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North American Quitline Consortium
April 2015

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


NAQC News

NAQC Conference 2015! SAVE THE DATE!
NAQC is planning a conference on August 17-18, 2015 in Atlanta, Georgia, USA. We hope you will "save the date!" 

Several states have contacted us about the cost of registration, and we would like to share this information with everyone. The registration fee for NAQC members is 
$325 (non-members, $475). The registration fee allows you to attend all workshops and sessions at the conference and includes lunches on both days and a ticket to the NAQC reception on August 17.
 
Please take a few minutes of your time to let us know if you plan to attend the conference by sending an e-mail to ngromov@naquitline.org by April 15, 2015. We are using the RSVPs for early planning purposes only and it in no way obligates you to attend.  

Over the next few weeks, we will be sharing a preliminary agenda and asking for participants to serve on the abstract review workgroup. 

Please note that the room block has been reserved at the Crowne Plaza Atlanta Perimeter at Ravinia located at 4355 Ashford Dunwoody Rd, Atlanta, GA 30346. To make a reservation, please call 770-395-7700 or visit their website and mention NAQC Conference. The room rate is $135 per night.

Contact us at naqc@naquitline.org if you have any questions. 

NAQC Receives Pfizer/SCLC Award for eReferral Project!
On April 10, Pfizer Independent Grants for Learning and Change (IGLC) and the Smoking Cessation Leadership Center (SCLC) at the University of California, San Francisco announced a total $2.12 million in smoking cessation grant funding  for 15 organizations (including NAQC) to work with populations that are disproportionately burdened by smoking. NAQC would like to congratulate fellow awardees!
 
Awardees include:
  1. Alaska Native Tribal Health Consortium
  2. Albert Einstein College of Medicine
  3. American Association for Respiratory Care
  4. Association of Substance Abuse Programs of Texas
  5. NAMI Minnesota
  6. National Council for Behavioral Health
  7. New York University
  8. North American Quitline Consortium
  9. Oldham County Ministerial Association DBA Hope Health Clinic
  10. Purdue University
  11. Rutgers, The State University of New Jersey
  12. Society for Public Health Education
  13. The General Hospital Corporation DBA Massachusetts General Hospital
  14. UCSF Benioff Children's Hospital Oakland
  15. University of Washington
These projects have been selected for funding by the SCLC panel. SCLC will provide technical assistance to the grantees and receives no financial remuneration from Pfizer. SCLC is a national program office of the Robert Wood Johnson Foundation and also receives significant support from Legacy for Health. For more information, visit http://smokingcessationleadership.ucsf.edu/partnerships/pfizer-iglc.
 
The overall goal of NAQC’s 18-month project is to deliver effective quitline services to more smokers, especially those in priority populations, by establishing a national capacity to implement eReferral systems between state quitlines and healthcare organizations. We will establish six state teams that include a quitline service provider (that currently does not have eReferral capacity), the state quitline funder and a healthcare organization that serves priority populations. These teams will receive technical assistance on implementing eReferral and their progress will be monitored. Three products will be developed and disseminated during this project: a technical tool on implementing eReferral, a resource on developing successful eReferral partnerships, and a series of case studies documenting the challenges and successes of the six state teams. Among the eleven service providers operate the 53 state quitlines five providers have the capacity to conduct eReferrals and six do not. This project will engage the six quitline service providers that do not have the capacity for eReferral. As a result of the project, all quitline service providers should have capacity to conduct eReferral by 2016.
 
FY2013 Benchmarking Data – DEADLINE FOR STATES TO OPT-OUT IS APRIL 30, 2015!
In March NAQC distributed benchmarking data to all state quitlines, showing their rates and rank (compared to other state quitlines) on reach, investment in the quitline and quit rates. Please email Maria Rudie, NAQC Research Manager (mrudie@naquitline.org) by Thursday, April 30th if you did not receive your data or if you would like to opt out of having your state’s FY2013 Benchmarking Data posted to the NAQC Quitline Profile’s page.

