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North American Quitline Consortium
September 2013

For quick navigation, please click on the titles below of the topics featured in this month's issue of Connections



NAQC News

UPCOMING NAQC WEBINAR ON SEPTEMBER 18: The Role of Health Information Exchanges in eReferral – What Action Can States Take Now?
During this webinar, members will hear national perspectives on the importance of eReferral for the Meaningful Use Initiative as well as the essential components of an eReferral system. State presenters will share details about their own secure exchange/HIE activities and participants will have an opportunity to ask questions, provide updates on HIE activities in their own states and provide input to NAQC on the tools and resources needed to move forward in this work. 
» register!

NEW PUBLIC-PRIVATE PARTNERSHIP RESOURCES: New Tools to Educate Employers about the ROI of Tobacco Cessation Treatment!
To assist states in engaging employers in providing employee cessation treatment coverage, including quitline services, NAQC has developed a number return-on-investment (ROI) fact sheets. The fact sheets are in a template format, allowing states to tailor the fact sheets with the state’s logo, smoking prevalence rate and quitline information. Each fact sheet can stand alone or can be paired with another fact-sheet template/s.
» learn more

NEW ISSUE PAPER: Quality Improvement Initiative Issue Paper: Quitline Referral Systems is Now Available!
NAQC is proud to announce the publication of its new Quality Improvement Initiative Issue Paper,Quitline Referral Systems.This issue paper aims to explore the current landscape of quitline referral systems with healthcare and other providers and to examine in detail the critical operational and outcome-related components of these referral systems. 
» learn more

NEW REPORT: Progress Report of the Oklahoma Tobacco Helpline!
In August, the Oklahoma Tobacco Helpline celebrated its 10th anniversary. To mark the occasion, NAQC has produced a report for Oklahoma Tobacco Helpline that captured their progress toward NAQC's strategic goals as well as their role and involvement in the quitline community.  The Oklahoma Tobacco Helpline has been accomplished much in its first 10 years. It offers evidence-based cessation services that meet the quality standards developed by NAQC and that conform to best practices established by the CDC. Its performance (on reach, investment and quit rates) has ranked in the top 20 percent of all state quitlines since NAQC began its benchmarking activities. In 2012, the Oklahoma Tobacco Helpline has been ranked as the top quitline for reach, meaning it provides services (counseling or medications) to a higher proportion of its tobacco users than any other state. In addition, the Oklahoma Tobacco Helpline has helped advance the field through its leadership activities such as serving on the NAQC advisory council, NAQC board of directors and national groups of experts as well as by sharing its knowledge with the field through research publications and presentations.
» learn more

IMPORTANT: NAQC Membership!
Thank you to each and every organization and individual who renewed their NAQC membership or joined as a new member! If you are not yet a NAQC member, please contact Natalia Gromov at 800-398-5489 ext. 701 or membership@naquitline.org
 
Your membership dues allow us to be more flexible as an organization in meeting member needs. We hope NAQC’s work has contributed to your success, and we look forward to launching new products and resources in the upcoming months! 
» learn more

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



Time-Sensitive News

SAVE THE DATE! Updates on the Beyond the 5 A’s: Improving Cessation Interventions through Strengthened Training!
National Jewish Health and the North American Quitline Consortium, in collaboration with the Smoking Cessation Leadership Center, would like to invite you to join us for Beyond the 5 A’s: Improving Cessation Interventions through Strengthened Training, November 13-15, 2013.

The overarching goal of Beyond the 5 A’s is to improve the frequency and effectiveness of smoking cessation interventions provided by health professionals by improving the quality of training delivered to them on this critical topic. Beyond the 5 A’s will bring those who are currently designing and delivering smoking cessation provider education programs together with public health tobacco cessation experts, systems decision-makers, healthcare providers and researchers to translate recent advances in both evidence and practice into action that will improve the frequency and effectiveness of smoking cessation interventions.

Attendees will examine recent advances in evidence and practice and discuss their own successful approaches, strategies, techniques and challenges, to improve the effectiveness and quality of smoking cessation interventions.

