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North American Quitline Consortium
August 2011


NAQC News

Make Sure to Join This Week's Webinar on Medicaid Reimbursement!
We are pleased to announce that the CDC will be joining NAQC and TCN in co-sponsoring the upcoming webinar, Learning More About Medicaid Reimbursement for Tobacco Cessation Quitline Activities: Part One in a Series of Webinars Dedicated to Tobacco Cessation Services for Medicaid Beneficiaries.  During this 90-minute, listeners will discuss the new Medicaid tobacco cessation services outlined by CMS in its letter to state Medicaid directors on June 24th. Registration is not required. The webinar we will be joined by Sharon BrownSenior Policy Analyst for the Financial Management Group of the Centers for Medicare and Medicaid Services. 
Please note that a new webpage has been developed on Medicaid coverage and will be updated frequently with important news and resources.
» learn more

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, September 8, from 2:00-2:30 p.m. Eastern Time (11:00-11:30 a.m. Pacific Time). Peter Selby (Centre for Addiction and Mental Health, and University of Toronto) will present on “Web-assisted Tobacco Interventions: Recent Research on Online Support for Smokers Trying to Quit.” It is strongly recommended that you test your system in advance of the call time to ensure you can access the webinar features. For more information about the speaker or topic, click here. Call-in information is available on the NAQC website. Presentation slides will be posted on the same page as soon as they are available.
 
The July call featured Shu-Hong Zhu (University of California San Diego) presenting on “Report from an ongoing study: the Asian Language Quitline Project.” The presentation slides are available here.  
»learn more

Update on NAQC FY2011 Annual Survey Process and Timeline, Brief Budget Survey to Launch This Week!
Rather than fielding the NAQC FY2011 Annual Survey in the fall, which tends to coincide with the Great American Smokeout, we will instead be fielding the survey in mid-to-late January, 2012. Based on your feedback, this seems like it will avoid the busy times leading up to both the Smokeout and New Years Day high volume traffic periods.

Also in response to member feedback, we will be circulating a full and complete survey instrument in the fall of 2011 so that quitlines and their service providers have adequate time to prepare for the survey data collection period.

In light of this change to the survey timeline, it is important that we collect FY2011 and FY2012 budget information from quitlines in the next few weeks. 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.
» learn more

NAQC 2012 Conference! SAVE THE DATE!
Don't forget…The 2012 NAQC conference will be an ancillary meeting to NCTOH in Kansas City, Missouri. QUITLINE INNOVATION AND SUSTAINABILITY: Exploring Strategies and Seizing Opportunities in Challenging Times will begin early on August 13th and conclude late-afternoon on the 14th. More information regarding conference goals and objectives, tracks, registration and the abstract submission process is coming soon. In the meantime, if you have questions or if you are interested in serving on the conference planning workgroup please contact Tamatha Thomas-Haase at tthomas-haase@naquitline.org.

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


Tobacco Control

New Fact Sheets!
NAQC would like to bring two excellent new fact sheets to you attention! First, the American Lung Association has distributed a fact sheet on The Need for Tobacco Cessation Treatment in the Essential Health Benefits Package. This important work is aimed at ensuring that cessation services are adequately incorporated into the Affordable Care Act as health care reform progresses. Next, Policy Guidance on E-Cigarettes was released by the American Cancer Society, American Heart Association, American Lung Association and the Campaign for Tobacco Free Kids. The use of e-cigarettes by smokers who are trying is an issue that may need to be monitored by quitlines.We hope these are useful to you. 
» learn more

California’s Priority Populations Launch a New Tobacco Control Initiative!
Tobacco control professionals from across the state gathered for the official launch of the newly formed ADEPT (Advocacy and Data dissemination to achieve Equity for Priority populations on Tobacco) Project on August 3, 2011 in Long Beach, California. California’s recent smoking prevalence data reports that adult smoking rates are at an all time low of 11.9%, second only to Utah. However, with smoking prevalence for African American males at over 18% and Lesbian, Gay, Bisexual and Transgender (LGBT) young adults at 43%, there are many other California populations that have not shared in the gains reaped from the passage of Proposition 99. Approved by California voters in 1988, Proposition 99 added a 25-cents tax to every package of cigarettes sold in the state of California of which 5-cents was used to fund California’s comprehensive tobacco control movement. 
» learn more
  
Policy News: ACS Cancer Action Network's Reports!
Recently 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

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


Research

KIQNIC Project Update!
The KIQNIC project has produced a new publication in the journal Health Care Management Review. The article, "Network formation, governance, and evolution in public health: The North American Quitline Consortium case," provides a fascinating look into the evolution of NAQC as a network of organizations, and was co-authored by Keith Provan, Jonathan "Jeb" Beagles and Scott Leischow, all members of the KIQNIC research team.