NAQC Membership Drive for 2016! Renew Today! 
NAQC membership drive has begun for FY2016. If you have not yet received a renewal invoice or your membership has lapsed, please contact Natalia Gromov at 800-398-5489 ext. 701 or membership@naquitline.org for assistance. Here please find a brief recap of achievements from last year and an outline of new resources to come in the following months. Please note that members pay a discounted rate to attend the upcoming NAQC Conference!

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



Time-Sensitive News

RAISE Celebrates National Minority Health Month (Tobacco, Obesity & Cancer Control)!
April is National Minority Health Month and the RAISE Network is working to promote and improve the health of AANHPI communities with events across the U.S. and Pacific Islands.
 » learn more

SCLC's Next FREE Webinar: Tobacco Cessation for Pregnant Women and Mothers: What Clinicians Should Know - April 22!
The Smoking Cessation Leadership Center (SCLC) is hosting their next free webinar, “Tobacco Cessation for Pregnant Women and Mothers: What Clinicians Should Know”, on Wednesday, April 22, 2015, at 2:00pm EDT (90 minutes).
Webinar Objectives
  • Describe tobacco use among US reproductive age women, including pregnant women, and its relationship with maternal and infant outcomes
  • Demonstrate understanding of tobacco use screening and counseling of reproductive age women, particularly pregnant and postpartum mothers, and the integration into routine care
  • Discuss FDA-approved pharmacotherapy for adults, and their use by pregnant and lactating women
  • Identify key national and state-level resources available for additional patient and provider support
» learn more

Register Today! ALA Tobacco Cessation FAQ Guidance Q & A Webinar on April 23!
On Thursday, April 23, 2015 at 2pm Eastern, the American Lung Association will host a webinar,Tobacco Cessation FAQ Guidance Q&A (register here). The federal guidance outlining tobacco cessation as a preventative service was released on May 2, 2014. Almost a year later, how has this guidance affected plan coverage? How can state policymakers use the guidance to help smokers in their state quit? What questions do you still have? What questions need to be addressed?
» learn more
 
New Mexico Tobacco Cessation RFP!
The New Mexico Department of Health released the Comprehensive Tobacco Cessation RFP. Please follow the link below to download the RFP. The announcement can be found in the Albuquerque Journal, Santa Fe New Mexican, and Las Cruces Sun News  on April 2nd. http://www.generalservices.state.nm.us/statepurchasing/ITBs__RFPs_and_Bid_Tabulation.aspx
» learn more

The University of Arizona HealthCare Partnership - Nicotine Dependence Treatment Continuing Education & Certification Programs!
Learn more about the June 4-5, 2015 programs. 

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



Tobacco Control

Tips National Media Campaign 2015! Learn All About It!
The Centers for Disease Control and Prevention has launched its 2015 “Tips From Former Smokers” campaign with a series of powerful new ads featuring former smokers who suffer from smoking-related illnesses, including vision loss and colorectal cancer.
 
Ads also highlight the benefits of quitting for smokers’ loved ones, and the importance of quitting cigarettes completely, not just cutting down. Beginning March 30, these ads will run for 20 weeks on television, radio, billboards, online, and in theaters, magazines, and newspapers.
 
CDC’s successful Tips national tobacco education campaign has helped prompt millions of smokers to try to quit since it began in 2012. It has also proven to be a “best buy” in public health by costing just $393 to save a year of life.
 
In 2014, Tips ads had an immediate and strong impact. When the ads were on the air, about 80 percent more people called the national quitline, 1-800-QUIT-NOW, for free help. Since 2012, Tips ads have generated more than 500,000 additional calls to the toll-free quitline number.
» learn more

New Report – State Health Insurance Marketplace Plans: New Opportunities to Help Smokers Quit!
The American Lung Association released a new report, State Health Insurance Marketplace Plans: New Opportunities to Help Smokers Quit. This report has information about coverage of tobacco cessation medications in each marketplace (or exchange) plan in each state, and is the first of its kind.

