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Results from the 2010 NAQC Annual Survey of Quitlines

This report presents the findings from the 2010 NAQC Annual Survey of Quitlines, including information on budgets, services offered, funding sources, and utilization. The survey includes data from US and Canadian quitlines.

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Results from the 2010 NAQC Annual Survey of Quitlines

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  1. Results from the 2010 NAQC Annual Survey of Quitlines Prepared by: Westat, Jessie Saul, and the NAQC Annual Survey Workgroup July 11, 2011 -

  2. Background of Annual Survey Conducted Annually 2004-2006, 2008-2010 Research Partners: 2010 Westat 2008 and 2009 Evaluation, Research and Development Unit, University of Arizona 2006 Center for Tobacco Research and Intervention, University of Wisconsin 2005 University of California, San Diego 2004 Tobacco Technical Assistance Consortium

  3. 2010 Annual Survey Methods Completed from October to December 2010 Web-based survey with email and telephone follow-up: General Information, hours, services offered Quitline budgets Funding sources Materials used Counselling services and protocols Promotion Utilization Evaluation 65 quitline funders and their service providers were asked to respond; 52 of 53 US quitlines responded; 10 of 12 Canadian quitlines responded.

  4. BUDGET

  5. Budget Summary • Budgets declined for the first time in FY10 • The primary impacts of the decline were a decrease in media, promotions, and outreach; and a decrease in the number of tobacco users served. • The level of services stayed relatively constant from FY09 to FY10 • Median services budgets increased in the US but decreased in Canada from FY09 to FY10

  6. For the first time, the median and total US quitline budgets decreased slightly in FY10 N=50 N=50 N=51 N=48

  7. Median quitline budgets in Canada have decreased from FY09 – FY10 N=9 N=9 N=10 N=9 N=6

  8. US Spending per Smoker 2008-2010(services and medications) N=49 N=50 N=45

  9. Canada Spending per Smoker (services), 2008-2010 N=9 N=8 N=9

  10. Funding Sources in FY10 and FY11

  11. More US quitlines report receiving funds from CDC or MSA funds than any other source

  12. For US quitlines, the highest proportion of funds come from MSA, general funds, state tobacco taxes, and non-MSA tobacco settlement funds

  13. The majority of Canadian quitlines report receiving funds from provincial general funds

  14. For Canadian quitlines, the highest proportion of funds come from provincial general funds and Health Canada

  15. DESCRIPTION OF SERVICES

  16. General Service Description FY10 • 61 or 98% of quitlines responding reported having counseling services available at least five days per week for a minimum of eight hours per day • 48 or 92% of US and 8 or 80% of Canadian quit lines also offered counseling service on at least one day of the weekend • 28 quitlines (26 or 50% of US and 2 or 20% of Canadian) reported having live pick-up of incoming calls (may or may not have counseling services available) 24 hours a day, 7 days a week • 96% of US (n=50) and 80% of Canadian (n=8) quitlines reported closing on holidays

  17. Most US and Canadian quitlines provide multiple proactive counseling sessions FY10

  18. US and Canadian quitlines provide interactive web-based programs to help tobacco users quit FY10

  19. Methods Offered to Providers to Refer Patients to Quitlines in FY10

  20. Quitlines made between 3 and 4 attempts to reach fax- or e-referred patients in FY10

  21. Used a translation service for hearing clients FY10

  22. Number of times translation service used for counseling hearing clients FY10

  23. Quitline used a third party translation service for deaf and hard-of-hearing clients FY10

  24. Number of times translation service used for counseling deaf and hard-of-hearing clients FY10

  25. Number of Calls of Counseling Service by Language FY10

  26. US Primary Service Providers FY10 The figure below shows the organizations (n=15) that were the primary service provider of counseling services for US quitlines

  27. Canadian Service Providers FY10 The majority of Canadian quitlines (60%) had counseling services provided by the Canadian Cancer Society, Ontario Division 1 1 1 1

  28. MEDICATIONS

  29. The number of US quitlines providing free medications has increased over time

  30. Free Medication Provision – US Quitlines – FY10

  31. PROMOTION AND OUTREACH

  32. Types of Media/Promotions and Outreach Activities FY10&11, US Quitlines

  33. Types of Media/Promotions and Outreach Activities FY10&11, US Quitlines (cont.)

  34. Types of Media/Promotions and Outreach Activities FY10&11, Canadian quitlines

  35. Types of Media/Promotions and Outreach Activities FY10&11, Canadian quitlines (cont.)

  36. UTILIZATION

  37. Utilization – Calls FY10

  38. Number of unique tobacco users FY10

  39. Number of referrals received by the quitline in FY10

  40. In FY10, US quitlinesreceived 3.5 times as many direct calls from smokers as referrals; Canadian quitlines received 1.5 times as many referrals as direct calls from smokers

  41. 33% of US fax referrals received counseling or medications (N=40) 33% 57% 72% 82%

  42. Average number of minutes of counseling and number of counseling calls completed FY10

  43. US Promotional Reach FY 2005-2010

  44. Canada Promotional Reach FY 2005-2010 N=8 N=9 N=10 N=8 N=3

  45. Where are we now?

  46. Treatment Reach FY09-FY10

  47. US Quitlines Treatment Reach and Spending Per Smoker (svcs + meds) FY10 CDC recommendation: 6% reach, $10.53 per smoker

  48. Canada QuitlinesTreatment Reach and Spending Per Smoker FY10 CDC recommendation: 6% reach, $10.53 per smoker

  49. Additional Resource on Reach • Increasing Reach of Tobacco Cessation Quitlines (2009) • This technical assistance paper provides a comprehensive review of the current literature on a wide variety of strategies to increase reach of tobacco cessation quitlines. Additionally, several examples from practice are included. The paper also highlights recommendations for quitline reach and funding levels from key government and health agencies, highlighting the need to increase reach to more tobacco users to save lives and direct medical costs. Available at http://www.naquitline.org/resource/resmgr/issue_papers/naqc_issuepaper_increasingre.pdf

  50. Quit Rate Data • 30 quitlines (of 65) provided quit rate data • NAQC is following up with those that did not • Further info will be provided on whether and how quit rate data will be added to the Quitline Metrics section of the profiles • Current plan: report on quit rate in profiles, each quitline can opt out, all contextual factors will be posted in the “context” field

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