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North American Quitline Consortium
September 2012


Time-Sensitive News

Deadline: September 17! Legacy's Community Activist Award!
Legacy is pleased to announce the call for nominations for the 2012 Community Activist Award. The award celebrates exceptional individuals who demonstrate extraordinary commitment to creating a tobacco-free world in their local community.  Each nominee must be a recognized leader in his or her community with experience spearheading innovative and influential tobacco control projects, especially those that reflect Legacy’s mission to build a world where young people reject tobacco and anyone can quit.
To submit a nomination and for more information, please visit http://www.legacyforhealth.org/caa.
The winner will receive a $2500 honorarium.
» learn more 

SAVE THE DATE: Thursday, September 20th, 10:00 a.m. – 12:30 p.m. PDT!
“Varenicline: Where are we Today?” A Live Webcast Panel hosted by the Tobacco Related Disease Research Program (TRDRP), University of California Office of the President, featuring:
  • Neal Benowitz, MD, University of California San Francisco
  • Eden Evins, MD, MPH, Harvard University
  • Judith Prochaska, PhD, MPH, Stanford University
  • Sonal Singh, MD, MPH, John Hopkins University
» learn more

SAVE THE DATE: Wednesday, September 26th, 3:30 p.m. - 4:30 p.m. EST! 
Launching the National Asian Quitline
On September 26th from 3:30-4:30 PM ET, NAQC will host a webinar featuring Shu-Hong Zhu, PhD and Joann Lee, DrPH. Dr. Zhu will present findings from his 2012 study, The effects of a multilingual telephone quitline for Asian smokers: a randomized controlled trial, that found that quitlines are an effective intervention for Chinese-, Korean-, and Vietnamese-speaking smokers living in the U.S. Dr. Zhu will be joined by Joann Lee, DrPH to outline critical details related to the upcoming launch of the National Asian Quitline including the launch date, plans for promotion and data and evaluation reporting. Experiences from states that participated in the study will be shared and there will be ample opportunity for questions from webinar participants. 

Registration is required for all webinars that are part of the series. Please visit the event calendar page and select the event you are interested in to find registration information.
» register today

Deadline: October 16, 2012! A Request for Proposal has Been Issued by The Research Corporation of the University of Hawaii!
A Request for Proposal has been issued by The Research Corporation of the University of Hawaii to solicit proposals for a vendor to operate the Hawaii Tobacco Quitline -a statewide tobacco cessation service starting in January 2013.  The RFP can be downloaded at www.hawaiitobaccocontrol.org.  All questions should be addressed to Joanne Watase-Yang (jwataseyang@hawaiitobaccocontrol.org).
 
Proposals must be received no later than 4:00 P.M. (HST), October 16, 2012 at the address listed in the RFP.
» learn more

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



NAQC News

NEW! NAQC Conference 2012 Materials Now Available Online!
Thank you to everyone who was able to join us in Kansas City last month! The 2012 theme, QUITLINE INNOVATION AND SUSTAINABILITY: Exploring Strategies and Seizing Opportunities in Challenging Times, builds on the Consortium’s efforts to contribute to the understanding and measurement of quitline quality and the development of emerging and innovative practices. The conference agenda focused solely on addressing current challenges facing quitlines and tobacco cessation more broadly, identifying strategies to address operational and implementation roadblocks and the translation of recent research and evaluation findings into improved strategies, practices and services.
» learn more

NEW! Service Offerings Issue Paper Now Available!
NAQC is proud to announce the publication of its sixth Quality Improvement Initiative Issue Paper, Quitline Service Offering Models: A Review of the Evidence and Recommendations for Practice in Times of Limited Resources. This paper aims to present evaluation and research data used to guide decision-making on ways to invest limited funding for quitline services most effectively in an easy-to-use format and to make recommendations for most effectively using limited resources when determining service offering options.
 
NAQC will publish an executive summary of the issue paper in the fall and will host opportunities for discussions on the evidence and recommendations highlighted in the paper before the end of 2012.
 
