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North American Quitline Consortium


2009 NAQC Annual Survey Data on Reach and Spending Presented at SRNT!
Mignonne Guy, Interim Director of Research, gave two presentations at the recent meeting of the Society for Research on Nicotine and Tobacco (SRNT). The first, an oral presentation, was titled “The Relationship Between Reach and Spending for U.S. Quitlines.” According to NAQC annual survey data, reach of U.S. quitlines is very highly correlated with spending on services and medications, and moderately correlated with spending on promotions and outreach. Given that few quitlines are serving 6% of tobacco users, the presentation concluded that additional funding needs to be allocated to quitlines. The second presentation was a poster titled “Assessing Quitline Reach in the U.S.: A National Comparison of Demographic and Tobacco Use Characteristics.” The analysis focused on a description of who is using tobacco quitlines in the U.S., and a comparison of their characteristics to those of the population of smokers in the U.S. The poster’s conclusions were that reach of quitlines nationally and for all sub-populations remains well below the target of 6% set by the CDC. These data provide the first national picture of the population of quitline callers, and can be used to target promotions to increase the reach of quitlines.
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April Seminar Coming Soon!
The 2011 Seminar Series, “Asking Tough Questions and Ensuring Quitlines are Part of the Answer,” continues on April 6th (3:30 – 5PM ET) and April 8th (12:30 – 2PM ET). Be sure to join us as the State of Massachusetts shares their work to implement a fully electronic referral system with their healthcare partners.
April 6th: 3:30 – 5 PM ET and April 8th: 12:30 – 2 PM ET
Are quitline referral systems ready for the world of electronic health records?
Most of us understand barriers to physician referral and utilization of the traditional fax-referral form. Using one state as a case study, this webinar will highlight the rationale for, and the benefits and challenges to, a fully electronic referral system with healthcare partners. 
»  register today

New NAQC Webpage on Tobacco Warning Labels that Include Quitline Telephone Numbers!
Both Canada and the U.S. have moved forward with regulatory processes to enhance their tobacco health warnings in a variety of ways, including the addition of a quitline number as part of their new warning labels. NAQC’s new webpage provides details on the regulatory process in each country, the justification for including a quitline number as part of the tobacco health warning on tobacco packages, and action needed. Please join us in seeking to add telephone numbers for quitlines to tobacco health warnings in the North America!   
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KIQNIC Unveils a New Resource for Members!

NAQC recently published an Executive Summary and Glossary of Terms for the Knowledge Integration in Quitlines: Networks that Improve Cessation (KIQNIC) study. This important resource clarifies for members:
  • what the study is and is not;
  • the three components of the study;
  • the definitions of terms used in social network analysis; and
  • the types of things we have learned so far.
 Additional information will be provided about the study and its findings over the next several months and the third survey for the KIQNIC project will be launched in May, 2011.
NAQC will continue to regularly update the KIQNIC page on the NAQC website with new findings, presentations, and information of interest to quitlines.

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NEW: Optional Screening Questions for Behavioral Health Issues!
In partnership with the Behavioral Health Advisory Forum, NAQC has developed four optional questions to help quitlines assess for behavioral health issues (mental or emotional health issues).These will be optional questions, and it is not expected that any or all of them would be adopted by quitlines unless it meets the needs of each individual quitline. They have been developed as standardized questions so that if a quitline determines it is in its own best interest to adopt one or more of them, it can be reasonably assured that other quitlines also interested in adopting the questions will be using very similar, if not identical, language. To the extent possible these questions would be integrated into screening sections regarding other medical or chronic care conditions.
If you have any questions, please contact Jessie Saul, Director of Research, at jsaul@naquitline.org
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NAQC 2012 Membership Drive!
NAQC’s membership drive for fiscal year 2012 began on March 2nd. You may take advantage of the early bird renewal special if you renew by May 31st. To avoid lapse in your membership benefits, please submit payment for your dues by July 1, 2011 (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.  
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Find more NAQC News in our Newsroom or go back to top.

Tobacco Control

HHS Announces $750 Million Investment in Prevention - Quitlines Included!
HHS Secretary Kathleen Sebelius announced a $750 million investment in prevention and public health, funded through the Prevention and Public Health Fund created by the new health care law. These new dollars will be used for tobacco control and to help prevent obesity, heart disease, stroke, and cancer. Although all components of the plan will fund critical public health and prevention efforts, there are specific allocations for quitlines:

** Tobacco Prevention ($60 million). Implement anti-tobacco media campaigns which are proven to work to reduce tobacco use, telephone-based tobacco cessation services, and outreach programs targeting vulnerable populations, consistent with HHS’ Tobacco Control Strategic Action Plan.

Sebelius noted that "This investment is going to build on the prevention work already under way to help make sure that we are working effectively across the federal government as well as with private groups and state and local governments to help Americans live longer, healthier lives.”

