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North American Quitline Consortium
January 2012


FY2011 Annual Survey Update!
 The FY2011 Annual Survey will be fielded January 25, 2012. The survey instruments are now available on the 2011 Annual Survey web page. Below are some important highlights for the FY2011 survey process:
  • The FY2011 survey will be fielded in January and February 2012 using Survey Monkey (the same system we used for the budget survey in the fall of 2011). The Survey Monkey web collection interface will open January 25.
  • A few clarifications were added to the survey questions and instructions based on feedback we received from members. You can view the revised survey here. While the Survey Monkey data collection system will not open until January 25, quitlines can begin collecting the necessary information as of today. PLEASE NOTE there are different versions of the survey for US and for Canadian quitlines; please make sure to download the correct versions.
  • training webinar for the annual survey will be held on Wednesday, January 25, from 1:00-2:30 p.m. Eastern time (10:00-11:30 am Pacific time). The training webinar is optional, and will be recorded. The webinar access information, agenda, slides, and recording will be posted on the NAQC annual survey web page. Additional information will be distributed to all survey responders on January 17. If there are new staff members who should receive this information, please contact Natalia Gromov at
  • ONLY ONE PERSON from each quitline should be tasked with entering item responses for the entire survey. Survey respondents should circulate the PDF or Word versions of the survey to collect all necessary information prior to entering data in Survey Monkey. We apologize for any inconvenience this may cause.
  • The one person entering survey data into Survey Monkey will be able to re-enter the survey at any point; not all data must be entered at one time unless your computer system does not allow Survey Monkey to recognize you when you return to the survey. Instructions for determining whether this will affect you are included on the first page of the Survey Monkey interface.
 For more information about this year’s survey and the training call, please visit the 2011 survey page.
We realize that you have many competing priorities and commitments, and we thank you for taking the time to complete the survey every year. Without your help we could not collect this valuable information. As always, if you have any questions or concerns, please let us know.
» learn more

Preparing for Graphic Health Warnings – NAQC Modifies MDS “How Heard About” Item!
In response to requests from NAQC members and national partners, the NAQC Minimal Data Set (MDS) workgroup has convened and made recommendations regarding one change to the intake question assessing how tobacco users heard about the quitline to include a national toll-free number on cigarette packages. The new response option is intended to help assess the impact of graphic health warnings on quitline call volume. Since the responses of callers are subject to individual recall, it is worth noting that the data will not provide a complete and 100% accurate measure of direct impact of graphic health warnings on quitline call volume. The proposed modifications will allow for monitoring changes in responses to the “how heard about” question currently on the MDS.
  • To view the recommended changes, click here.
  • To view the full MDS intake questions, click here.
  • To view additional information about the MDS, see the MDS page on NAQC’s website.
» learn more 

Public-Private Partnership Initiative: States Identified for Technical Assistance!
We are pleased to announce that NAQC will be providing in-depth technical assistance on developing public-private partnerships to nine states.  The initiative, supported by CDC, is designed to provide states with the resources, tools and technical assistance to advance health plan coverage for cessation services, including quit line.
As a participating state, each state will have access to one-on-one technical assistance, tailored resources, as well as support from other states through monthly facilitated discussions.  To help meet the need of states requesting these services, two discussion groups have been identified based on the state’s individual needs.  The groups are as follows:
            Group I:   Florida, Arizona, Utah, Maryland, Massachusetts and Nevada
            Group II:  Rhode Island, New Hampshire and Kentucky

The state’s designated lead staff has committed to participate in monthly facilitated discussions, attend each session of the 3-part webinar series, and dedicate at least 8 hours a week to actively advance the work in their state. The webinar series, available to all NAQC members, will provide the framework for developing cost-sharing partnerships.   
For more information about the initiative or resources available to all members, please contact Deb Osborne at or 800-398-5489 ext.705.
» learn more

