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North American Quitline Consortium
October 2011


NAQC News

NAQC Conference 2012 Update!
NAQC Conference 2012, QUITLINE INNOVATION AND SUSTAINABILITY: Exploring Strategies and Seizing Opportunities in Challenging Times, will take place August 13th and 14th in Kansas City, Missouri as an ancillary meeting to the National Conference on Tobacco or Health.
 
PLEASE RSVP!
We do hope you will RSVP for the conference no later than October 31, 2011. We are using the RSVPs for early planning purposes only and it in no way signifies a requirement to register.
 
PLEASE CONSIDER SERVING ON THE CONFERENCE PLANNING WORKGROUP!
As always, NAQC will depend on a dedicated group of members to help with conference planning efforts. Workgroup members will guide the development of the abstract submission form; score abstract submissions and recommend the final slate of breakout sessions; propose plenary topics and speakers; and provide general guidance on conference planning.
 
Contact Tamatha Thomas-Haase at tthomas-haase@naquitline.org if you want to join the fun. Hurry though – our first meeting is in December!
 
QUESTIONS ABOUT NAQC'S CONFERENCE
For more information please contact Tamatha Thomas-Haase at tthomas-haase@naquitline.org or call us at 800-398-5489.
» learn more

Quitline Research “Coffee Break” Calls Series Continues in November!
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. Typically, the presenter gives a 10-15 minute presentation on a newly published research article, a new methodology for conducting research or collecting data, a description of a newly funded study, etc. There are 10-15 minutes at the end of each presentation for questions. The calls are scheduled 2:00 to 2:30pm eastern time on the second Thursday of each month.
 
We are looking for interesting speakers and relevant topics for our November 2011 and January 2012 calls. If you are interested in presenting or know of someone you who may like to present, please contact NAQC’s Director of Research, Jessie Saul, at jsaul@naquitline.org. We are especially interested in speakers doing work in the area of health communications, marketing, or economics, as these are areas that are directly related to areas of concern for quitlines, namely graphic health warnings on cigarettes, cost effectiveness calculations for various constellations of services, and sustainability for quitlines.
For more information about the series, click here.  Call-in information is available on the NAQC website at http://www.naquitline.org/?page=CallInformation. Presentation slides are posted on the same page.
 
The September call featured Peter Selby (Centre for Addiction and Mental Health, and University of Toronto) who presented on “Web enrollment and self assessment for NRT: feasibility and quit rates.” The presentation slides and call recording are available here
»learn more

Update on NAQC FY2011 Brief Budget Survey!
Thanks to everyone who completed the FY2011 budget survey! As of Tuesday, October 11, 57 quitlines have completed their budget surveys. We will be continuing to follow up with those who have not yet completed the survey; your participation is greatly appreciated!
 
NAQC and our advocacy partners will be using that information to continue to make the case for maintaining and increasing quitline budgets, especially given the upcoming introduction of the new FDA warning labels with the 1-800-QUIT-NOW number. Please contact NAQC’s Director of Research, Jessie Saul, if you have any questions or concerns about the budget survey. (jsaul@naquitline.org, 800.398.5489 ext 702). PDF copies of your FY2010 survey responses, as well as your FY2011/12 budget survey responses are also available upon request
» learn more

Letter Thanking CMS for Medicaid Quitline Changes!
NAQC signed on the letter thanking Cindy Mann at CMS for examining ways to ensure that states can obtain federal Medicaid matching funds for coverage of quitline services to better ensure that states can provide these services to Medicaid recipients.
» learn more

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


Tobacco Control

MEMBER ALERT -- On November 14th and 15th, the Caron Foundation’s Student Assistance Program is holding the “Adolescent Smoking Prevention and Cessation Symposium” in Nashville!
NAQC would like its members to know that the event is funded by Philip Morris USA, U.S. Smokeless Tobacco and John Middleton Company, all owned by Altria.  John Middleton is a cigar and pipe tobacco company that makes fruit and alcohol flavored Black and Mild cigars.  These companies collectively manufacture the cigarette and flavored smokeless tobacco and cigar brands that are the most popular with youth (Marlboro, Skoal and Black & Mild).  More high school students smoke Marlboros than all other cigarette brands combined. Clearly these companies have a vested interest in insuring that youth continue to use their products, not in preventing initiation or promoting cessation. There are no recognized experts in youth prevention and cessation involved in this symposium, nor are any legitimate tobacco control organizations involved.  It is worth noting that two of the presentations are from other Altria-funded organizations – the National 4-H Council’s Health Rocks program and the Search Institute. This event is an example of Altria attempting to undermine legitimate prevention and cessation efforts and trying to polish its image.  Thanks to the Campaign for Tobacco-Free Kids for providing this information.
»  learn more
 