The FY11 Trust Fund allocation fact sheet provides a breakdown of funding for the four critical priorities: Community Prevention; Clinical Prevention; Public Health Infrastructure and Training; and Research and Tracking.
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FDA Advisory Panel Concludes that Menthol Cigarettes are No More Hazardous, But That They Enhance Smoking Initiation By Masking Harshness of Tobacco.
The FDA's Tobacco Products Scientific Advisory Committee (TPSAC) has concluded in a draft report that while menthol cigarettes are no more hazardous than non-menthol cigarettes, they may contribute to smoking initiation by masking the harshness of tobacco. The draft report on menthol is available on the TPSAC website. While the committee concluded that there is insufficient evidence that menthol cigarette smokers inhale more smoke, are exposed to higher levels of nicotine and other toxins, or face a different risk of tobacco-caused diseases than smokers of non-menthol cigarettes, it did conclude  that there is sufficient evidence that menthol may enhance the smoking initiation and maintenance process by masking the harsh taste of tobacco. In particular, the draft report notes that "The evidence is sufficient to conclude that it is biological plausible that menthol makes cigarette smoking more addictive." 
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NCI Launches Interactive Cancer Control Community of Practice.
The National Cancer Institute (NCI) has launched Research to Reality (R2R), an online community of practice that links cancer control practitioners and researchers. R2R extends the work of Cancer Control P.L.A.N.E.T. by providing opportunities for discussion, learning and enhanced collaboration.

Features of the Research to Reality website include:

· Monthly cyber-seminars
· Discussion forums
· An events calendar
· Featured partners
· Community profiles 
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NAQC Member Appointed to NIH Advisory Council! 
Dr. Jasjit S. Ahluwalia, Director of the Center for Health Equity and Professor of Medicine, has been appointed by the US Secretary of Health and Human Services, Kathleen Sebelius, to serve on the National Advisory Council on Minority Health and Health Disparities of the National Institutes of Health for a 3 year term. The Council advises and makes recommendations to the Secretary of Health and Human Services, the Director of NIH, and the Director of the newly created National Institute on Minority Health and Health Disparities. Congratulations Jas!

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KIQNIC Identifies Relationship Brokers in Quitline Network!
One of the analyses in the social network analysis component of KIQNIC is to calculate the betweenness centrality of the organizations involved in the NAQC network. Betweenness centrality is a measure that describes which organizations are central in the network based on their broker role, connecting other organizations that would not otherwise be connected. 
Based on responses to the 2009 KIQNIC survey, out of the 94 quitline funder and provider organizations in the North American quitline network, the following are the five funders and five providers that have the highest scores for betweenness centrality (in order of decreasing betweenness centrality):
Funders: Ontario Ministry of Health Promotion, Massachusetts Department of Public Health, Virginia Department of Health, Alabama Department of Public Health - Tobacco Prevention & Control and New York State Department of Health (tied).
Providers: Free & Clear Inc., American Cancer Society, National Jewish Health, University of California San Diego, Canadian Cancer Society - Ontario Division.
Principal Investigator Scott Leischow remarks, "We expected to see providers that serve multiple states or provinces to have higher betweenness scores. But our data show that's not always the case. Why is that? And what is it that might determine significant differences in funders' betweenness scores? Some of these answers we'll find as we look at other data we collected through our surveys, and others we'll discover through discussions with the NAQC KIQNIC Advisory Group. We are just beginning to analyze the responses to the 2010 survey, and so it will be interesting to see if the same quitlines have the highest betweenness centrality one year later. Seeing how the relationships between organizations and quitlines in the network change over time, and working with NAQC members to figure out reasons for the changes, and what that could mean for future development of the quitline network is an important part of the KIQNIC project."

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Does Improved Access and Greater Choice of Nicotine Replacement Therapy Affect Smoking Cessation Success? Findings from a Randomized Controlled Trial. 
Walker N, Howe C, Bullen C, Grigg M, Glover M, McRobbie H, Laugesen M, Jiang J, Chen MH, Whittaker R, Rodgers A.
Addiction. 2011 Mar 3. [Epub ahead of print]

This study randomized quitline callers in New Zealand to usual quitline care including reduced cost for their choice of NRT (control), or receipt of a box containing different NRT products to try for a week prior to quitting (experiment). Participants in the experimental arm could then select one or two types of NRT to use for eight weeks. No differences in six-month 7-day point prevalence or continuous abstinence quit rates were found between the groups. However, experimental arm participants were more likely to have quit at three months, had a longer time to relapse, and used more NRT than their control arm counterparts. The study authors conclude that a period of familiarization with NRT products did not contributed to higher quit rates at 6 months.

