Comparison of four cessation programs what works best for whom
Download
1 / 112

Comparison of Four Cessation Programs: What Works Best ? For Whom? - PowerPoint PPT Presentation


  • 96 Views
  • Uploaded on

Comparison of Four Cessation Programs: What Works Best ? For Whom?. Comparison of Four Cessation Programs: What Works Best? For Whom?. Acknowledgement of Collaborating Vendors Helpline: Free & Clear, Inc. Website: QuitNet.com, Inc.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Comparison of Four Cessation Programs: What Works Best ? For Whom?' - fritzi


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Comparison of four cessation programs what works best for whom

Comparison of Four Cessation Programs: What Works Best?For Whom?


Comparison of four cessation programs what works best for whom1

Comparison of Four Cessation Programs:What Works Best? For Whom?

Acknowledgement of Collaborating Vendors

Helpline: Free & Clear, Inc.

Website: QuitNet.com, Inc.

Treatment Centers: Affiliated Community Medical Center

St. Mary's Duluth Clinic

Northwest Medical Center

Work Sites: Park Nicollet Institute

Presenters:

Ann H. Wendling, MD MPH

Anne E. Betzner, MA

Julie A. Rainey, BA

Barbara A. Schillo, PhD

Additional Contributors:

Michael G. Luxenberg, PhD

Lawrence C. An, MD

Annette Kavanaugh, MS

Sharrilyn Evered, PhD


Learner outcomes
Learner Outcomes:

  • Understand key program components of MPAAT’s telephone helpline, website, treatment center, and workplace cessation programs.

  • Understand cessation outcomes for each program in terms of the populations served and the degree to which clients utilized key services.

  • Assess the effectiveness of four program types for their own populations, and have a standard of comparison for similar cessation programs.

Professional Data Analysts, Inc.


Minnesota partnership for action against tobacco mpaat
Minnesota Partnership for Action Against Tobacco (MPAAT)

  • Established in 1998 as 501(c)3 as part of Minnesota’s tobacco settlement

  • Funded by Ramsey County District Court with 3% of settlement ($202 million)

  • MPAAT has awarded more than $20 million in program grants and contracts

Professional Data Analysts, Inc.


How is minnesota different from other states
How is Minnesota different from other states?

  • MPAAT is not located within or funded by the State Department of Health

  • MPAAT funds may not supplant benefits of other programs or health plans

  • MPAAT maintains partnership with health plans to provide helpline service

Professional Data Analysts, Inc.


Mpaat resources
MPAAT Resources

www.mpaat.org

Professional Data Analysts, Inc.


Cessation services provided by MPAAT

  • QUITPLAN Helpline 1-888-354-PLAN

  • quitplan.com

  • QUITPLAN Centers

  • QUITPLAN at Work

  • QUITPLAN Community-tailored Programs

Professional Data Analysts, Inc.


Helpline goals
Helpline Goals

  • Provide a multi-call proactive phone counseling program to uninsured or underinsured Minnesotans

  • Connect Minnesotans who have access to telephone counseling to their health plans

  • Create systems changes/sustainability

Professional Data Analysts, Inc.


Uninsured and underinsured
Uninsured and Underinsured

  • Uninsured = no insurance at all (not even state public programs)

  • Underinsured = insurance does not include tobacco cessation counseling and/or NRT

Professional Data Analysts, Inc.


Health plan partners 7
Health Plan Partners (7)

  • Blue Cross Blue Shield of Minnesota

  • HealthPartners

  • Mayo Health Plan

  • Medica

  • Metropolitan Health Plan

  • PreferredOne Community Health Plan

  • UCare

Professional Data Analysts, Inc.


Helpline Process

• Paid media• Targeted promotions• Referrals

Calls to Helpline

MPAAT-funded phone number1-888-354-PLAN

Is phone counseling available through health insurer?

Yes No

Health plan helpline, possible NRT

MPAAT-funded phone counseling, possible NRT

Professional Data Analysts, Inc.


Evolution of helpline services
Evolution of Helpline Services

May 2001 - Began services

Sept. 2002 - Initially provided NRT

Allowed any Minnesotan to enroll with resulting duplication of services

August 2003 - Changed scripting to improve triage and split NRT shipment

Professional Data Analysts, Inc.


Evolution of helpline services1
Evolution of Helpline Services

June 2004 - Present

Health plan systems changes initiated

Began collecting health plan identification numbers

Further adjusted scripting to triage clients

Professional Data Analysts, Inc.


