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Highlights from the 2009 NAQC Annual Survey of Quitlines

Highlights from the 2009 NAQC Annual Survey of Quitlines. Prepared by: ERDU, Mignonne Guy, Jessie Saul, and the NAQC Annual Survey Workgroup July 22, 2010. Background of Annual Survey. Conducted Annually 2004-2006, 2008, 2009 Research Partners:

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Highlights from the 2009 NAQC Annual Survey of Quitlines

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  1. Highlights from the 2009 NAQC Annual Survey of Quitlines Prepared by: ERDU, Mignonne Guy, Jessie Saul, and the NAQC Annual Survey Workgroup July 22, 2010

  2. Background of Annual Survey Conducted Annually 2004-2006, 2008, 2009 Research Partners: 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 Informs research and practice Is an iterative process

  3. 2009 Annual Survey Methods 2009 Survey completed in Two Waves Wave 1 email-based with telephone follow-up: Questions: 1) Quitline budgets, changes over time, impacts, 2) Funding sources, 3) Promotion and utilization of services, and 4) Surges in call volume and impacts Wave 2 web-based with telephone follow-up: Questions: 1) General Information, hours, services offered, 2) Materials used, 3) Counselling services and protocols, 4) Utilization, and 5) Evaluation 63 quitline funders and their service providers were asked to respond: 53 US and Territories quitlines (100% Wave 1, 98% Wave 2) 10 Canadian quitlines (100% Wave 1 and 2)

  4. BUDGET

  5. For the first time, the median and total US quitline budgets decreased in FY10

  6. Median quitline budgets in Canada have stayed relatively constant from FY05 – FY10

  7. Median budget for services and medications US, 2005-2010

  8. Median budget for servicesCanada, 2005-2010

  9. The majority of US quitlines report receiving funds from CDC or MSA funds

  10. For US quitlines, the highest proportion of funds come from MSA, general funds, and dedicated tobacco tax funds

  11. The majority of Canadian quitlines report receiving funds from provincial general funds or Health Canada

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

  13. DESCRIPTION OF SERVICES

  14. General Service Description FY09 All quitlines responding reported having counseling services available at least five days per week for a minimum of eight hours per day 49 or 94% of US and 9 or 90% of Canadian quit lines also offered counseling service on at least one day of the weekend 13 quitlines (11 or 21% 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 77% of US (n=41) and 80% of Canadian (n=8) quitlines reported closing on holidays

  15. All US and Canadian quitlines provide multiple proactive counseling sessions FY09

  16. More Canadian than US quitlines provide interactive web-based programs to help tobacco users quit FY09

  17. Nearly all US and Canadian quitlines refer to other services, have fax referral programs, and mail information to tobacco users FY09

  18. Language of Counseling Service FY09 10 52 51 8 1 2 1 1 1 1

  19. US Primary Service Providers FY09 The figure below shows the organizations (n=17) that were the primary service provider of counseling services for US quitlines 17 12 6 3 3

  20. Canadian Service Providers FY09 The majority of Canadian quitlines (60%) had counseling services provided by the Canadian Cancer Society, Ontario Division 6 1 1 1 1 1 1 1 1

  21. Language of Cessation Materials FY09 10 52 51 9 1 1 1 1 1 1 1

  22. Specialized Materials for Special Populations FY09 51 US quitlines (96%) and 6 Canadian quitlines (60%) send specialized materials to special populations. These include: 51 49 41 40 6 25 20 3 3 3 11 2 2 2 10 2 1 1 6 1 6 1 5 1 1

  23. Specialized Materials for Racial/Ethnic Populations FY09 76% of US and 10% of Canadian quitlines offers specialized materials to callers of racial/ethnic populations. These include: 37 14 12 1 1 1 1

  24. MEDICATIONS

  25. Provision of Quitting Medication FY09

  26. Free Medication ProvisionUS Quitlines, FY09

  27. Provision of Quitting Medication FY10

  28. Free NRT Eligibility CriteriaUS (N=52), FY10 Of the 52 US quitlines providing some form of free meds, the eligibility criteria included: 38 33 7

  29. PROMOTION AND OUTREACH

  30. Types of Media/Promotions and Outreach Activities FY09-10, US Quitlines

  31. Types of Media/Promotions and Outreach Activities FY09-10, Canadian quitlines

  32. Promotions/Outreach for Priority/Specialized Populations FY10 34 31 6 27

  33. UTILIZATION

  34. US Promotional Reach FY 2005-2009

  35. Canada Promotional Reach FY 2005-2009

  36. Where are we now?

  37. US Quitlines Promotional Reach and Spending per Smoker FY09 CDC recommendation: 8% reach, $10.53 per smoker

  38. US Quitlines Treatment Reach and Spending Per Smoker FY09 CDC recommendation: 6% reach, $10.53 per smoker

  39. Canada Quitlines Promotional Reach and Spending Per Smoker FY09 CDC recommendation: 8% reach, $10.53 per smoker

  40. The majority of quitline callers are cigarette users FY09 US (median) Canada (median)

  41. The majority of quitline callers are everyday/daily smokers FY09 US (median) Canada (median)

  42. Most quitline callers are female FY09 US (median) Canada (median)

  43. Utilization FY09 – Level of Education US

  44. Utilization FY09– Ethnicity and Race US

  45. Insurance Status of Callers FY09

  46. EVALUATION

  47. Evaluation FY09 50 US quitlines (94%) and 4 Canadian quitlines (40%) conduct follow-up evaluations Most quitlines have follow-up evaluation conducted by: staff other than quitline staff (e.g., internal evaluation unit) (US n=24; Canada n=1), an outside evaluation firm (US n=18; Canada n=2) Next most commonly cited was evaluation conducted by: quitline staff (US n=13; Canada n=1) the funding agency (US n=4) an other source (US n=2)

  48. Evaluation FY09 The types of evaluation data collected by those quitlines that conduct follow-up evaluations include: Customer satisfaction: US (94%, 50), Canada (40%, 4) Quitting outcome: US (94%, 50), Canada (30%, 3) Staff performance: US (70%, 37), Canada (10%, 1)

  49. Evaluation – Sampling Strategy FY09 The sampling strategy used by Quitlines for follow-up evaluations include: Random sampling:US (53%, 28), Canada (10%, 1) Census Sampling (all callers):US (45%, 24), Canada (10%, 1) Continuous sampling (year-round): US (26%, 14), Canada (10%, 1) Cohort sampling (time-limited):US (8%, 4), Canada (10%, 1) Periodic sampling (within one year or across multiple years):US (6%, 3), Canada (10%, 1)

  50. Evaluation – Sampling Time Points FY09

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