Clinician-delivered Intervention to Facilitate Tobacco Quitline Use by Surgical Patients.
Warner DO, Klesges RC, Dale LC, Offord KP, Schroeder DR, Shi Y, Vickers KS, Danielson DR. Anesthesiology. 2011 Feb 10. [Epub ahead of print]
This study examined a clinician-delivered intervention to increase quitline use by adult surgical patients (elective surgery). 300 adults were randomized to usual care (a brief stop-smoking intervention) and the intervention arm (a brief intervention designed to facilitate telephone quitline use). While 19.5% of the intervention group completed the first telephone counseling session, none of the control group completed the first telephone counseling session. While there were no significant differences in the quit rates between groups at 30 or 90 days post-operation, rates tended to be higher in the intervention group. The authors conclude that while clinicians can facilitate quitline use among surgical patients, additional studies need to be done to assess the effectiveness of this approach.

iPhone Apps for Smoking Cessation: A Content Analysis. 
Abroms L, Padmanabhan N, Phillips T. Am J Prev Med 2011;40(3):279-285.

This study examined the content of 47 iPhone applications (apps) for smoking cessation to determine their approach to smoking cessation, their adherence to the Public Health Service’s 2008 Clinical Practice Guidelines for Treating Tobacco Use and Dependence, and their popularity (frequency of downloads). Key findings reveal that iPhone apps for smoking cessation rarely adhere to established guidelines for smoking cessation. Overall, apps that were more frequently downloaded were less likely to be adherent to established smoking cessation guidelines. Given the potential of smartphones to reach more young adults and minorities, the authors recommend that current apps be revised and future apps be developed around evidence-based practices for smoking cessation.

Comparative Responses to Radio and Television Anti-smoking Advertisements to Encourage Smoking Cessation.
Durkin S, Wakefield M. Health Promot Int. 2010 Mar;25(1):5-13. Epub 2009 Oct 24.
This study compared reactions to both radio anti-smoking ads and televised anti-smoking ads with respect to smokers’ recall, recognition, emotional and cognitive responses, and intentions to quit smoking. The radio ad showed similar or slightly higher levels of understanding, believability, concern about smoking, and motivation to quit than a television ad, and showed significantly higher levels of unprompted recall. The authors conclude that emotionally evocative radio advertising may be an effective alternative or supplement to television advertising, especially where there are limited funds for advertising or where the reach of radio is greater than television. 

Socioeconomic Variation in Recall and Perceived Effectiveness of Campaign Advertisements to Promote Smoking Cessation. 
Niederdeppe J, Farrelly MC, Nonnemaker J, Davis KC, Wagner L. Soc Sci Med. 2011 Mar;72(5):773-80. Epub 2011 Jan 27.

This study examined data from five waves of the New York Media Tracking Survey Online (MTSO) to assess whether response to smoking cessation ads varied by socioeconomic status (SES). Findings showed that smokers with low levels of education and income were less likely to recall ads focused on HOW to quit, and perceived those ads to be less effective, than ads using graphic imagery or testimonials that focused on WHY to quit. Variations in readiness to quit smoking failed to explain patterns of response by education level. 

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Webinar: Defending Tobacco Control Funding!
Many states continue to see unprecedented threats to the funding for their tobacco prevention and cessation programs.  Budget shortfalls have created an environment where even states with long-standing and well-funded programs are facing elimination.  Please join us for a one-hour webinar that will serve as a refresher of some of the key messages and tools available to help protect program funding.  We will also hear about two states – Iowa and Montana – who have been fighting hard this session to preserve their funding.  Staff from the Campaign for Tobacco-Free Kids and the American Cancer Society will present most of the information.  The call will be moderated by Chris Sherwin from the American heart Association.
 There will be a limited number of lines for this webinar, so please sign on early.
 Below is the webinar information:
Defending Tobacco Control Funding
Wednesday, March 16, 2011
12:00 – 1:00 PM Eastern Time, 9:00 – 10:00 AM Pacific

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RFP Announcements!
The Pennsylvania Department of Health has released an RFP for the Pennsylvania Free Quitline.  The RFP can be found at http://www.emarketplace.state.pa.us/GeneralEdit.aspx?SID=09-07-07.

The Michigan Department of Community Health has posted an RFP for the Michigan Tobacco Quitline on www.michigan.gov/mdch.  The RFP can be found at http://www.michigan.gov/mdch/0,1607,7-132-2946_43858---,00.html

The Iowa Department of Public Health has released an RFP for Quitline Iowa: Information, Counseling and Referral Service for Tobacco Use Cessation. The RFP can be found at

Research Funding Now Available - Pfizer GRAND Awards 2011!
Pfizer’s Global Research Awards for Nicotine Dependence (GRAND) are now available. The mission of the GRAND Program is to advance the understanding of the mechanisms of tobacco and nicotine dependence and its treatment. Two of the areas of interest are applicable to research on quitlines: 1) Pharmacotherapy of smoking cessation and relapse and/or its interaction with behavioral support, and 2) Characterization of subtypes of smokers and appropriate interventions. Applications are due May 9, 2011.

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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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