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North American Quitline Consortium


Advisory Council Meets to Discuss New Tobacco Warning Labels!
On June 29-30, NAQC’s Advisory Council met in Atlanta to discuss preparing the quitline community for the launch of new tobacco warning labels that include quitline telephone numbers. The Council discussed the following questions:

  1. What are the strengths, weaknesses, opportunities and threats of quitlines that are relevant to launching tobacco warning labels that include a telephone number for quitlines?
  2. What level of call volume should quitlines expect? 
  3. How will increased call volume be funded?  What role will the federal government play? Will states and provinces be able to sustain quitlines through these difficult financial times?
  4. What level of services will be provided by quitlines? What will be the impact of these services?
  5. What type of monitoring, evaluation and research will be needed?
  6. What changes may be needed at the quitline operational level? Should these changes be made at the state/provincial level or the national level?
  7. How can quitlines and tobacco control maximize the cessation benefit of such regulations?
NAQC will be sharing initial responses to these questions in August. We look forward to hearing your feedback and working together on this issue. It is important that the quitline community takes action as soon as possible to prepare for the new warning labels. If we are prepared, we can help double the number of smokers who quit as a result of quitline services in 2012 and beyond! 

Medicaid Webinar on July 27th from 2:30 - 4:00 pm EST!
CDC, NAQC and the Tobacco Control Network (TCN) have been discussing a number of different webinars and activities to help states better understand the new Medicaid benefit on cessation. As a first step, NAQC and the TCN are proud to co-host a webinar on the new Medicaid tobacco cessation services outlined by CMS in its letter to state Medicaid directors on June 24th. The webinar will take place on July 27th from 2:30-4:00 PM ET and we will be joined by Sharon Brown, Senior Policy Analyst for the Financial Management Group of the Centers for Medicare and Medicaid Services.
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 Upcoming Webinars to Focus on Medicaid and Enhanced Tobacco Warning Labels Instead!
There have been a couple of important announcements relating to quitlines in the past two weeks (enhanced tobacco warning labels in Canada and the U.S. and expanded tobacco cessation coverage for Medicaid beneficiaries). In order to better respond to critical issues for NAQC members resulting from these announcements, we are postponing the remaining NAQC Seminar Series topics and dates. NAQC will focus our efforts instead on hosting webinars/conference calls throughout the remainder of 2011 that focus on strategic issues related to preparing quitlines for the new warning labels and implementing the new Medicaid coverage for Quitline services.
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 August “Coffee Break” Call on Asian Language Quitline Study!
The NAQC “Coffee Break” series is a monthly 30-minute webinar designed to serve as an informal forum to discuss current, upcoming, and potential quitline-related research; facilitate communication and interaction between researchers; and create and support connections between researchers and quitlines.
The next call will be Thursday, August 11 from 2:00-2:30 p.m. Eastern Time (11:00-11:30 a.m. Pacific Time). Shu-Hong Zhu (University of California San Diego) will present on “Report from an ongoing study: the Asian Language Quitline Project.” For more information about the speaker or topic, click here. Call-in information and presentation slides will be available on the NAQC website at http://www.naquitline.org/?page=CallInformation . It is strongly recommended that you test your system in advance of the call time to ensure you can access the webinar features.
The July call featured Phil Gardiner (Tobacco Related Disease Research Program) presenting on “Report from a recent study: African American use of the California Smokers Helpline.” The presentation slides are available here.
For more on upcoming call topics and speakers, click here.

 »  learn more

 Call for Quitline Evaluation Reports!
NAQC members have asked whether NAQC could create a space on its website for quitlines to share their evaluation reports. To assess the level of interest for such a feature on our website, please send us an email to naqc@naquitline.org  indicating a) whether you would be interested in viewing other quitlines' evaluation reports, and b) whether you would be interested in sharing your own quitline's evaluation reports on the NAQC website. Thanks in advance for your responses!
»e-mail NAQC

NAQC FY 2010 Annual Survey of Quitlines Results Released!
The findings from the FY2010 NAQC Annual Survey of Quitlines are now publicly available, and were presented via webinar on Wednesday, July 13. The presentation included information about the state of quitlines, trends over time for quitline budgets and reach, and progress towards NAQC’s strategic goals. The presentation slides, questions and answers from webinar participants, and the full set of Survey findings, are all available on the 2010 Survey page of the NAQC website (click here). Data from the survey will also be used to update the Metrics Section of the Quitline Profiles (to see the Profile for your quitline, go to http://map.naquitline.org/). For more information on the Survey, on gaining access to Survey data, or about the Quitline Profiles, please contact Jessie Saul, NAQC’s Director of Research, at jsaul@naquitline.org.  
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Membership Drive FY12!
Many of you have reached out to us asking for an extension of the membership renewal deadline and to accommodate these requests, we have extended the deadline from July 1 to Friday, August 5th. To avoid interruption in your membership services, please submit your membership dues (payments are accepted in a form of a check, credit card payment, and online renewal)prior to 5 pm ET on August 5th.

