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North American Quitline Consortium
May 2012


Time-Sensitive News

Update for US States: CDC FOA Deadline is May 24! 
The Centers for Disease Control and Prevention (CDC) recently announced the availability of funding under a cooperative agreement titled “State Public Health Approaches for Ensuring Quitline Capacity”. This FOA provides states the opportunity to ensure and support state quitline capacity. 
 
If you are interested in proposing projects in the area of quitline sustainability, as defined in the announcement, NAQC has a number of resources that can assist you.  Over the past year, NAQC has launched two initiatives, Public-Private Partnerships and Medicaid Coverage.  Through these initiatives, numerous resources and tools have been compiled and are available to members. 

NAQC Conference 2012: Early-bird Registration Ends on June 4!
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 and early-bird rates are available until June 4. Please remember to visit our 20th Anniversary Blog and join in the discussions! 
» register today!

Find more Time-Sensitive News in our Newsroom or go back to top.



NAQC News

Election of the NAQC Board of Directors!
This year’s election process will begin on June 1 and will close on June 14 at 5 pm EST. The NAQC Board of Directors is elected by the organizational members. Each organizational member of NAQC is eligible to vote in the election. The organizational contact is the person who casts the vote on behalf of her/his organization. In late May all organizational NAQC members will receive detailed information on the upcoming election and this year’s candidates. Please take a moment to make sure that the correct individual is designated as an organizational contact by logging into your member profile. In late May all NAQC members will receive detailed information on the upcoming election and this year’s candidates. To view the current list of board members, please visit the board page.
» learn more 

NAQC Membership Drive!
NAQC’s membership drive for fiscal year 2013 began in late February. You have just a few weeks to 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.

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

Research Agenda for Quitlines Now Available – Your Feedback Needed!
Help NAQC prioritize research questions and topics based on what seems most important for improving your work and everyday practice. The draft Research Agenda is available here, and the evaluation survey is available at https://www.surveymonkey.com/s/Q8P956H.  The part of the survey that identifies your priorities should take no longer than 15 minutes. There are also opportunities to provide feedback specific to individual research questions/topics (suggestions for changes, additions, edits, etc.) but that is completely optional. THANK YOU for helping NAQC with this important project!
» learn more

Special Webinar on NRT and Quitlines – Slides and Materials are Now Available Online!
NAQC hosted a special webinar on April 26 to discuss the implications of the recent article by Janet Ferguson et al. published in the British Medical Journal. The article, titled "Effect of offering different levels of support and free nicotine replacement therapy via an English national telephone quitline: randomised controlled trial,” described a 2x2 randomized study conducted in the UK comparing standard quitline care to proactive counseling, and provision of NRT to no NRT. The authors conclude that "offering free nicotine replacement therapy or additional (proactive) counseling to standard helpline support had no additional effect on smoking cessation.”

Webinar presentations included a summary of the study design and findings, as well as formal responses from Dr. Shu-Hong Zhu (University of California San Diego) and Dr. Bruce Baskerville (University of Waterloo). Strengths and weaknesses of the study, as well as implications for quitlines in a North American context were discussed. Overview slides and materials are now available here. A summary of the webinar, including NAQC’s formal response to the article, will be sent to members by e-mail, and will be posted online soon!
» 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.
» learn more

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



Tobacco Control
 
Update on Canada’s Graphic Health Warnings!
The new pan-Canada telephone number and web portal were activated on February 1st, and the new graphic health warning labels, which include a pan-Canada quitline number and web portal, began appearing at retailers soon afterwards. As of June 19, all cigarettes sold in Canada must have the new warning label. Early reports from Canadian service providers show that call volumes are increasing. More significant increases are expected throughout May and June. Service providers are working to ensure adequate capacity.
 
Update on US’ National Tobacco Education Campaign!
The 12-week Tips from Smokers campaign is now in week 9. Ads are tagged with 800-QUIT-NOW and www.smokefree.gov. CDC has coordinated with states and service providers to ensure that capacity is adequate for the increased call volume. Call volume to 800-QUIT-NOW has more than doubled since the campaign began. Over 100,000 can be attributed to the campaign.

Important Changes in the Quitline Community!
Aaron Swanson, MPH, Interim Division Director of Iowa’s Division of Tobacco Use Prevention and Control will be leaving his position on May 18th.  Mr. Swanson has been a quitline advocate and spokesperson for the Quitline Iowa for a number of years as well as an active NAQC participant. Jerilyn Oshel will be the primary contact person at the IDPH regarding matters of Quitline Iowa. We have enjoyed working with Mr. Swanson and wish him the best of luck in his new position!