The report finds that the vast majority of plans are not following Affordable Care Act requirements or the May 2014 guidance on cessation coverage. Only 17 percent of marketplace plan issuers cover all seven tobacco cessation medications with no cost-sharing and no prior authorization. West Virginia is the only state where all plans comply with the guidance – and there is only one plan issuer in that state.

You can download the report here, and the appendix with detailed state-by-state information here.
» learn more

Bloomberg Philanthropies & The Bill & Melinda Gates Foundation Launch Anti-Tobacco Trade Litigation Fund!
Abu Dhabi March 18, 2015 – Michael R. Bloomberg & Bill Gates today announced the launch of the Anti-Tobacco Trade Litigation Fund, a new joint effort to combat the tobacco industry’s use of international trade agreements to threaten and prevent countries from passing strong tobacco-control laws. Backed by Bloomberg Philanthropies and the Bill & Melinda Gates Foundation, the new support for low and middle-income countries is the most recent element in a comprehensive strategy to reduce tobacco use globally. 
» learn more

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



Research
 
Stuart G. Ferguson, Mai Frandsen, Michael S. Dunbar, and Saul Shiffman
Gender and Stimulus Control of Smoking Behavior.
Nicotine Tob Res (2015) 17 (4): 431-437 doi:10.1093/ntr/ntu195

Gender differences in smoking behavior have been proposed to account for poorer outcomes among women attempting to quit. Specifically, it has been suggested that women’s smoking behavior is less motivated by nicotine-seeking and more driven by environmental cues. To date, however, few real-world studies have examined the hypothesis that women’s smoking is under greater stimulus control.
EMA analyses suggest that men and women are similarly influenced by cues, including mood. Where there were gender differences, it was men rather than women whose smoking behavior was more influenced by cues. The data contradict the hypothesis that women’s smoking is more influenced by cues.

Amanda L. Graham, George D. Papandonatos, Caroline O. Cobb, Nathan K. Cobb, Raymond S. Niaura, David B. Abrams, and David G. Tinkelman
Internet and Telephone Treatment for Smoking Cessation: Mediators and Moderators of Short-Term Abstinence.
Nicotine Tob Res (2015) 17 (3): 299-308 doi:10.1093/ntr/ntu144

This study examined mediators and moderators of short-term treatment effectiveness from the iQUITT Study (Quit Using Internet and Telephone Treatment), a 3-arm randomized trial that compared an interactive smoking cessation Web site with an online social network (enhanced Internet) alone and in conjunction with proactive telephone counseling (enhanced Internet plus phone) to a static Internet comparison condition (basic Internet).
Increased treatment utilization and associated changes in several psychosocial measures yielded higher abstinence rates. Findings validate the importance of treatment utilization, smoking self-efficacy, and social support to promote abstinence.

Herbert H. Severson, Brian G. Danaher, Jon O. Ebbert, Nora van Meter, Edward Lichtenstein, Chris Widdop, Ryann Crowley, Laura Akers, and John R. Seeley
Randomized Trial of Nicotine Lozenges and Phone Counseling for Smokeless Tobacco Cessation.
Nicotine Tob Res (2015) 17 (3): 309-315 doi:10.1093/ntr/ntu145

Relatively few treatment programs have been developed specifically for smokeless tobacco (ST) users who want to quit. Their results suggest that self-help materials, telephone counseling, and nicotine lozenges are efficacious. This study provides the first direct examination of the separate and combined effects of telephone counseling and lozenges.
Combining nicotine lozenges and phone counseling significantly increased tobacco abstinence rates compared with either intervention alone, whereas coach calls and lozenges were equivalent. The study confirms the high tobacco abstinence rates for self-help ST cessation interventions and offers guidance to providing tobacco treatment to ST users.