According to lead author Professor Keith Provan, at the University of Arizona, "Although there is a lot of interest in collaborative networks of health organizations, we really don't know much about them. This paper attempts to shed some light on the topic by offering a detailed look at how NAQC was formed and grew." In fact, the paper includes a detailed timeline spanning 1992 through 2008, showing 13 milestones in the development of NAQC.

Data was gathered from news and journal articles, websites of NAQC and other organizations, and interviews with key informants. The findings show how the network that emerged became formalized through a back-and-forth interplay between the internal needs and goals of the state- and provincial-level quitline organizations. The formation of the network, and its governance through a network administrative organization (the NAQC office), was driven by important events and shifts in the external environment, including the influence of major national organizations.

Co-author and KIQNIC Principal Investigator Scott Leischow, also at the University of Arizona, reiterated the growing interest in networks of health organizations, "People see great potential in developing purpose-driven networks to address health and health system challenges, but so far we know very little about how to help them function well. At its core, that's really what the KIQNIC project is about." It is hoped that this publication will help health care leaders and policy officials understand how a large network spanning multiple states/provinces and countries might be coordinated and integrated through the establishment of a formal network.

The full paper can be downloaded at http://journals.lww.com/hcmrjournal/toc/publishahead.
» learn more


Comparison of Serum Cotinine Concentration within and across Smokers of Menthol and Nonmenthol Cigarette Brands among Non-Hispanic Black and Non-Hispanic White U.S. Adult Smokers, 2001-2006
Ralph S. Caraballo, David B. Holiday, Steven D. Stellman, et al. Cancer Epidemiol Biomarkers Prev 2011;20:1329-1340.  
This study examined the relationship between smoking a menthol or nonmenthol cigarette brand on cotinine levels (adjusted by the number of cigarettes smoked per day) among non-Hispanic black and white U.S. adult smokers. The study was an attempt to understand whether the preference for menthol cigarettes in black smokers accounts for their higher cotinine levels. Results showed that smoking a menthol cigarette brand versus smoking a nonmenthol cigarette brand was not associated with mean serum cotinine concentration in either black or white smokers. The authors call for additional studies like this one to better understand health consequences of future changes in tobacco product design.
 
In a commentary on this article, “Menthol Should Not Be Given a Free Pass Based on Studies of Biomarkers of Toxicity,” Clark and Gardiner argue that the conclusions of the study should not lead us to conclude that there is no increased harm from the addition of menthol to cigarettes. To do so defines “harm” much more narrowly than is appropriate for this issue. Instead, they argue that menthol’s harm stems from its masking of the harshness of tobacco smoke, its use in starter products for children, its interference with quitting and staying quit, and the deliberate targeting of menthol cigarettes to vulnerable populations.  (Clark and Gardiner. Menthol Should Not Be Given a Free Pass Based on Studies of Biomarkers of Toxicity. Commentary on Caraballo et al., p. 1329. Cancer Epidemiol Biomarkers Prev 2011;20:1269-1271. Published online July 6, 2011.) 

Smoking in Top-Grossing Movies — United States, 2010
Centers for Disease Control and Prevention. MMWR, Weekly 60(27):910-943.
Smoking in movies has been shown to contribute significantly to young people starting to smoke. A 2010 meta-analysis of four studies concluded that 44% of youth smoking initiation can be attributed to viewing tobacco incidents in movies. This study compared major motion picture companies that have adopted a tobacco reduction policy to those without such a policy. Results of the study showed that the total number of onscreen tobacco incidents in youth-rated movies has gone down 71.6% from 2005 to 2010 (595 incidents in 2010 compared to 2093 in 2005). However, only three of the six major studios have a published, written smoking reduction policy in place. Those three studios had reductions in tobacco use depictions in youth-rated movies between 2005 and 2010 ranging from 91.5% to 98.9%. As a comparison, the three major studios and Independent studios with no published, written smoking reduction policy had reductions ranging from 26.4% to 62.7% during the same time period.