2011 Update to Expecting to Quit!
As you may know, The British Columbia Centre of Excellence for Women’s Health (BCCEWH) has placed women’s tobacco use as a priority policy, research, and knowledge transfer issue over the past decade. The 2003 edition of Expecting to Quit has been the foundation of the design and delivery of tobacco interventions for pregnant women across Canada and internationally. Researchers at the BCCEWH have returned to the recent literature to complete a 2011 update on evidence-based interventions. 
 
Take a few minutes to visit their new website, available in English and French, about smoking, pregnancy, change and support.  Here is what you can find at www.expectingtoquit.ca:
  1. A systematic review of research on tobacco interventions with pregnant women entitled, Expecting to Quit: A Best-Practices Review of Smoking Cessation Interventions for Pregnant and Postpartum Girls and Women (Second Edition)
  2. “5 Ways to Change Your Practice” - Practice recommendations for physicians and other health care providers  
  3. “Meet Liz, Cristabel, and Noa” - Lessons from women who find their own path to becoming smoke-free
Hard copies of the Expecting to Quit: A Best-Practices Review of Smoking Cessation Interventions for Pregnant and Postpartum Girls and Women (Second Edition) report can be ordered through their website as well. They also have a Facebook page,  www.facebook.com/expectingtoquit.
» learn more

New Study on Roll-Your-Own Cigarettes!
Researchers from the CDC and the Oregon Health Authority are authors of a peer-reviewed article on federal and state revenue losses that have resulted from smokers making their own cigarettes using pipe tobacco instead of roll-your-own tobacco. The article, "Fiscal and Policy Implications of Selling Pipe Tobacco for Roll-Your-Own Cigarettes in the United States,” has been published by the online peer-reviewed journal, PLoS ONE and available at http://dx.plos.org/10.1371/journal.pone.0036487. The study provides federal and state-specific estimates of revenues lost from April 2009 - August 2011.
» learn more

New Guide - State Tobacco Cessation Policy!
Partnership for Prevention has released a new resource for tobacco control leaders, advocates, and policy makers. "State Tobacco Cessation Policy – ActionToQuit Case Studies 2012” is a product of the ActionToQuit State Policy Program, launched in 2010. The guide details several states that are actively pursuing policy changes which expand access to cessation treatment and increase utilization of proven interventions. These efforts involve collaboration with partners in health systems, businesses, health plans, quitlines, and state legislatures.
» learn more

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



Research
 
Results From an Outreach Program for Health Systems Change in Tobacco Cessation.
Schauer GL, Thompson JR, Zbikowski SM. Health Promot Pract. 2012 Apr 11. [Epub ahead of print]
This study reviewed the use of an outreach program in Washington state to health professionals to provide education through academic detailing and online tools to increase routine identification and treatment of tobacco users. Between 2007 and 2010, the proportion of quitline registrations that reported hearing about the quitline from a health care professional increased by 142.6% in counties that had Initial outreach levels only, increased by 95.4% in counties that had Expanded outreach levels, and only increased 11.2% in Never outreach counties. Fax referral to the quitline increased by 132% and 232% in Initial and Expanded outreach counties, and declined by 39% in Never outreach counties. The authors conclude that a field-based outreach program using academic detailing principles can be used to increase treatment referrals and holds application for other chronic disease areas and quality improvement programs.
 
The Emergency Department Action in Smoking Cessation (EDASC) Trial: Impact on Delivery of Smoking Cessation Counseling.
Katz DA, Vander Weg MW, Holman J, Nugent A, Baker L, Johnson S, Hillis SL, Titler M. Acad Emerg Med. 2012 Apr;19(4):409-420. doi: 10.1111/j.1553-2712.2012.01331.x.
This study examined the effect of an emergency department (ED) nurse-initiated intervention on delivery of smoking cessation counseling, and assessed ED nurses’ and physicians’ perception of smoking cessation counseling. ED nurses and physicians received face-to-face training and an online tutorial for how to deliver cessation counseling based on a 5As framework, use of a charting/reminder tool, and access to fax referral for motivated smokers to the state quitline. Results showed that after the intervention, a greater proportion of smokers had been asked about smoking (68% vs. 53%), assessed for willingness to quit (31% vs. 9%), assisted in quitting (23% vs. 6%), and had arrangements for follow-up counseling (7% vs. 1%) compared to the pre-intervention period. Results show that ED nurses and physicians can effectively deliver smoking cessation counseling to smokers in a time-efficient manner. The authors also emphasize that the findings support expert recommendations that call for nursing staff to play a larger role in delivering public health interventions in the ED.
 