Stephen M. Amrock, Joseph Zakhar, Sherry Zhou, and Michael Weitzman
Perception of E-Cigarette Harm and Its Correlation With Use Among U.S. Adolescents.
Nicotine Tob Res (2015) 17 (3): 330-336 doi:10.1093/ntr/ntu156

 U.S. adolescents increasingly use e-cigarettes. The perceived harm of e-cigarettes has not been described, nor has the correlation between harm perception and e-cigarette use been assessed. This study examines correlates of e-cigarette harm perception and use of e-cigarettes in a national survey.
Perception of e-cigarettes as less harmful than conventional cigarettes was associated with increased e-cigarette use, including among cigarette-naive e-cigarette users. These findings should prompt further scientific investigation and merit attention from regulators.

Lucinda J. England, MD, Rebecca E. Bunnell, ScD, Terry F. Pechacek, PhD, Van T. Tong, MPH, Tim A. McAfee, MD
Nicotine and the Developing Human: A Neglected Element in the Electronic Cigarette Debate.
Am J Prev Med 2015

The elimination of cigarettes and other combusted tobacco products in the U.S would prevent tens of millions of tobacco-related deaths. It has been suggested that the introduction of less harmful nicotine delivery devices, such as electronic cigarettes or other electronic nicotine delivery systems, will accelerate progress toward ending combustible cigarette use. However, careful consideration of the potential adverse health effects from nicotine itself is often absent from public health debates. Human and animal data support that nicotine exposure during periods of developmental vulnerability (fetal through adolescent stages) has multiple adverse health consequences, including impaired fetal brain and lung development, and altered development of cerebral cortex and hippocampus in adolescents. Measures to protect the health of pregnant women and children are needed and could include (1) strong prohibitions on marketing that increase youth uptake; (2) youth access laws similar to those in effect for other tobacco products; (3) appropriate health warning for vulnerable populations; (4) packaging to prevent accidental poisonings; (5) protection of non-users from exposure to secondhand electronic cigarette aerosol; (6) pricing that helps minimize youth initiation and use; (7) regulations to reduce product addiction potential and appeal for youth; and (8) that age of legal sale.
 
Lori Pbert, PhD, Harold Farber, MD, MSPH, Kimberly Horn, EdD, MSW; Harry A. Lando, PhD, Myra Muramoto, MD, MPH, Jennifer O’Loughlin, PhD, Susanne Tanski, MD, MPH, Robert J. Wellman, PhD, Jonathan P. Winickoff, MD, MPH, Jonathan D. Klien, MD, MPH
State-of-the-Art Office-Based Interventions to Eliminate Youth Tobacco Use: The Past Decade.
Pediatrics. 2015; 135(4):734-747

More than 3.6 million U.S. youth currently smoke, and 80 percent will continue to smoke into adulthood. Early intervention and education is important in reducing youth smoking rates and pediatricians are in a unique position to counsel both patients and their parents regarding smoking prevention and cessation. A paper in the April 2015 Pediatrics, “State-of-the-Art Office-Based Interventions to Eliminate Youth Tobacco Use: The Past Decade” (published online March 16), reaffirms that questions about tobacco use for both patient and parent should be part of well-child visits. In addition to asking about tobacco use, pediatricians should address tobacco dependence by offering tobacco-cessation strategies that include quit materials, referrals to quit-lines or cessation programs, or medications as appropriate. The authors note that more research is needed to find the most effective prevention and treatment approaches, especially given the limited time and competing priorities within each pediatric health care visit.

Johnathan Thornburg, PhD, Quentin Malloy, PhD, Seung-Hyun Cho, PhD, William Studabaker, PhD, Youn Ok Lee, PhD.
Exhaled Electronic Cigarette Emissions: What’s Your Secondhand Exposure?
RTI Press Research Brief. March 2015. Publication No. RB-0008-1503.

Electronic cigarettes are a rapidly growing business with annual sales doubling yearly to $1 billion in 2013. Little scientifie evidence exists on secondhand exposures to the aerosols and vapors exhaled by the user of an electronic cigarette. A non-user may be exposed to aerosol particles smaller than 1000 nanometers, similar in size to tobacco smoke and diesel engine smoke. The aerosol and gases produced by e-cigarettes contain nicotine, glycerine/glycols, artificial flavorings, and preservatives.
 