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

Joint Commission Releases Tobacco Measure Set!
The new certifications measures for the Joint Commission as included in the Joint Commission/CMS Specifications Manual for National Hospital Inpatient Quality Measures now include the tobacco measure set. The new certification measures will require participating hospitals to screen all inpatients for tobacco, provide counseling and pharmacologic treatment to tobacco users, and provide limited follow-up after discharge. While tobacco screening/treatment for all patients is currently the practice in some hospitals, by and large it is not a routine procedure in spite of broad agreement that cessation treatments are both effective and cost-effective. Hospitalization provides an ideal opportunity to deliver interventions that can help tobacco users quit.
To view the measure set visit the Joint Commission website and look for Specifications Manual version 4.0: http://www.jointcommission.org/specifications_manual_for_national_hospital_inpatient_quality_measures/ 
» learn more

Policy News: ACS Cancer Action Network’s Reports!
On June 15 the ACS Cancer Action Network released a set of reports on the health and economic benefits of strong statewide tobacco control policies. The state-by-state analysis measures deaths averted, smokers quitting, and health cost savings due to comprehensive smoke-free laws or tobacco tax increases.  
» learn more

Increasing Access to Tobacco Cessation in States: ActionToQuit Case Studies!
Partnership for Prevention has released an excellent new publication “Increasing Access to Tobacco Cessation in States: ActionToQuit Case Studies”. 

» learn more

New Smoking Cessation Telehealth Application Launched in the UK!
Solutions 4 Health announced the launch of a new smoking cessation telehealth application called "smokefreelife” that provides smokers with online support from trained smoking cessation providers. Patients who want to interact with a trained health advisor can select an appointment time that suits them for a face-to-face video consultation. 
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Smoking Quitline Calls Spike With New Labels!
Smokers nationwide have deluged quit lines in the days since the Food and Drug Administration announced that cigarette packs must carry labels with nine new graphic photos beginning in fall 2012.

The American Lung Association has reported triple-digit jumps in the number of calls for help to some state hotlines, including one state where calls were up 200 percent.

"I think it's very fair to say the increase in calls came as a result of the announcement of the new warning labels," said Erika Sward, the association's director of national advocacy.

The FDA estimates 213,000 people will quit smoking as a result of the new emphasis on the hazards of smoking. Images — including those of a man smoking through a hole in his throat and diseased lungs — will cover each cigarette package, which also will display a toll-free number, "800-QUIT-NOW."

»learn more

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KIQNIC Survey in Full Swing - What's the #1 FAQ?
Decision-makers for North America's quitlines are currently completing the third annual Knowledge Integration in Quitlines: Networks that Improve Cessation (KIQNIC) online survey. What question is most frequently asked by survey participants? "We've had many inquiries about why multiple people from their organization are being asked to fill out the survey," says Principal Investigator Scott Leischow. "There are three main reasons. First, no one person is expected to know absolutely everything about their quitline. Second, some of the questions are designed to capture individual opinions and perspectives. And third, different people within the quitline will have different connections to other organizations, and so it is especially important that we combine multiple responses for the Information Sharing section of the survey, to get an accurate picture of the relationships each organization has to others in the North American quitline community. A key contact at each quitline organization was asked to identify their colleagues who are engaged in decision-making about quitline practices, and that is how it was determined who should complete the questionnaire."
The Information Sharing section of the survey collects data about the relationships between quitline organizations, identifying the types of information being shared, and which organizations are the sources of different types of information. It also lets participants identify relationships with evaluators and researchers, and the nature of their relationship with NAQC's central office. The Attitudes section asks about how participants feel about the funder or service provider in their jurisdiction, and the Decision-Making section gathers information about factors that influence decisions about whether or not to adopt quitline practices. A supplementary Implementation section asking about the level of adoption and implementation of 28 quitline practices is included in the survey of one key respondent for each organization.
The KIQNIC grant was awarded to the Arizona Cancer Center at the University of Arizona from the U.S. National Cancer Institute, in 2008. The grant provides funds for a five-year research partnership with NAQC to better understand the communication mechanisms by which quitlines interact, share new evidence, and make decisions about the adoption and implementation of quitline practices. Questions about the survey can be sent to KIQNICsurvey@naquitline.org or directly to KIQNIC Project Coordinator Gregg Moor at gregg.moor@in-source.ca.

Smoking Cessation Support Delivered via Mobile Phone Text Messaging (txt2stop): A Single-blind, Randomized Trial. 
Free C, Knight R, Robertson S, Whittaker R, Edwards P, Zhou W, Rodgers A, Cairns J, Kenward M, Roberts I. Lancet. 2011 Jul 2;378(9785):49-55.
This study tested the effect of a text messaging smoking cessation intervention on quitting. Participants had quit status biochemically verified at six months. Smokers in the UK were randomized to a text-message cessation program (txt2stop) that contained motivational messages and behavioral-change support (2915 participants), or to a control group that received text messages unrelated to quitting (2885 participants). Results showed that quit rates were significantly higher in the txt2stop group (10.7%) than in the control group (4.9%) (p<0.0001). The authors conclude that the txt2stop smoking cessation program significantly improved quit rates at six months, and should be considered for inclusion in smoking cessation services. 