Quitline Research “Coffee Break” Calls Series Resumes in February! 
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.
The February 9 call will feature Jack Boomer (BC Lung Association) and Frankie Best (BC Ministry of Health) who will be speaking on “Incorporating Social Media Technologies into Cessation Services .” They will talk about the lessons they learned to incorporate social media into their suite of cessation services, experiences they have had to date, and the impact of social media. They will identify potential research opportunities that may be of interest to the quitline community. For more information about their presentation, call-in information, and other future speakers, see The presentation slides and call recordings for past presentations are available here.  
We are looking for interesting speakers and relevant topics for our spring 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 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.
»learn more

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

Tobacco Control
Text Messaging Libraries for Cessation (Adults and Teens) Now Available!
There is a small but solid body of literature that indicates that text messaging is an effective platform on which to deliver a cessation intervention.
Based on this, several quitline programs and other organizations have started offering text messaging to tobacco users who want to quit. At the link below are a few examples that are available for use by quitlines. As with any program you are adapting, please read through the messages carefully to ensure they refer only to the programs and resources your program wants it to refer to.
» learn more

FDA Statement on the Institute of Medicine Report: Scientific Standards for Studies on Modified Risk Tobacco Products!
On December 14, 2011, the Institute of Medicine released a report on the design and conduct of studies which the FDA will take into consideration in the assessment and ongoing review of modified risk tobacco products. A modified risk tobacco product is any tobacco product sold or distributed for use to lower the harm or risk of tobacco-related disease associated with other tobacco products. Experts within the FDA’s Center for Tobacco Products will take these recommendations into consideration in developing its guidance and/or regulation on the scientific evidence required for the assessment and ongoing review of modified risk tobacco products.

The 2009 Family Smoking Prevention and Tobacco Control Act requires the FDA to consult with the IOM on the design and conduct of studies and surveillance required for the assessment and ongoing review of modified risk tobacco products. The FDA must publish regulations and/or guidance on the scientific evidence required for assessment and ongoing review of modified risk tobacco products by April 2012.
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New Study: Massachusetts Program to Help Medicaid Smokers Quit Saves $3 for every $1 Spent!
A newly published study shows that Massachusetts saved more than $3 for every $1 it spent on services to help beneficiaries in the state’s Medicaid program quit smoking. This study provides compelling evidence that comprehensive coverage of tobacco cessation services can save lives and dramatically reduce state and federal health care spending. All states should provide comprehensive Medicaid coverage for smoking cessation treatments.
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Availability of Communication Products Promoting a Healthy, Smoke-Free 2012!
To tap into the tradition of making New Year’s resolutions and to encourage smokers to resolve to make 2012 their year to quit, CDC’s Office on Smoking and Health (OSH) has updated its communication products that focus on the theme "Your Year to Quit” and the tagline "The most important New Year’s resolution you may ever make.”
» learn more

New York City’s Longer Life Expectancy Is Linked to Anti -Smoking Crusade!
New York City heart-disease deaths have dropped 28 percent since 2002, a decrease the Health Department attributes to bans on public smoking, cigarette taxes and ads depicting tobacco-related illnesses. 
The statistics were contained in a report Mayor Michael Bloomberg released yesterday giving babies born in New York a record life expectancy of 80.6 years, three years more than in 2000 and above the national rate of 78.2 years.
» learn more

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

KIQNIC Research Shows Consensus-Based Decision-Making Associated with Adoption of Quitline Practices!
In a paper about to be published in the journal Health Communication, KIQNIC researchers examine how quitlines decide to adopt smoking cessation practices. Based on models of small-group decision-making, the researchers hypothesized that the process a given quitline uses to adopt cessation practices is related to the types of constraints (i.e., contextual factors) that quitlines typically face.
The researchers looked at two types of constraints: internal and external. Internal constraints are related to procedures, beliefs, and other issues that are particular to, and to a certain extent are under the direct control of, a quitline. External constraints influence a quitline from without (e.g., budgets, precedents set by other quitlines, etc.). The researchers hypothesized that internal constraints result in consensus-style decision-making, whereas external constraints lead to decisions made by one person.
Their analysis of decision-making data collected from NAQC members through the annual KIQNIC survey indicate that, as expected, internal constraints are positively associated with consensus processes, and that adoption of practices in general was more likely if consensus processes were used. Unilateral decision-making (one person within an organization making decisions for the quitline on his/her own) was unrelated to either internal or external constraints, and was negatively associated with adoption of quitline practices.
If you have any questions about this publication or any other aspect of the KIQNIC research project, or if you would like to volunteer on the NAQC KIQNIC Workgroup, please contact Jessie Saul at Additional information about KIQNIC is available on the project web page.