Registration and an Interactive Forum are now open! 
» learn more

SAVE THE DATE: September 24 - Global Tobacco Control:  Lessons for the U.S.!
This 90-minute webinar will give an overview of key recent tobacco control accomplishments around the world, highlight the importance of the Framework Convention on Tobacco Control, and cover the latest progress in implementing articles of the international tobacco treaty, as well as several recent legal challenges, including trade disputes. Speakers will discuss examples of best practices, provide tools and resources for tracking global tobacco litigation and legislation, and present a case study highlighting Brazil's recent experiences in prohibiting flavor additives, including menthol, in tobacco products.
» learn more

SAVE THE DATE: E-Cigarettes - The Vapor This Time! Registration is Open! 
The Live Webcast:  E-Cigarettes:  The Vapor This Time? is rapidly approaching.  Already nearly 500 people have registered, many from around the world.  Please note that Dr. Natalie Walker, co-author on the recent article:  Electronic cigarettes for smoking cessation:  a randomised controlled trial, will serve as a panelist. 
CME credit will also be available for this webcast; details of which will be available later this month.  
Thursday October 3rd, 2013
1:00pm – 4:00pm PDT
E-Cigarettes: The Vapor This Time?
Registration for the October 3rd electronic cigarettes webcast and live event is ready and the event is open to the public.
Please click on the following link  to register - http://www.trdrp.org/events/webinar_form.php?code=ecigarettes
» learn more

IMPORTANT: Quitline RFP for Connecticut!
The State of Connecticut, Department of Public Health announces the release of a Request for Proposal (DPH RFP # 2014-0902) for Quitline Services for Connecticut residents.
 
Key Dates:
Deadline for Questions: October 3, 2013
Answers Released: October 10, 2013
Letter of Intent Due: October 24, 2013
Proposals Due: November 7, 2013
 
**Proposals must be received at the Department by November 7, 2013, at 2:00 P.M. EST**
» learn more

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



Tobacco Control
 

CDC Reports on the Effect of the First Federally Funded US Anti-smoking National Media Campaign!
This week, CDC reported on the effect of the first federally funded US anti-smoking national media campaign,"Tips from Former Smokers”, which aired March 19-June 10, 2012.

According to the study, CDC estimated that 1.6 million smokers attempted to quit smoking because of the 2012 Tips campaign and more than 200,000 Americans had quit smoking immediately following the three-month campaign (of which more than 100,000 will likely quit smoking permanently.

Other interesting study findings include:
  • Almost 80 percent of smokers and almost 75 percent of nonsmokers recalled seeing at least one of the ads during the three-month campaign.
     
  • An estimated 4.7 million non-smokers recommended a cessation service (e.g., 1-800-QUIT-NOW) during the Tips campaign; and more than 6 million non-smokers talked with friends and family about the dangers of smoking because of the Tips ads.
     
  • The sustained attempts to quit as a result of the Tips campaign added from a third to almost half a million quality-adjusted life-years to the U.S. population.
     
  • The campaign is estimated to have saved a year of life for less than $200, making it one of the most cost-effective prevention efforts.
Recruitment efforts are underway for the next national media campaign. Find out more here

 » learn more

E-cigarettes - New Publication Announced by CDC!
The MMWR publication from CDC contains an important article on e-cigarettes. CDC has found that the use of e-cigarettes among middle and high school students more than doubled between 2011 and 2012. Although most of the students who reported using e-cigarettes also report smoking, it is noteworthy that 20% of them report that they have never smoked a cigarette.

NAQC plans to develop some resources on e-cigarettes for the cessation community this fall. We would appreciate hearing your feedback on the types on materials you need.
» learn more

New Publication on Cessation and E-cigarettes!
In a recent study published in the Lancet, researchers found that e-cigarettes, with or without nicotine, were somewhat effective at helping smokers to quit, with similar achievement of abstinence as with nicotine patches, and few adverse events. Uncertainty exists about the place of e-cigarettes in tobacco control, and more research is urgently needed to clearly establish their overall benefits and harms at both individual and population levels. For the full study, see Bullen C, Howe C, Laugesen M, et al. Electronic cigarettes for smoking cessation: a randomized controlled trial. The Lancet, Early Online Publication, 9 September 2013. 
» learn more

Study Finds Increased Menthol Cigarette Use Among Young People!
A new study on mentholated cigarette use in the U.S. finds an increase in menthol cigarette smoking among young adults and concludes that efforts to reduce smoking likely are being thwarted by the sale and marketing of mentholated cigarettes, including emerging varieties of established youth brands.