Outcomes and Cost-effectiveness of Two Nicotine Replacement Treatment Delivery Models for a Tobacco Quitline.
Saul JE, Lien R, Schillo B, Kavanaugh A, Wendling A, Luxenberg M, Greenseid L, An LC. Int J Environ Res Public Health. 2011 May;8(5):1547-59. Epub 2011 May 13. 
This study evaluated the Minnesota quitline’s shift from distributing NRT using a single shipment of eight weeks of NRT, to a two-shipment protocol (five weeks followed by three weeks if callers continued with counseling). Callers in the eight-week two-shipment group completed significantly more calls (3.0) than callers in the five seek one-shipment group (2.4) or eight week single-shipment group (1.7) (p<0.001). However, there were no significant differences in 30-day point prevalence abstinence at seven months among the three groups. Assuming no difference in quit rates between the groups, cost-per-quit was lowest for the five week one-shipment group ($1,155). The authors conclude that while satisfaction rates increase among participants who receive more counseling and NRT, quit rates stay the same, even when controlling for demographic and tobacco use characteristics.
Increasing Consumer Demand Among Medicaid Enrollees for Tobacco Dependence Treatment: The Wisconsin ‘‘Medicaid Covers It’’ Campaign. 
Keller PA, Christiansen B, Kim S-Y, Piper ME, Redmond L, Adsit R, Fiore MC. Am J Health Promot 2011;25(6):392–395. 

This study evaluated whether a targeted print-based communications campaign improved use of tobacco cessation treatment. Print materials for clinicians and patients/consumers were distributed to 13 health maintenance organizations (HMOs) serving Wisconsin Medicaid HMO enrollees. The study measured whether Medicaid pharmacy claims data increased for Medicaid enrollees and compared the change to fee-for-service enrollees. Usage of the Wisconsin Quit Line was also assessed. Results showed that pharmacy claims for cessation medications increased in both groups, but the rate of increase among Medicaid enrollees was significantly greater than in the comparison group. The number of Medicaid enrollees that registered for Quit Line services also increased significantly after the campaign. The authors concluded that these findings may inform other states’ efforts to improve use of cessation treatments.

The Influence of Smokers' Degree of Dependence on the Effectiveness of Message Framing for Capturing Smokers for a Quitline.
Szklo AS, Coutinho ES. Addict Behav. 2010 Jun;35(6):620-4. Epub 2010 Feb 1.

This study examined differences between two different communication strategies (large posters in two different subway stations in Rio de Janeiro, Brazil) – one was gain-framed, and one was loss-framed. The posters contained images and text based on a central theme of “shortness of breath” and contained the Quitline number. Call rate differences were calculated. Results showed that light smokers exposed to the positive (gain-framed) message called 2.2 times more often than those exposed to the negative (loss-framed) message (p<0.001). No differences were observed among heavy smokers. The authors conclude that light smokers might be more effectively recruited to quitline treatment interventions by using short-term positive-content campaigns based on issues related to individuals’ daily routine.  

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Attend Overview of HIT & Meaningful Use in Relation to Tobacco Use Screening 
NC Prevention Partners will be hosting a webinar about health information technology (HIT) and Meaningful Use and how these relate to tobacco use screening on July 19th from 10:30-11:30am.

Michael Pierson from the CDC will cover HIT and some of the requirements hospitals need to meet to be reimbursed, as well as how Meaningful Use is related to tobacco use and screening.

Mark Bell from the NC Hospital Association, will provide state perspective and discuss the resources available for hospitals.

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 New Grant Announcement on Tobacco and Low SES Women - Deadline: July 15, 2011
A new grant announcement for an Office on Women's Health tobacco cessation and prevention program has been posted onto www.GrantSolutions.gov and www.Grants.gov. Two awards will be funded over a two-year period beginning in September 2011 to conduct activity that will help identify successful models to increase quit attempts and provide comprehensive culturally and linguistically appropriate tobacco prevention and cessation services forLow, Socio-economic women of childbearing age, based on the Public Health Service Clinical Practice Guideline: Treating Tobacco Use and Dependence.  
» learn more

Nominate a Deserving Colleague for Legacy's Community Activist Award
Legacy is pleased to announce the call for nominations for the 2011 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.

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Call For Papers: Special Issue "WHO Framework Convention on Tobacco Control. Are Countires Fully Implementing It?" 
The following Special Issue will be published in the International Journal of Environmental Research and Public Health - IJERPH (ISSN 1660-4601, http://www.mdpi.com/journal/ijerph/), and is now open to receive submissions of full research papers and comprehensive review articles for peer-review and possible publication:

Special Issue: WHO Framework Convention on Tobacco Control. Are Countries Fully Implementing It?

Website: http://www.mdpi.com/si/ijerph/who_conven/

Guest Editor: Dr. Adriana Blanco Marquizo Deadline for manuscript submissions: 30 November 2011

This Special Issue is open to any subject area of public health, economics and policy related to the tobacco epidemic.

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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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