If you have any questions about the paper or about NAQC’s Quality Improvement Initiative, please email Tamatha Thomas-Haase at tthomas-haase@naquitline.org.
» learn more

NEW! 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 naqc@naquitline.org.
» learn more

NEW! 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 jsaul@naquitline.org
» learn more

NEW! Public-Private Partnership Resource Center!
Please make sure to visit a new Resource Center under the Building Public-Private Partnership initiative. This electronic collection of documents and links relies on contributions from the community in topic areas related to forming Public-Private Partnerships to costs-share quitline services. Feel free to adapt the materials for use in your state.
» learn more

UPCOMING WEBINAR: Implementation of the Affordable Care Act: Next Steps for Tobacco Control!
The American Lung Association and NAQC join together on October 10th from 12:30 – 2PM ET to host an important webinar on implementation of the Affordable Care Act (ACA) and how it impacts on our work in tobacco control. The webinar, open to everyone in the tobacco control community, will feature presentations and discussion on Federal actions to implement the ACA and how they affect tobacco cessation treatment coverage; a summary of what is happening at the state level and upcoming actions and decision points you need to be aware of; and next steps for the tobacco control community. Representatives from Oregon and New York will share their experiences in, and guidance on, getting involved in ACA implementation.
 
Registration is required. To register, visit the event calendar page and select the event you are interested in to find registration information.
» register today

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



Tobacco Control

MMWR Articles!
Current Tobacco Use Among Middle and High School Students – United States, 2011.
Centers for Disease Control and Prevention. MMWR Weekly. August 10, 2010;61(31):581-585.
This study analyzed data from the 2011 National Youth Tobacco Survey (NYTS). Results showed that in 2011, the prevalence of current tobacco use among middle school and high school students was 7.1% and 23.2%, respectively, and the prevalence of current cigarette use was 4.3%, and 15.8%, respectively. Prevalence of current tobacco use, current combustible tobacco use, and current cigarette use decreased from 2000 to 2011 among middle school students and high school students. However, among high school non-Hispanic black students, an increase in cigar use [including little cigars and cigarillos] was seen from 2009 to 2011. The authors conclude that interventions proven to reduce tobacco use among youth should continue to be implemented as part of a national tobacco control strategy.
 
Increases in Quitline Calls and Smoking Cessation Website Visitors During a National Tobacco Education Campaign — March 19–June 10, 2012
Centers for Disease Control and Prevention. MMWR Weekly. August 31, 2012. 61(34).
This study describes CDC’s Tips from Former Smokers campaign and the impact of the campaign on quitline calls and unique website visitors as compared to the same time period in 2011 (a 132% increase in calls, and a 428% increase in website visitors). A fact sheet with highlights has also been released. Results indicate that an evidence-based, emotionally evocative national tobacco education ad campaign can substantially increase calls to state quitlines and unique visitors to a cessation website. The increase indicates that many smokers are interested in quitting and in finding out more about cessation assistance, and will respond to motivational messages that include an offer of help. This analysis provides additional evidence that, within the context of comprehensive tobacco control efforts, tobacco education media campaigns are an important intervention for increasing cessation. The online version of the journal is available at www.cdc.gov/mmwr.

California Launches Cessation Incentive Program for Medicaid Beneficiaries Statewide!
The California Diabetes Program and the California Department of Health Care Services recently launched the Medi-Cal Incentives to Quit Smoking (MIQS) Project. The MIQS Project, funded through a grant from the Centers for Medicare and Medicaid Services, seeks to motivate Medi-Cal members to quit smoking by offering a $20 gift card to members who call the California Smokers’ Helpline at 1-800-NO-BUTTS and enroll in support services. The project’s goals are to reduce smoking prevalence among all Medi-Cal beneficiaries, with an emphasis on those at high risk due to diabetes, heart disease, and other chronic conditions.
 
In the three-month MIQS pilot project, health care and social service providers in Sacramento doubled calls to the Helpline by offering the $20 MIQS incentive to Medi-Cal members in their county. With the statewide launch of the project all Medi-Cal members who smoke are eligible. To receive the $20 gift card, the caller must be a current Medi-Cal member, have a Beneficiary Identification Card number, ask for the gift card, and complete the first counseling session. To learn more about this exciting initiative please click on the link below.
 » learn more

USA TODAY Article on 2009 Federal Tobacco Tax Increase!
Below please find a link to the article published on the front page of USA TODAY on the effects of the 2009 federal tobacco tax increase.  While the article focuses on the federal tax increase, the message is still relevant to states because it reiterates the basic benefits of a tax increase – a win for public health and a win for budgets.

Here is a link to a series of charts that contain more data related to the federal tobacco tax increase that you may find useful.  