"Our findings indicate that youth are heavy consumers of mentholated cigarettes, and that overall menthol cigarette smoking has either remained constant or increased in all three age groups we studied, while non-menthol smoking has decreased,” says lead researcher Gary Giovino, PhD, professor and chair of the University at Buffalo Department of Community Health and Health Behaviors.
» learn more

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



Research
  
Notes from the Field: Electronic Cigarette Use Among Middle and High School Students — United States, 2011–2012.
Centers for Disease Control and Prevention. MMWR Weekly. September 6, 2013;63(35):729-730.
 
This study examined data from the 2011 and 2012 National Youth Tobacco Survey (NYTS), a questionnaire given to US middle school and high school students, to estimate the prevalence of ever and current use (one or more days in the past 30 days) of e-cigarettes, conventional cigarettes, or both. Electronic cigarettes, or e-cigarettes, are battery-powered devices that provide doses of nicotine and other additives to the user in an aerosol. Depending on the brand, e-cigarette cartridges typically contain nicotine, a component to produce the aerosol (e.g., propylene glycol or glycerol), and flavorings (e.g., fruit, mint, or chocolate). Findings showed that among all students (grades 6-12), ever e-cigarette use more than doubled from 2011 (3.3%) to 2012 (6.8%). In 2012, among e-cigarette users, 9.3% reported never smoking conventional cigarettes; among current e-cigarette users, 76.3% reported current conventional cigarette smoking. The authors express serious concern over these results due to the uncertain impact of e-cigarette use on public health. Potential concerns include the negative impact of nicotine on adolescent brain development, as well as the risk for nicotine addiction and initiation of the use of conventional cigarettes or other tobacco products.
 
Telephone Counseling for Smoking Cessation.
Stead LF, Hartmann-Boyce J, Perera R, Lancaster T. Cochrane Database Syst Rev. 2013 Aug 12;8:CD002850.
 
This is the most recent Cochrane review of telephone counseling (most recent search May 2013). The review assessed the effect of proactive and reactive support to callers to smoking cessation helplines. Randomized or quasi-randomized controlled trials were included in which proactive or reactive telephone counseling to help people quit was offered to smokers or recent quitters. The authors conclude that proactive telephone counseling helps smokers seeking help from quitlines. Callback counseling (proactive support, where counselors make outbound calls to tobacco users) enhances quitlines’ usefulness. There is limited evidence about the optimal number of calls to offer. There is some evidence of a dose response; one or two brief calls are less likely to provide a measurable benefit. Offering three or more calls increase the chances of quitting compared to a minimal intervention such as providing standard self-help materials, or brief advice, or compared to quitting medicines alone.
 
Center for Behavioral Health Statistics and Quality. Smoking Rate among Adults with Serious Psychological Distress Remains High.
The CBHSQ Report. Data Spotlight. July 18, 2013.
 
Recent data from the National Survey on Drug Use and Health have shown that the smoking rate is much higher among persons with mental illness than among those who do not have mental illness. Current smoking among adults without serious psychological distress (SPD) decreased steadily between 1997 and 2011 (from 24.1 to 18.2 percent). In contrast, current smoking among adults with SPD did not decline during this period (43.6 percent in 1997 and 42.1 percent in 2011). The study’s authors suggest that mental health providers may want to assess whether their patients need help to quit smoking. While quitting may be hard for persons with SPD, there are special programs to help persons with mental health issues quit smoking. For resources, please visit: http://www.integration.samhsa.gov/health-wellness/tobacco-cessation.
 
Smokers With Behavioral Health Comorbidity Should Be Designated a Tobacco Use Disparity Group.
Williams JM, Steinberg ML, Griffiths KG, Cooperman N. American Journal of Public Health, published online ahead of print July 18, 2013:e1-e7.
 
This commentary makes the case that smokers with co-occurring mental illness or substance use disorders fulfill the criteria for “priority populations” for tobacco control, as they are targeted by the tobacco industry, have high smoking prevalence rates, suffer disproportionate economic and health burdens from tobacco, have limited access to treatment, and experience longer durations of smoking with less quitting. The authors claim that the disparity in smoking rates among persons with behavioral health issues relative to the general population will worsen over time if their needs remain unaddressed.
 
Enhancing Tobacco Quitline Effectiveness: Identifying a Superior Pharmacotherapy Adjuvant.
Smith SS, Keller PA, Kobinsky KH, Baker TB, Fraser DL, Bush T, Magnusson B, Zbikowski SM, McAfee TA, Fiore MC. Nicotine Tob Res. 2013 Mar;15(3):718-28.
 