Use of Electronic Health Records to Support Smoking Cessation.
Boyle R, Solberg L, Fiore M. Cochrane Database of Systematic Reviews 2011, Issue 12. Art. No.: CD008743. DOI: 10.1002/14651858.CD008743.pub2
This review assessed the effectiveness of electronic health record (EHR)-facilitated interventions on smoking cessation support actions by clinicians and on patient smoking cessation outcomes. Interventions included in the review could include any use of an EHR to improve smoking status documentation or cessation assistance for patients who use tobacco, either by direct action or by feedback of clinical performance measures. No meta-analysis was conducted due to the small number of studies. Results showed that while documentation of tobacco use and referral to cessation counseling appear to increase, patient smoking cessation was not demonstrated. The authors call for additional research to further understand the effect of EHRs on smoking treatment in healthcare settings.

Fax Referrals, Academic Detailing, and Tobacco Quitline Use: A Randomized Trial.
Sheffer MA, Baker TB, Fraser DL, Adsit RT, McAfee TA, Fiore MC. Am J Prev Med 2012;42(1):21–28.
This study examined the potential of enhanced “academic detailing” (on-site training, technical assistance, and performance feedback) in clinics to increase utilization of a fax-referral program to a telephone quitline. Participants were drawn from 49 primary care clinics in southeastern Wisconsin. Either Fax-to-quit-only (F2Q-Only) or Fax to Quit plus Enhanced Academic Detailing (F2Q-EAD) were administered. The average number of post-intervention referrals per clinician to the Wisconsin Tobacco Quitline was 5.6 times greater for the F2Q-EAD condition than for control (8.5 vs. 1.6, p=0.001). The authors concluded that enhanced academic detailing, which included on-site training, technical assistance, and performance feedback, increased the number of referrals over a fax referral program implemented without such enhanced academic detailing.
Relationship Between Smokers' Modes of Entry Into Quitlines and Treatment Outcomes.
Guy MC, Seltzer RGN, Cameron M, Pugmire J, Michael S, Leischow SJ.
American Journal of Health Behavior, Volume 36, Number 1, January 2012 , pp.3-11(9)
This study assessed the relationship between mode of entry into a quitline service and treatment outcomes. Data from the Arizona Smokers’ Helpline were analyzed to examine whether self-referrals or health care provider referrals were related to quit outcomes at 7 months post-registration for quitline services. Results showed that smokers referred to the quitline by a health care provider were more likely to quit than those who called themselves without a health care provider referral. The authors note that the reasons for this are uncertain, and require additional research.
The Relation Between Media Promotions and Service Volume for a Statewide Tobacco Quitline and a Web-based Cessation Program.
Schillo BA, Mowery A, Greenseid LO, Luxenberg MG, Zieffler A, Christenson M, Boyle RG. BMC Public Health. 2011 Dec 16;11(1):939. [Epub ahead of print]
This study examined the relationship between mass media campaigns and service volume for a statewide quitline and standalone web-based cessation program. Results showed that broadcast advertising had a greater impact on registrations for the web program than calls to the quitline. Furthermore, registrations for the web program influenced calls to the quitline (increases in web registrations in one week corresponding to increases in quitline calls in the following week). These two findings suggest the evolving roles of web-based cessation programs and Internet-use practices should be considered when creating cessation programs and media campaigns to promote them. Additionally, because different types of media and campaigns were positively associated with calls to the quitline and web registrations, developing mass media campaigns that offer a variety of messages and communicate through different types of media to motivate tobacco users to seek services appears important to reach tobacco users. The authors call for further research to better understand the complexities and opportunities involved in simultaneous promotion of quitline and web-based cessation services.
Role of Quit Supporters and Other Factors Associated with Smoking Abstinence in Adolescent Smokers: A Prospective Study on Quitline Users in the Republic of Korea.
Lim MK, Kim HJ, Yun EH, Oh JK, Park EY, Shin SH, Jung BY, Park EC.
Addict Behav. 2011 Nov 17. [Epub ahead of print]
This study examined the effectiveness of a quitline among adolescent smokers in the Republic of Korea. Of those who participated in the study, 13.4% of boys and 6.6% of girls maintained their quit for one year. Having a high level of self-efficacy influenced quit success positively for both genders.  Boys with parents or other family members as quit supporters, and boys with a higher number of past cessation attempts, were more likely to relapse. Authors conclude that the quitline is an effective way to encourage adolescent smoking cessation in Korea. Reinforcing self-efficacy and enhancing cooperative behaviors of parents or other quit supporters could also help.
Find more Research in our Newsroom or go back to top.