Results of a Feasibility and Acceptability Trial of an Online Smoking Cessation Program Targeting Young Adult Nondaily Smokers.
Berg CJ, Schauer GL. Journal of Environmental and Public Health Volume 2012 (2012), Article ID 248541, 8 pages.
This study developed and tested the feasibility, acceptability, and potential effectiveness of an online intervention targeting college student nondaily smokers. The intervention was 4 weeks long with weekly contacts. Among the 31 participants, all completed the trial and 6 week follow-up. 71% of participants were satisfied with the program. Increases were seen in the number of people reporting not smoking in the past 30 days and reducing their smoking over the course of the trial. Some also reported being quit despite recent smoking. The authors call for additional research to understand how nondaily smokers define cessation, improve measures for cessation, and examine theoretical constructs related to smoking among this population.
 
The 2009 US Federal Cigarette Tax Increase and Quitline Utilization in 16 States.
Bush T, Zbikowski S, Mahoney L, Deprey M, Mowery PD, Magnusson B. Journal of Environmental and Public Health. Volume 2012 (2012), Article ID 314740, 9 pages.
This study describes call volumes to 16 state quitlines, characteristics of callers, and cessation outcomes before and after the federal excise tax increased on April 1, 2009 from 39 cents to $1.01 per pack. Results showed that calls to quitlines increased by 23.5% in 2009. After the tax, more whites, smokers 25 and older, smokers who started smoking more recently, those with less education, and those who live with other smokers called the quitline. Quit rates at seven months after registration did not differ before versus after tax. Even with no increase in quit rates, the increase in call volume indicated an increase in the total number of successful quitters. The authors conclude that if revenue obtained from increased taxation on cigarettes was put into cessation treatment, future tax increases would likely have an even greater effect.
 
Concurrent Use of Cigarettes and Smokeless Tobacco in Minnesota.
Boyle RG, St. Claire AW, Kinney AM, D’Silva J, Carusi C. Journal of Environmental and Public Health. Volume 2012 (2012), Article ID 493109, 6 pages.
This study examined changes over time in the use of smokeless tobacco (SLT) and concurrent use of cigarettes and SLT in Minnesota. Between 1999 and 2007, the prevalence of SLT and concurrent use of cigarettes and SLT remained unchanged. Between 2007 and 2010, SLT prevalence increased significantly (3.1% vs. 4.3%). In addition, concurrent use of cigarettes and SLT increased between 2007 and 2010 from 4.4% to 9.6%. Findings could indicate that smokers in Minnesota are testing alternative products as they adjust to recent public policies restricting smoking in public places, and are suggestive that some Minnesota smokers are switching to concurrent use of cigarettes and SLT. The authors call for additional surveillance reports to confirm results.
  
Find more Research in our Newsroom or go back to top.
 


Announcements

Release of "Smoking Cessation for Pregnancy and Beyond: A Virtual Clinic"!
The Interactive Media Laboratory, Dartmouth Medical School in collaboration with the American College of Obstetricians and Gynecologists and the Centers for Disease Control and Prevention (CDC) are pleased to announce the release of an updated interactive web-based program, "Smoking Cessation for Pregnancy and Beyond: A Virtual Clinic.” This online training is designed for health care professionals to enhance their skills in assisting pregnant women to quit smoking.
»
learn more

"Social Determinants of Health Disparities: Moving the Nation to Care about Social Justice"!
PLEASE JOIN - in person or online - the 18th National Health Equity Research Webcast (formerly known as the Annual Summer Public Health Research Videoconference on Minority Health).

When? Tuesday, June 5, 2012, 1:30-4:00pm EDT

Where? Webcast and Tate-Turner-Kuralt building auditorium - see www.minority.unc.edu

Topic: "Social Determinants of Health Disparities: Moving the Nation to Care about Social Justice"

This free, interactive session will be broadcast with a live audience in the Tate-Turner-Kuralt auditorium at the UNC School of Social Work and can be viewed over the Internet (webcast). Questions will be taken from broadcast participants by email and toll-free telephone.
»
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Find more Announcements in our Newsroom or go back to top.


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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