Amanda L. Baker, Robyn Richmond, Frances J. Kay-Lambkin, Sacha L. Filia, David Castle, Jill M. Williams, Terry J. Lewin, Vanessa Clark, Robin Callister, and Natasha Weaver
Randomised Controlled Trial of a Healthy Lifestyle Intervention Among Smokers with Psychotic Disorders.
Nicotine Tob Res first published online March 5, 2015doi:10.1093/ntr/ntv039

People with severe mental disorders typically experience a range of health problems; consequently, interventions addressing multiple health behaviours may provide an efficient way to tackle this major public health issue. This two-arm randomised controlled trial among people with psychotic disorders examined the efficacy of nicotine replacement therapy (NRT) plus either a face-to-face or predominantly telephone delivered intervention for smoking cessation and cardiovascular disease (CVD) risk reduction.
The health disparity experienced by people with psychotic disorders is high. Face-to-face healthy lifestyle interventions appear to be feasible and somewhat effective. However, given the accessibility of telephone delivered interventions, potentially combined with lower cost, further studies are needed to evaluate telephone delivered smoking cessation and lifestyle interventions for people with psychotic disorders.

Marc L. Steinberg, Jill M. Williams, Naomi F. Stahl, Patricia Dooley Budsock, andNina A. Cooperman
An Adaptation of Motivational Interviewing Increases Quit Attempts in Smokers With Serious Mental Illness.
Nicotine Tob Res first published online March 5, 2015doi:10.1093/ntr/ntv043

Smokers with serious mental illness (SMI) have a high smoking prevalence and a low quit rate. Motivational interviewing (MI) is an empirically supported approach for addressing substance use disorders and may motivate smokers with SMI to quit.
A brief adaptation of MI with personalized feedback appears to be a promising approach for increasing quit attempts in smokers with SMI, but future research is required to determine how to best help smokers with SMI to attain sustained abstinence.

Gillian L. Schauer, Linda L. Pederson, and Ann M. Malarcher
Past Year Quit Attempts and Use of Cessation Resources Among Cigarette-Only Smokers and Cigarette Smokers Who Use Other Tobacco Products.
Nicotine Tob Res first published online March 5, 2015doi:10.1093/ntr/ntv038

It is unclear how use of other tobacco products impacts cigarette-smoking cessation. We assessed differences in past year cigarette smoking quit attempts and use of counseling and medication among current cigarette-only users, cigarette and cigar users, and cigarette and smokeless tobacco (SLT) users.
Dual tobacco use was not associated with decreased attempts to quit smoking cigarettes; however, use of evidence-based treatment was sub-optimal among cigarette-only and dual users, and should be increased.

Karen M. Butler, Melinda J. Ickes, Mary Kay Rayens, Amanda T. Wiggins, and Ellen J. Hahn
Polytobacco Use among College Students.
Nicotine Tob Res first published online March 13, 2015doi:10.1093/ntr/ntv056

Use of more than one tobacco product among college students is increasing in popularity, leading to nicotine addiction and additional health risks. The study 1) examined polytobacco use patterns among college students who had ever used tobacco; and 2) assessed the sociodemographic and personal factors associated with current polytobacco use, compared to current single product use and former tobacco use among college students.
Polytobacco users were more likely than single users to consume emerging tobacco products, (i.e., hookah and e-cigarettes). Males, underclassmen, and racial/ethnic minorities were more at risk for polytobacco use. As young people are particularly prone to nicotine addiction, there is a need to further investigate polytobacco use among college students.
 
Kristi E. Gamarel, Ethan E. Mereish, David Manning, Mariko Iwamoto, Don Operario, and Tooru Nemoto
Minority Stress, Smoking Patterns, and Cessation Attempts: Findings From a Community-Sample of Transgender Women in the San Francisco Bay Area.
Nicotine Tob Res first published online March 16, 2015doi:10.1093/ntr/ntv066

Research has demonstrated associations between reports of minority stressors and smoking behaviors among lesbian, gay, and bisexual (LGB) populations; however, little is known about how minority stressors are related to smoking behaviors and cessation attempts among transgender women. The purpose of this study was two-fold: 1) to examine the associations between transgender-based discrimination and smoking patterns among a sample of transgender women; and 2) to identify barriers to smoking cessation in a sample of transgender women with a history of smoking.
Smoking cessation may be driven by unique transgender-related minority stressors, such as discrimination. Future research is warranted to address unique stigmatizing contexts when understanding and providing tailored intervention addressing smoking among transgender women.
 