Request for Letters of Interest!
ClearWay Minnesota is requesting Letters of Interest from vendors that have demonstrated capabilities in evaluating tobacco cessation programs and health policy initiatives. Letters are due on January 26th. The announcement can be found here
» learn more

New Webinar Series from Break Free Alliance 
This February the Break Free Alliance is hosting a three-part webinar series, Addressing Tobacco Use in Homeless Populations. Dates and titles are listed below. To learn more go to

Wednesday, February 15, 11:00am-12:30pm PST Making the Case: Tobacco-Free Policies and Cessation Programming for Homeless Populations
Wednesday, February 22, 11:00am-12:30pm PST Systems Change: Integrating Tobacco-Free Policies and Cessation Services into Homeless Service Provider Settings
Wednesday, February 29, 11:00am-12:30pm PST Innovative Partnerships:  Developing Comprehensive Tobacco Control Programs for Homeless and Formerly Homeless Populations
» learn more

Call for Applicants: 2013 APHA Public Health Fellowship in Government!
This is the sixth year that APHA is offering this fellowship which has been described as an "amazing" and "phenomenal" experience by previous fellows. Read the lessons learned from past fellows at
Candidates must have strong public health credentials and be interested in spending one year in Washington, D.C. working in a congressional office on legislative and policy issues related to
health, the environment or other public health concerns. The fellowship will begin in January 2013 and continue through December 2013.

» learn more

APHA 140th Annual Meeting Call for Abstracts Now Open!
The American Public Health Association is announcing the Call for Abstracts for the 2012 Annual Meeting to be held October 27-31 in San Francisco, CA. The theme is Prevention and Wellness Across the Lifespan.
We encourage abstracts in all areas of public health and are also interested in abstracts that focus on the Annual Meeting theme. All abstracts must be submitted online. An easy to use online form will walk you through the process step-by-step. The deadlines for submission of abstracts range from February 6-10, 2012 depending on the Section, SPIG, Caucus or Forum to which you wish to submit your abstract. All submissions will end at 11:59 pm Pacific Standard Time on the due date listed on the Call for Abstracts. No late submissions will be accepted.

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Job Announcements!
Associate Director, Youth Advocacy (CTFK) responsible for youth advocacy programming, partnership development, media relations, special events coordination, work with state partners & organization leadership. Learn more here.  

State Communications Director (CTFK) responsible for media relations, advertising, direct mail, social media and assisting state partners. Learn more here.

There are also a variety of careers opportunities in the Center for Tobacco Products (CTP). Please learn about available job openings here.

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.
Copyright (C) 2012 North American Quitline Consortium All rights reserved.