BC Distributes Free NRT!
Government phone lines were lit up this week by thousands of B.C. smokers looking to snap up free cessation products.

The Ministry of Health says 7,107 nicotine replacement therapy orders were placed during the first week of the province's smoking cessation program, which began on Sept. 30.
» learn more

FDA and NIH Announce Joint Study on Tobacco Use and Risk Perceptions!
On October 6, The U.S. Food and Drug Administration and the National Institutes of Health announced a joint, large-scale, national study of tobacco users to monitor and assess the behavioral and health impacts of new government tobacco regulations. The initiative, called the Tobacco Control Act National Longitudinal Study of Tobacco Users, is the first large-scale NIH/FDA collaboration on tobacco regulatory research since Congress granted FDA the authority to regulate tobacco products in the Family Smoking Prevention and Tobacco Control Act of 2009.

Scientific experts at NIH’s National Institute on Drug Abuse and the FDA’s Center for Tobacco Products will coordinate the effort. Investigators will follow more than 40,000 users of tobacco-product and those at risk for tobacco use ages 12 and older. They will examine what makes people susceptible to tobacco use; evaluate use patterns and resulting health problems; study patterns of tobacco cessation and relapse in the era of tobacco regulation; evaluate the effects of regulatory changes on risk perceptions and other tobacco-related attitudes; and assess differences in attitudes, behaviors and key health outcomes in racial-ethnic, gender, and age subgroups.
»  learn more
 
Wisconsin "Fax to Quit" Program is an "Innovative Profile" on the AHRQ's Innovative Exchange Website!
The Wisconsin "Fax to Quit" Program is an "Innovation Profile" on the Agency for Healthcare Research and Quality (AHRQ) Innovations Exchange website. This website is a resource for ambulatory care clinicians and receives approximately 120,000 hits per month.
You can read the profile at: http://www.innovations.ahrq.gov/content.aspx?id=3272
» learn more

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


Research

State-Specific Trends in Lung Cancer Incidence and Smoking --- United States, 1999—2008.
Morbidity and Mortality Weekly Report (MMWR). Weekly. September 16, 2011;60(36):1243:1247. 
This study showed that the rates of new lung cancer cases in the United States dropped among men in 35 states and among women in six states between 1999 and 2008. Among women, lung cancer incidence decreased nationwide between 2006 and 2008, after increasing steadily for decades. The decrease in lung cancer cases corresponds closely with smoking patterns across the nation. In the West, where smoking prevalence is lower among men and women than in other regions, lung cancer incidence is decreasing faster. Studies show declines in lung cancer rates can be seen as soon as five years after smoking rates decline. The report also noted that states that make greater investments in effective tobacco control strategies see larger reductions in smoking, and the longer they invest, the greater the savings in smoking-related health care costs. Such strategies include higher tobacco prices, hard-hitting media campaigns, 100% smoke-free policies, and easily accessible quitting treatments and services for those who want to quit.

Current Cigarette Smoking Prevalence Among Working Adults --- United States, 2004—2010.
Morbidity and Mortality Weekly Report (MMWR) Weekly. September 30, 2011;60(38):1305-1309.
This study analyzed National Health Interview Survey (NHIS) data for 2004-2010 to describe the prevalence of cigarette smoking among working U.S. adults. Age-adjusted cigarette smoking prevalence among working adults in the U.S. was 19.6%, and was highest among those with less than a high school education (28.4%), those with no health insurance (28.6%), those living below the federal poverty level (27.7%), and young adults (those aged 18--24 years) (23.8%). By industry, age-adjusted cigarette smoking prevalence among working adults ranged from 9.7% in education services to 30.0% in mining; by occupation group, prevalence ranged from 8.7% in education, training, and library to 31.4% in construction and extraction. The report authors conclude that although some progress has been made in reducing smoking prevalence among working adults, additional effective employer interventions need to be implemented, including health insurance coverage for cessation treatments, easily accessible help for those who want to quit, and smoke-free workplace policies.