"A giant federal tobacco tax hike has spurred a historic drop in smoking, especially among teens, poor people and those dependent on government health insurance, a USA TODAY analysis finds.
 
President Obama signed the tax hike — the biggest to take effect in his first term — on his 16th day in office, reversing two vetoes by President Bush. The federal cigarette tax jumped from 39 cents to $1.01 per pack on April 1, 2009, to finance expanded health care for children. Since then, the change has brought in more than $30 billion in new revenue, tax records show.
 
Yet the tax hike and its repercussions remain mostly unknown to the non-smoking public. The tax increase's size and national reach lifted prices 22% overnight, more than all state and local tax hikes combined over the past decade when adjusted for inflation.
 
Result: The tax hike has helped restart a long-term decline in smoking that had stalled in recent years. About 3 million fewer people smoked last year than in 2009, despite a larger population, according to surveys by the Centers for Disease Control and Prevention".

» learn more

CDC Anti-Smoking PSA Campaign-National Search for Real People with Smoking Related Illneses!
CDC’s Office on Smoking and Health is in the process of recruiting individuals (English and Spanish speakers) to feature in their next national tobacco education campaign which will be similar to the Tips From Former Smokers Campaign that ran earlier this year. The campaign will feature real people who have suffered serious health conditions as a result of smoking or exposure to secondhand smoke.
Recruitment Flyer (English)
Recruitment Flyer (Spanish)
» learn more

Australia's Highest Court Upholds Landmark Law Requiring Plain Cigarette Packaging!
Delivering a tremendous victory for health, Australia’s highest court has rejected a challenge by the tobacco industry and upheld the world’s first law requiring that all cigarettes and other tobacco products be sold in plain packaging, free of colorful logos and other branding.  The plain packaging law, which was enacted last year, will save lives and stop tobacco companies from using their packs to make cigarettes appealing to kids.  The plain packages will be required starting December 1.
» learn more

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



Research
 
Predictors of Abstinence Among Smokers Recruited Actively to Quitline Support.
Tzelepis F, Paul CL, Walsh RA, Wiggers J, Duncan SL, Knight J. Addiction. Early View, August 28, 2012.
This study examined the baseline characteristics of smokers actively recruited to proactive telephone counseling in New South Wales, Australia, and investigated which ones were most associated with prolonged abstinence at 4, 7, and 13 months. The study also examine the proportion of successful quitters that would have been excluded from eligibility for telephone counseling if it was limited to only those intending to quit in 30 days at baseline. Results showed that waiting more than 60 minutes to smoke after waking, and intending to quit within 30 days at baseline predicted five of the six prolonged smoking abstinence measures. If telephone counselling was restricted to smokers who at baseline intended to quit within 30 days, somewhere between 54% and 66% of successful quitters would have been excluded from telephone support. The authors conclude that less addicted and more motivated smokers who are actively recruited to quitline support are more likely to achieve abstinence. While most actively recruited smokers reported no intention to quit within the next 30 days, such smokers still achieved long-term abstinence.
 
Ending the Tobacco Epidemic.
Koh HK, Sebelius KG. JAMA. Published online August 15, 2012. 
This commentary written by Assistant Secretary of Health Dr. Howard Koh and Secretary of Health and Human Services Kathleen Sebelius focused on progress achieved during the first three years of the Obama Administration towards ending the tobacco epidemic in America.  While adult smoking prevalence has declined from 43% (1964) to about 19% (2010), tobacco use has taken a back seat to many other public health issues. Dr. Koh and Secretary Sebelius argue that heightened, not diminished, attention to the leading preventable cause of death in the United States is needed. President Obama’s enactment of four new laws, including the Family Smoking Prevention and Tobacco Control Act (2009), and the Patient Protection and Affordable Care Act (2010), as well as the USDHHS’s first-ever national strategic plan for tobacco control, Ending the Tobacco Epidemic: A Tobacco Control Strategic Action Plan are excellent steps in the right direction. The Strategic Plan features 4 pillars that guide 21 action steps:
  • Pillar 1: Lead by Example (examples include CMS Tobacco Cessation Coverage and Expanded Cessation Options for Federal Employees and a Tobacco-Free HHS Campus)
  • Pillar 2: Improve the Public’s Health (examples include the Food and Drug Administration Regulations to Reduce Youth Access, and Investments in State and Local Tobacco Control Initiatives)
  • Pillar 3: Engage the Public (examples include The CDC National Media Campaign, and New Warnings to Convey the Health Harms of Tobacco)
  • Pillar 4: Advance Knowledge (examples include US Surgeon General Reports, and the FDA and NIH Cohort Study on Tobacco Use)
While the Obama Administration has rejuvenated tobacco control efforts, more must be done. The authors conclude that the United States can end the tobacco epidemic by meeting these challenges and reaffirming the commitment to a healthier, tobacco-free future.
 
