sessions) or the self-help only group (mailed printed materials only). Results showed that the quitline group was significantly more likely to set a quit date at one-month post-enrollment, but other outcomes did not differ in the intent-to-treat abstinence analysis. The authors conclude that relative to self-help, quitline counseling motivated young adults to set a quit date, but abstinence rates did not improve. Additional research is needed on motivating young adult smokers to seek cessation treatment, including quitline services.
Increasing Nursing Referral to Telephone Quitline for Smoking Cessation Using a Web-Based Program.
Sarna L, Bialous SA, Ong MK, Wells M, Kotlerman J. Nurs Res. 2012 Oct 12. [Epub ahead of print]
This study assessed the impact of a web-based educational program (Helping Smokers Quit) on the frequency of nurses’ self-reported referral of smokers to a quitline and performance of the 5A’s. Nurses from 30 randomly selected and assigned hospitals from California, Indiana, and West Virginia received a toolkit of materials including a state quitline card and access to the Tobacco Free Nurses Web site. The intervention group also had additional access to a project-specific web page and the opportunity to attend a training webinar. Results showed that of the 333 nurses who completed both a baseline and 6-month survey (209 intervention, 124 control), the intervention group was significantly more likely to improve in Advise, Assess, Assist, Arrange, and Referral to quitline, while nurses in the control group significantly improved in Advise and Referral to a quitline. The authors conclude that both the toolkit and enhanced toolkit plus training webinar are both effective strategies in increasing awareness of quitline resources for tobacco cessation.
Smoking-Related Weight Concerns and Obesity: Differences among Normal Weight, Overweight, and Obese Smokers Using a Telephone Tobacco QuitLine.
Levine MD, Bush T, Magnusson B, Cheng Y, Chen X. Nicotine Tob Res. 2012 Oct 24. [Epub ahead of print]
This study compared weight gain concerns among normal weight, overweight, and obese callers to a quitline. Results showed that obese smokers reported significantly more concerns about post-cessation weight gain, had less confidence in their ability to maintain their weight without smoking, and were willing to tolerate less weight gain after quitting than normal weight or overweight smokers. There were also gender differences: significantly more women callers were obese (38.2% vs. 28.4%, p=0.011), and women consistently reported more concern about gaining weight after quitting than men. The authors conclude that smokers who begin cessation treatment with a BMI in the obese range may benefit from additional complementary interventions designed to address smoking-related weight concerns.
Cessation Outcomes Among Treatment-seeking Menthol and Nonmenthol Smokers.
D'Silva J, Boyle RG, Lien R, Rode P, Okuyemi KS. Am J Prev Med. 2012 Nov;43(5 Suppl 3):S242-8. doi: 10.1016/j.amepre.2012.07.033.
This study compared baseline characteristics and cessation outcomes of menthol and nonmenthol smokers who sought help for quitting through a quitline. A random sample of 6257 participants was contacted for a follow-up survey seven-months after registration (n=1147). Results showed that 18.7% of smokers reported using menthol cigarettes. Menthol smokers were slightly less likely to enroll in quitline services than nonmenthol smokers. However, for those that did enroll, quit rates did not differ between menthol and nonmenthol smokers (30-day point prevalence abstinence at 7 months, 17.3% vs. 13.8%, p=0.191). The authors conclude that while cessation outcomes for menthol smokers are comparable to nonmenthol smokers, a menthol ban may motivate many menthol smokers to quit thus increasing the demand for quitline services.

Myocardial Infarction and Sudden Cardiac Death in Olmsted County, Minnesota, Before and After Smoke-Free Workplace Laws.
Hurt RD, Weston SA, Ebbert JO, McNallan SM, Croghan IT, Schroeder DR, Roger VL. Arch Intern Med. 2012 Oct 29:1-7. doi: 10.1001/2013.jamainternmed.46. [Epub ahead of print]
This study assessed the population impact of smoke-free laws by measuring the incidence of myocardia infarction (MI) and sudden cardiac death in Olmsted County (Minnesota) before and after implementation of each smoke-free ordinance. Results showed that compared to the 18-months prior to the implementation of the smoke-free restaurant ordinance, the 18 months after the implementation of the smoke-free workplace law, the incidence of MI declined by 33%. In addition, the incidence of sudden cardiac death declined by 17%. During the same period, the prevalence of smoking declined while the prevalence of hypertension, diabetes mellitus, hypercholesterolemia, and obesity either remained constant or increased. The authors conclude that smoke-free workplace laws seem to be ecologically related to the favorable trends observed. Thus all people should avoid secondhand smoke to the extent possible, and people with coronary heart disease should have no exposure to secondhand smoke.

YouTube: A Promotional Vehicle for Little Cigars and Cigarillos?
Richardson A, Vallone DM. Tob Control. 2012 Oct 9. [Epub ahead of print]
This study examined the portrayal of little cigars/cigarillos (LCCs) on YouTube. Up to the top 20 search results were rated for being “pro” “anti” or “neutral” to the use of LCCs. Reach and viewer demographic statistics were also collected. Fifty-six videos were unique, eligible videos. The majority (n=43) were “pro” LCCs, 11 were “neutral” and only two were “anti” LCCs. Viewers of these videos were primarily males in the US and Canada. Common themes included where to purchase LCCs, the candy flavors available, how inexpensive LCCs are compared to cigarettes, and their “smooth” quality. The authors conclude that the majority of information about LCCs on YouTube promotes their use. They call for the continued monitoring of content about LCCs on YouTube, and development of appropriate health messages to counter pro-LCC content and to inform potential consumers of the harms associated with their use.

Effects of Short-Term Varenicline Administration on Emotional and Cognitive Processing in Healthy, Non-Smoking Adults: A Randomized, Double-Blind, Study.
Mocking RJ, Patrick Pflanz C, Pringle A, Parsons E, McTavish SF, Cowen PJ, Harmer CJ. Neuropsychopharmacology. 2012 Oct 17. doi: 10.1038/npp.2012.205. [Epub ahead of print]
This study examined the influence of varenicline on mood and behavior independent of smoking and smoking cessation. Subjects (n=41)were randomized to receive either varenicline or placebo over seven days. There was no difference between the two groups in terms of negative biases in emotional processing or mood. However, the varenicline group scored higher on working and declarative memory than the placebo group. The authors conclude that short-term varenicline use did not influence negative biases in emotional processing or impulsivity in non-smoking subjects, thereby not supporting direct depressogenic or suicidal risk behavior-inducing effects. In contrast, varenicline may have cognitive-enhancing effects.
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November 15! The Great American Smokeout!
The American Cancer Society is marking the 37th Great American Smokeout on November 15 by encouraging smokers to use the date to make a plan to quit, or to plan in advance and quit smoking that day. By quitting — even for one day — smokers will be taking an important step towards a healthier life – one that can lead to reducing cancer risk.
» learn more 

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