Public Health Clinical Demonstration Project for Smoking Cessation in American Veterans who Served Since September 11, 2001.
Zaborowski DE Dedert EA, Straits-Troster K, Lee S, Wilson SM, Calhoun PS, Moore SD, Acheson S, Hamlett-Berry KW, Beckham JC. J Addict Med. 2011 Mar;5(1):79-83.
This clinical demonstration project was designed to increase the reach of tobacco cessation treatments to a population of Veterans who had served in the military since September 11, 2001. Invitation letters were sent to 609 veteran smokers. Those indicating interest were called and offered referral to telephone counseling through the National Cancer Institute's Smoking QuitLine, web-based counseling, and quit-smoking medications. Seven percent of survey recipients participated in treatment. Of those completing a follow-up survey, 23% reported maintaining smoking abstinence. The project reached 8.6% of the targeted population (those who accessed the intervention), and a 24-hour abstinence impact rate of 2.2% (number of smokers with a 24-hour abstinence divided by the number of targeted smokers). The authors conclude that this project enhanced access to care and promoted short-term quitting among Veterans.

Collaborating with Diabetes Educators to Promote Smoking Cessation for People with Diabetes: The California Experience.
Macaller T, Brown M, Black K, Greenwood D. Diabetes Educ. 2011 Sep-Oct;37(5):625-32.
This study examined the impact of a partnership between diabetes educators, the California Department of Public Health’s Diabetes and Tobacco Control Programs, and the California Smokers’ Helpline on the smoking cessation needs of people with diabetes. A statewide educational campaign titled “Do You cAARd?” was designed to promote referrals to the California Smokers’ Helpline by diabetes educators. The campaign included a “toolkit” for educators, presentations at American Association of Diabetes Educators chapter meetings, distributions of pocket-sized smoking cessation materials, and a print media campaign. A post-campaign online survey of 46 diabetes educators showed 80% had referred clients to the Helpline, 76% knew the Helpline’s number, and 70% had distributed Helpline materials. The percentage of Helpline calls from people with diabetes and the proportion of callers referred by health care providers also increased over time. The authors conclude that this partnership serves as a sustainable, efficient, replicable outreach model for smoking cessation.

Does Offering More Support Calls to Smokers Influence Quit Success?
Carlin-Menter S, Cummings KM, Celestino P, Hyland A, Mahoney MC, Willett J, Juster HR. J Public Health Manag Pract. 2011 May-Jun;17(3):E9-15.
This study compared the efficacy (and cost-efficiacy) of offering two versus four counseling callback calls after an initial call from 1,923 Medicaid/uninsured adult smokers contacting the New York State Smokers’ Quit Line (NYSSQL). Callers were randomized to the two or four-call protocol, and all callers sere sent a minimum of two weeks of NRT, with some receiving up to six weeks. Smoking status was assessed at 3 months after enrollment in the study. There was not a significant difference between study groups in the number of callbacks completed. There was also no difference in quit rates measured at 3 months or in reported use of NRT between the two groups. The cost per quit was essentially the same in both groups (2 callbacks: $442 per quit; 4 callbacks: $445 per quit). The authors conclude that there was no advantage in terms of quit success or cost to offering up to four callbacks instead of two callbacks.

Does the Number of Free Nicotine Patches Given to Smokers Calling a Quitline Influence Quit Rates: Results from a Quasi-experimental Study.
Cummings KM, Fix BV, Celestino P, Hyland A, Mahoney M, Ossip DJ, Bauer U. BMC Public Health. 2010 Apr 7;10:181.
This study examined the impact of the provision of 2-, 4-, 6-, or 8-week supplies of nicotine replacement therapy (NRT) on quit rates at 12 months after registration for telephone counseling. Quit rates measured at 12 months were higher for smokers in the groups who received either 2, 6, or 8 weeks of free nicotine patches. The lowest quit rate was obtained among the group of Medicaid/uninsured smokers who were eligible to receive up to six weeks of free patches. The quit rate for the 4-week supply group did not differ significantly from the 6-week or 8-week groups. The authors concluded that there was no clear dose response relationship between amount of free patches and cessation outcomes. They note that baseline differences in the characteristics of the groups compared could account for the lack of significant findings, and that additional study is needed.