African American Participation and Success in Telephone Counseling for Smoking Cessation
Rabius V, Wiatrek D, McAlister AL. Nicotine & Tobacco Research 2011 Jul 20. [Epub ahead of print] 
This study assessed how effectively African Americans are served by quitlines for smoking cessation based on empirical data from 45,510 callers from Texas, Louisiana, Washington, and District of Columbia and randomized clinical trial data from 3,522 participants. Results show that African Americans used a quitline at higher rates than their proportional representation among smokers. In addition, African Americans quit at the same rate, were equally satisfied, and completed the same number of sessions as non-Hispanic white callers. The authors conclude that telephone counseling is a promising tool for addressing health disparities related to smoking among African Americans.

Helping Smokers With Depression to Quit Smoking: Collaborative Care with Quitline
Segan CJ, Borland R, Wilhelm KA, Bhar SS, Hannan AT, Dunt DR, Ferretter IT. MJA 2011; 195 (3): S7-S11
This study explored quitline-doctor comanagement of smoking cessation and depression among callers to the Victorian Quitline, including smokers’ evaluations of the program and quitting success. Smokers disclosing doctor-diagnosed depression were followed to assess uptake of Quitline-doctor comanagement of their conditions, making a quit attempt, and sustained quitting. Results showed that at the two-month follow-up, 83% of participants agreed it was a good idea to involved their doctor in their quit attempt, 74% had discussed quitting with their doctor, and 43% had received comanagement of their depression and quitting. Overall, 72% made a quit attempt, 37% and 33% were quit at two and six months, respectively, and 20% achieved sustained cessation (>4 months). Participants who received comanagement were more likely to make a quit attempt and also received more quitline calls. The authors conclude that quitline-doctor comanagement of smoking cessation and depression is feasible, is valued by smokers, and increases the probability of quit attempts. They also note that comanagement did not increase the risk of exacerbation of depression.

The Empire Challenge: Statewide Initiative Linking the Role of Dental Hygienists to Tobacco Dependence Treatment
Rauch TL, Sinisgalli E, Speenburgh J, Juster HR. J Dent Hyg. 2011;85(1):22-8. Epub 2011 Jan 1. 
This study examined whether a specialized training program could increase the number of dental hygienists in New York State who routinely addressed tobacco use with their patients. A training program was developed based on the 2000 Clinical Practice Guideline. The formal training program was associated with a significant increase in the percentage of hygienists routinely addressing tobacco use and dependence with their patients. An increased number of calls to the quitline were generated.
Find more Research in our Newsroom or go back to top.


Announcements

Nominate a Deserving Colleague for Legacy’s Community Activist Award!
Legacy is pleased to announce the call for nominations for the 2010 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.aspx. The winner will receive a $2500 honorarium.

NOTE: Deadline for nominations is Friday, September 17, 2010.

New Mexico released its RFP for Quitline and Online Tobacco Cessation Services!  
The deadline for submission of proposals is August 25, 2011.   The RFP can be found on the New Mexico Department of Health website www.health.state.nm.us
» copy of the RFP

Call for Papers!
The epidemiology of smoking has evolved dramatically over the last decade, as it appears that cigarette consumption (cigarettes per day) is continuing to decline. Studies on the association between tobacco control interventions (place restrictions, increase excise taxes, establish secondhand smoke policies) and cigarette consumption patterns are rapidly emerging in the literature. Therefore, studies addressing specific research questions related to cigarette consumption are needed, especially since change in smoking prevalence has not been consistent across all groups in developed and developing countries (e.g., women, youth, low socioeconomic status, racial/ethnic minorities).
 
The main focus of this special issue will be the compilation of research on the emerging science describing tobacco consumption patterns. Given the introduction of innovative tobacco products, emerging tobacco use patterns may result in 1) cigarette use and the potential to switch to other tobacco products, 2) combined concurrent use (polytobacco use, dual use), 3) increase in the number of social or occasional smokers, and 4) disparities in tobacco use. We strongly encourage the submission of analyses using cross-section surveys, longitudinal studies, laboratory or natural experiments, or intervention studies.
» 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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