This study examined the effectiveness and cost-effectiveness of three different quitline enhancements: combination (two at once) nicotine replacement therapy (NRT), longer duration of NRT, and counseling to help people use NRT the way it was intended (adherence). 987 quitline callers were randomized to a combination of treatments in a 2x2x2 factorial design: NRT duration (2 vs. 6 weeks), NRT type (patch only vs. patch plus gum), and standard counseling (SC) vs. SC plus medication adherence counseling (MAC). Results showed that patch plus gum for six weeks produced the highest 6-month point prevalence abstinence (PPA) quit rates (51.6%) compared to two weeks of patch (38.4%). The MAC intervention effect was nonsignificant. The two-week patch plus gum group had the lowest cost per quit ($442 vs. $464 for two-week patch only, $505 for six-week patch only, and $675 for six-week patch plus gum). The authors conclude that providing both patch and gum for two or six weeks with quitline counseling increased six-month quit rates by 10% and 13% respectively over rates produced by providing two weeks of patches alone with quitline counseling. If all US quitlines increased their effectiveness by 10%, an additional 50,000 smokers would quit each year, assuming 500,000 call quitlines annually.
 
Encouraging Smoking Cessation during Pregnancy in West Virginia: Using Fax-to-Quit as a Cessation Strategy.
Tworek C, Horn KA, Anderson RH, Chertok I, Danek RL, Holmes A, Adkins B. W V Med J. 2013 Mar-Apr;109(2):16-21.
 
This study assessed the feasibility of using the West Virginia Fax-to-Quit program for pregnant women. Providers and staff from three OB/GYN clinics in three adjoining counties received an intensive half-day training program. Recruitment sites screened for smoking status, assessed readiness to quit, and referred consenting participants to the Quitline through the Fax-to-Quit program. Between March and December 2009, 58 referrals were made to the quitline, with 15 women (25.9%) enrolling in Quitline services. Findings indicate that Fax-to-Quit is feasible to engage providers and pregnant smokers with the West Virginia Quitline. The authors conclude that such programs may support cessation through connection of pregnant smokers with Quitline services
 
 
Find more Research in our Newsroom or go back to top.


Announcements

Legacy for Health Seeking Nominees for 2013 Community Activist Award!
Legacy is pleased to announce the call for nominations for the 2013 Community Activist Award.
The award will honor an influential community leader for spearheading impactful tobacco control efforts, especially those that reflect Legacy's mission to build a world where young people reject tobacco and anyone can quit. The award winner will be recognized by Legacy and receive a $2,500 honorarium. 
DEADLINE FOR NOMINATIONS - Tuesday, September 17, 2013!
To submit a nomination and for more information, please visit www.legacyforhealth.org/caa. 

The National Conference on Tobacco or Health Youth Stream: November 25-27th 2013!
The National Conference on Tobacco or Health (NCTH) is the largest meeting of professionals working in tobacco control in Canada. This conference creates and nurtures knowledge networks that connect people with people and the information they need.

Registration is now officially open for the Youth Stream Pre-Conference Session of the National Conference on Tobacco or Health (NCTH)! The Youth Stream is presented by the Canadian Council for Tobacco Control, East Tobacco Control Area Network, Freeze the Industry Campaign, and the Ontario Lung Association Youth Advocacy Training Institute.

The Youth Stream will take place prior to the start of the NCTH in Ottawa from November 23-25th.  This session is designed for youth, young adults and youth workers to network as well as learn and share their region's current focus and activity regarding tobacco control and prevention.  Delegates participating in the Youth Stream will be actively involved in the planning and implementation of an advocacy activity to launch the NCTH.

All details surrounding the event can be found on the registration page found when you click here.  
» learn more

Save the Date - Reduce Tobacco Use Conference, April 10-11 2014!
Mark your calendars now for the 11th National Reduce Tobacco Use Conference: April 10-11, 2014!
Join the Virginia Foundation for Healthy Youth and Prevention Connections for an exciting two-day conference that will give you powerful new tools to enhance your tobacco use prevention and cessation efforts with today’s youth and young adults. Come hear the latest prevention and cessation strategies from tobacco control experts across the nation.
» learn more

2013 Calendar of Tobacco/Nicotine Scientific Meetings And Webcasts!
» learn more

Find more Announcements in our Newsroom or go back to top.


Funding for Connections is provided solely through a cooperative agreement from the Centers for Disease Control and Prevention (1U58DP004967-01). 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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