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Jim McCord, Project Director Tobacco Control Program SD DOH 615 E. 4 th St. Pierre, SD 57501 Phone: (605) 773-3737 Fax:

Jim McCord, Project Director Tobacco Control Program SD DOH 615 E. 4 th St. Pierre, SD 57501 Phone: (605) 773-3737 Fax: (605) 773-5942 Email: jim.mccord@state.sd.us. SD QuitLine Offers:. Free written materials to assist tobacco users who are ready to quit

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Jim McCord, Project Director Tobacco Control Program SD DOH 615 E. 4 th St. Pierre, SD 57501 Phone: (605) 773-3737 Fax:

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  1. Jim McCord, Project Director Tobacco Control Program SD DOH 615 E. 4th St. Pierre, SD 57501 Phone: (605) 773-3737 Fax: (605) 773-5942 Email: jim.mccord@state.sd.us

  2. SD QuitLine Offers: • Free written materials to assist tobacco users who are ready to quit • Free telephonic cessation counseling delivered by trained health coaches • Access to free cessation medication • Referrals to other cessation services (if interested)

  3. Eligibility Requirements • Must be a resident of the state of South Dakota • Must be a current tobacco user ready to quit

  4. 3 Opportunities • Those participants who have previously used the QuitLine but have relapsed may call up to a total of 3 times in their lifetime • Eligible 3 months after their last date of service with the QuitLine

  5. QuitLine Medications • Up to 8 weeks of: • Nicotine Replacement Patch • Nicotine Replacement Gum • Up to 12 weeks of: • Zyban • Chantix

  6. Medication Descriptions • Zyban (Generic Name: Bupropion) • Non-nicotine containing prescription drug that reduces the symptoms of nicotine withdrawal by acting on the chemicals in the brain related to nicotine craving • Chantix (Generic Name: Varenicline) • Non-nicotine containing prescription drug that reduces the urge to smoke by preventing nicotine from reaching the key nicotine pleasure receptors in the brain

  7. Over-the-Counter Medication: Patch, Gum • Individual must call the QuitLine to enroll in the program • Participant receives letter & member ID # with explanation of how to pick up at a local participating pharmacy • Pick up 2 weeks patch or gum at a time: coach approves in 2 week increments after 1st, 3rd, 4th, and 5th coaching sessions

  8. Prescription Medication: Zyban, Chantix • Individual must call the QuitLine to enroll in program • Healthcare provider determines the medication is safe and appropriate for individual • Healthcare provider faxes a QuitLine prescription form to Central Pharmacy • QuitLine coach sends Central Pharmacy notification of completion of 1st, 3rd, and 5th coaching sessions • Medication is sent to participant’s home address

  9. Must Enroll & Participate in CoachingIn Order To Receive Free Cessation Medication • Typically 5 coaching sessions centered around a Quit Date • Sessions scheduled by the participant at their convenience • QuitLine Coach calls the participant at scheduled time

  10. Approximate Length of Coaching Sessions • Initial Call (1st call to QuitLine by a participant to enroll in program): 10-15 minutes • 1st coaching session: 25-45 minutes • 2nd-4th coaching sessions: 15-20 minutes • 5th coaching session: 10-15 minutes

  11. Coaching Sessions 1 & 2Preparation (Prior to Quit Date) • Develop a Personalized Quit Plan • Plan a Quit Date • Medication Information • Discuss: • Triggers • Coping Mechanisms • Withdrawal Symptoms

  12. Coaching Session 3On Quit Date • Coach Provides Support and Encouragement • Addition Information on Medication Coaching Session 4 After Quit Date • Follow-Up • Review Quit Strategies • Address Relapses

  13. Coaching Session 5Graduation Session • Contact Information • Graduation Letter Issued • Leave with any Last Suggestions • Answer Questions

  14. QuitLine Hours of Operation • Monday-Friday: 7:00 am – 11:00 pm • Saturday: 8:00 am – 5:00 pm • Sunday: 10:00 am – 4:00 pm Voicemail available 24 hours/day with a return call within 24 hours

  15. Challenges with Chantix Reasons Chantix users stopped using the medication (n= 1,614) Reasons Chantix users were not able to stay quit (n=838)

  16. Challenges with Chantix • The provider sends the Rx to the pharmacy, but client never calls the QL to initiate cessation coaching. • When the Rx does not reach the pharmacy, it results in a delay in med distribution. • Rx scripts are signed but incomplete, illegible or wrong medication amount prescribed. • Rx scripts are faxed to local pharmacy rather than central pharmacy. • Lack of follow through from provider (no fax sent).

  17. Successes with Chantix • Rx mailed directly to participant’s home SD address, no need to go to pharmacy which is critical in rural areas. • Central pharmacy tracks amount of Rx received by participant so as not to exceed 3-month supply. • Ease of QL client in receiving Rx through the mail and coaching over the phone (no travel). • Physician referrals increased to 44% of all QL callers. • Quit Rates have significantly improved.

  18. Data from 7 month follow-up evaluations: January-August 2008 74% (n=1,614) of coaching participants used Chantix - 2% of these participants also used NRT (n=29) 89% of Chantix users reported that it was “very easy” to get the medication Quit rates are significantly higher for 2008 than for previous years.

  19. Medication Requests In 2008, 69% of callers who requested coaching wanted to use the prescription medication, Chantix.

  20. Enrollment SD QuitLine use increased nearly three-fold in 2008.

  21. SD QuitLine Timeline 2005 2006 2007 2008 13mo quit rate (7dpp): 29% 26% 38% N/A

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