Treating Smokers in the Health Care Setting.
Fiore MC, Baker TB. N Engl J Med 2011; 365:1222-1231September 29, 2011.
The 9/29/11 issue of the New England Journal of Medicine includes a clinical practice review on treating tobacco dependence in the healthcare setting. This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations. The review article is available at:
http://www.ctri.wisc.edu/nejm.html

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


Announcements

CANADA ANNOUNCES NEW GRAPHIC WARNING LABELS THAT INCLUDE A TOLL FREE NUMBER AND WEBSITE!
On Tuesday, September 27, Canada’s Harper government gave final approval for new warning labels on cigarette and little cigar packages. The new regulations will be published soon in the Canada Gazette, Part II. Tobacco manufacturers and importers must be using the new labels by March 21, 2012 and retailers must ensure that all packages on their shelves feature the new labels by June 19, 2012.

The new regulations include a toll-free number (866-366-3667) for provincial helplines along with a website. Also now in force are new regulations prohibiting the terms "light" and "mild", and variations thereof, on cigarettes, little cigars and various other tobacco products and accessories.

» learn more

Multi-State Collaborative Webinar on Medicaid Cessation Benefits Featuring New York and Missouri 
The Multi-State Collaborative invites you to attend the next webinar in a series on State Cessation Strategies and Practices:

Improving and Promoting Medicaid Cessation Benefits:
Missouri and New York Tell Their Stories

Monday, October 17th, 2011, 3:00 – 4:30 p.m. Eastern Time

Description
This free webinar will showcase Medicaid cessation benefit initiatives in Missouri and New York. Presentations will include:
· Results of a Collaborative Survey on State Medicaid Cessation Benefit Activity
· The Missouri Story: Achieving a Comprehensive Medicaid benefit in Eight Months
· The New York Story: Promoting Medicaid Cessation Benefits to Achieve 40% Utilization - New York State and New York City Initiatives

» learn more and register

Receive Free EX® Info Cards and Downloadable EX® Tear-off Flyers!
Are you looking for resources to help smokers quit on the Great American Smoke Out this November 17th? Legacy’s EX program may be a useful resource for you. BecomeAnEX.org is a free, interactive website that shows smokers how to re-learn life without cigarettes. The site, developed by Legacy in partnership with Mayo Clinic, offers a free, personalized quit plan and an online support community to help people prepare to quit and stay quit. To help you gear up for quit day, Legacy is offering free EX® info cards and downloadable EX® tear-off flyers. Orders must be received by October 24th for delivery by November 16th. 
» place an order today

Join Legacy on October 19 for Warner Series: After Tobacco!
On October 19, from noon to 2:00pm, Legacy will host the next Warner Series which will explore the findings from the recently-released book, After Tobacco.  The book, published by Columbia Press with support from Legacy and Columbia University’s Institute for Social and Economic Research and Policy, considers the economic impact of reducing smoking rates on tobacco farmers, cigarette-factory workers, the southeastern regional economy, state governments, tobacco retailers, the hospitality industry, and nonprofit organizations that might benefit from the industry’s philanthropy. It also examines the effect of smoking reduction on mortality rates, medical costs, and Social Security. The event will be held at Legacy. The discussion will also be available via live webcast on the Legacy site, www.legacyforhealth.org, beginning at 12:30pm on the day of the event.  To RSVP, contact Anna Goth at agoth@legacyforhealth.org.
» learn more

Call for SRNT Pre-Conference Workshop Proposals!
SRNT is accepting proposals for pre-conference workshops to be held in conjunction with the 2012 Annual Meeting in Houston, Texas. Pre-conference workshops will be held on Tuesday, March 13.

SRNT has already accepted one full-day basic science and two half-day treatment workshops.

SRNT will consider proposals for either half-day sessions or full-day sessions. SRNT will charge a registration fee, which will cover coffee breaks, lunch, and A/V; other costs associated with workshops (speaker travel, honoraria, etc.) must be covered by the workshop organizers. 

» learn more

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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