Karen Hughes, Mark A Bellis, Katherine A Hardcastle, Philip McHale, Andrew Bennett, Robin Ireland and Kate Pike.
Associations Between E-cigarette Access and Smoking and Drinking Behaviours in Teenagers.
BMC Public Health (2015) 15:244

Public health concerns regarding e-cigarettes and debate on appropriate regulatory responses are focusing on the need to prevent child access to these devices. However, little is currently known about the characteristics of those young people that are accessing e-cigarettes. Using a cross-sectional survey of 14-17 year old school students in North West England (n = 16,193) we examined associations between e-cigarette access and demographics, conventional smoking behaviours, alcohol consumption, and methods of accessing cigarettes and alcohol. Access to e-cigarettes was identified through a question asking students if they had ever tried or purchased e-cigarettes. Results: One in five participants reported having accessed e-cigarettes (19.2%). Prevalence was highest among smokers (rising to 75.8% in those smoking >5 per day), although 15.8% of teenagers that had accessed e-cigarettes had never smoked conventional cigarettes (v.13.6% being ex-smokers). E-cigarette access was independently associated with male gender, having parents/guardians that smoke and students’ alcohol use. Compared with non-drinkers, teenagers that drank alcohol at least weekly and binge drank were more likely to have accessed e-cigarettes (adjusted odds ratio [AOR] 1.89, P < 0.001), with this association particularly strong among never-smokers (AOR 4.59, P < 0.001). Among drinkers, e-cigarette access was related to: drinking to get drunk, alcohol-related violence, consumption of spirits; self-purchase of alcohol from shops or supermarkets; and accessing alcohol by recruiting adult proxy purchasers outside shops. Conclusions: There is an urgent need for controls on the promotion and sale of e-cigarettes to children. Findings suggest that e-cigarettes are being accessed by teenagers more for experimentation than smoking cessation. Those most likely to access e-cigarettes may already be familiar with illicit methods of accessing age-restricted substances.
 
Find more Research in our Newsroom or go back to top.


Announcements

April 22-25: SBM 36th Annual Meeting & Scientific Sessions!
Please consider attending the 36th Annual Meeting & Scientific Sessions of the Society of Behavioral Medicine (SBM) to be held in San Antonio, TX, from April 22–25, 2015. The meeting will convene at the San Antonio Marriott Rivercenter, conveniently located next to the lovely San Antonio River Walk, providing easy access to premier dining, entertainment and shopping.

The 2015 Annual Meeting will feature the theme, “Advancing the National Prevention Strategy Through Behavioral Medicine Innovation.” As a conceptual guide for this meeting, we have adopted the National Prevention Strategy Framework put forth by the National Prevention Council. The framework identifies four strategic directions for improving population health with clear relevance to the scientific efforts of the multidisciplinary membership of SBM: 1) create and sustain healthy and safe community environments that promote health and prevent disease; 2) provide accessible and integrated clinical and community preventive services; 3) provide the necessary tools and resources to support communities of empowered people; and 4) improve health and quality of life for all through elimination of health disparities. Areas of priority under these strategic directions, which align with the diverse interests and expertise of our membership and which will be addressed by invited speakers, include: tobacco-free living; preventing drug abuse and excessive alcohol use; healthy eating; active living; reproductive and sexual health; and mental emotional well-being. 
» learn more

July 7-9, 2015: NACCHO Conference!
The National Association of County and City Health Officials (NACCHO) is hosting their Annual Conference on July 7-9, 2015 in Kansas City, MO. Learn more here

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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