Effectiveness of Stop-Smoking Medications: Findings from the International Tobacco Control (ITC) Four Country Survey.
Kaszal KA, Hyland AJ, Borland R, McNeill AD, Bansal-Travers M, Fix BV, Hammond D, Fong GT, Cummings KM. Addiction 2012.
This study analyzed data from the International Tobacco Control Four Country Survey (ITC-4) to assess the population effectiveness of stop-smoking medications while accounting for potential recall bias by controlling for quit attempt recency. Respondents who participated in 2006 or later were included in the analysis. Results showed that among participants who recalled making a quit attempt within one month of the study interview, those who reported using varenicline, bupropion, or nicotine patch were more likely to report six-month continuous abstinence compared to those who quit without using medication. Use of oral NRT did not seem to impact quitting success. Not using medication to quit was associated with being younger, belonging to racial/ethnic minority groups, having lower incomes, and believing that medications do not make quitting easier. The authors conclude that previous populations studies that failed to find an effect of use of medication on quitting failed to adequately control for important sources of bias.
 
Preventing Smoking Relapse via Web-Based Computer-Tailored Feedback: A Randomized Controlled Trial.
Elfeddali I, Bolman C, Candel MJJM, Wiers R, de Vries H. J Med Internet Res 2012;14(4):e109.
This study compared two web-based computer-tailored smoking relapse prevention programs with different types of planning strategies versus a control group. The action planning (AP) program provided tailored feedback at baseline and invited respondents to do six preparatory and coping planning assignments (three prior to and three after the quit date). The action planning plus (AP+) program was an extended version of the AP program, with 11 additional time points where tailored feedback was provided after the quit attempt. Control group respondents completed questionnaires but received no tailored feedback. Results showed that quit rates were significantly higher in the AP program (33%) and AP+ program (31%) than in the control group (22%). Results also suggested a dose-response relationship between abstinence and the number of program elements completed by the respondents. The authors concluded that web-based computer-tailored programs combined with planning strategy assignments and feedback after the quit attempt can be effective in preventing relapse 12 months after baseline, although they note that adherence to the intervention is critical. They also call for more research to assess the optimum intervention dose.
   
Find more Research in our Newsroom or go back to top.
 


Announcements

Deadline: September 17! Society of Behavioral Medicine 34th Annual Meeting & Scientific Sessions – Call for Abstracts is Open!
We are excited to invite abstract submissions for the 34th Annual Meeting & Scientific Sessions of the Society of Behavioral Medicine (SBM), to be held in San Francisco, California from March 20-23, 2013.
 
Embodying the meeting theme, “Technology: the Excitement and the Evidence,” the conference program will explore the many ways that technological innovations are expanding the reach and impact of behavioral medicine. Abstract submissions addressing thematic areas of the conference are encouraged; such topics include linking behavior to brain health, using computers to encourage behavior change, utilizing mobile sensors to enhance patient care, harnessing social media to disseminate health information, and enhancing clinicians’ capabilities to deliver smoking cessation counseling. Submissions coinciding with other behavioral medicine topics are also welcome, such as adherence, behavioral medicine in clinical and medical settings, biological mechanisms in health and behavior change, complementary and integrative medicine, environmental and contextual factors in health and behavior change, health communication and technology, health decision making, health promotion, measurement and methods, population health, policy, and advocacy, psychological and person factors in health and behavior change, quality of life, racial, ethnic, and cultural factors in health, spirituality, and translation of research to practice.
 
As always, wide participation is central to the continued growth of behavioral medicine. We encourage you and your colleagues to submit your most innovative and compelling work for presentation in one of the many meeting formats. Abstracts will be accepted through Monday, September 17, 2012 at 11:59 pm Eastern Standard Time. For more information pertaining to program updates, submission procedures and deadlines, as well as things to see and do in San Francisco, visit the 2013 SBM Annual Meeting website: http://www.sbm.org/meetings/2013
» 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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