Helpline volumes 2001 2005
Helpline Volumes 2001-2005

  • 34,970 calls requested some service

  • 7,246 callers were triaged to health plans

  • 16,306 enrolled in multi-call counseling

  • 13,071 participants received nicotine patches or gum

Professional Data Analysts, Inc.


Addressing challenges
Addressing Challenges

  • Health plan members

    • Copays, Rx requirements, deductibles

    • Not all health plan members have NRT

    • Self-report of NRT benefits

Professional Data Analysts, Inc.


Www quitplan com
www.quitplan.com

  • Provides interactive cessation advice and social support at all stages of readiness to quit

  • Available to ALL Minnesotans, regardless of health plan coverage

  • Over 11,000 Minnesotans have enrolled since August 2003

  • No free NRT

Professional Data Analysts, Inc.


Quitplan sm at work
QUITPLANSM at Work

  • Provide five session group counseling at worksites

  • Provide service to at least 50 worksitesa year, five worksites in each region of the state, and multiple diverse sectors

  • Employees ready to quit are eligible

  • NRT available to un- and underinsured

Professional Data Analysts, Inc.


Face to face programs january 2004 present
Face-to-face Programs January 2004 – Present

  • QUITPLAN Centers

    • Over 950 clients

  • QUITPLAN at Work

    • Over 650 clients

    • Recent high demand post ordinance implementation

Professional Data Analysts, Inc.


Quitplan community tailored programs
QUITPLAN Community-tailored Programs

  • Culturally tailored cessation programs serving priority communities:

    • African-American

    • Somali and Oromo

    • Southeast Asian

    • Chicano Latino

    • GLBT

  • Community participatory evaluation model

Professional Data Analysts, Inc.


Numbers Served by QUITPLAN Programs

Helpline (4 years)

Website (18 months)

Centers (18 months)

Worksite (18 months)

(Community tailored programs are being evaluated separately.)

Professional Data Analysts, Inc.


Methodology

Rx

Methodology

worksite

website

helpline

treatment center

Professional Data Analysts, Inc.


Scope of the evaluation
Scope of the Evaluation

  • Process

    • Track services provided and to whom; participant satisfaction

  • Outcome evaluation

    • Participant outcomes

Professional Data Analysts, Inc.


Today s presentation
Today’s Presentation

  • Who goes to each program?

    • Demographics and tobacco use and quit history for each program

    • Demographic “user profiles” or clusters

    • Tobacco use and quit history “user profiles” or clusters

Professional Data Analysts, Inc.


Today s presentation1
Today’s Presentation

  • Who goes to each program?

    • Demographics and tobacco use and quit history for each program

    • Demographic “user profiles” or clusters

    • Tobacco use and quit history “user profiles” or clusters

  • How effective is each program?

  • For whom?

Professional Data Analysts, Inc.


Evaluation methods intake
Evaluation Methods: Intake

  • Intake Form at Registration

    • Demographic information, tobacco use and quit history, confidence quitting

Professional Data Analysts, Inc.


Quit survey methodology
Quit Survey Methodology

  • Quit Survey administered 6 months after registration

    • Tobacco use, pharmacotherapy use, utilization

    • Telephone survey

    • Dual methodology for Website

Professional Data Analysts, Inc.


Consent Rates to Date

366/457

292/351

685/1139

296/301

  • Helpline used a more passive, general consent process than the other interventions

Professional Data Analysts, Inc.


Response Rates to Date

36.8%

Phone

41.3%

Online

257/366

230/292

535/685

219/296

Professional Data Analysts, Inc.


Using mats to compare to intervention samples of smokers
Using MATS to Compare to Intervention Samples of Smokers

The Minnesota AdultTobacco Survey (MATS) used a sampleof 1,850 smokers.

Survey data was collected collaboratively with MPAAT, Blue Cross Blue Shield of Minnesota, the Minnesota Department of Health, and the University of Minnesota.

Estimated: 660,000 smokers in Minnesota

Professional Data Analysts, Inc.


Who uses the quitplan programs

Rx

Who Uses the QUITPLAN Programs?

worksite

website

helpline

treatment center

Professional Data Analysts, Inc.


Gender

* Significantly different than MATS (p ≤ .05)

Professional Data Analysts, Inc.


Mean Age

* Significantly different than MATS (p ≤ .05)

Professional Data Analysts, Inc.


Education

* Significantly different than MATS (p ≤ .05)

Professional Data Analysts, Inc.


Employment Status

* Significantly different than MATS (p ≤ .05)

Professional Data Analysts, Inc.


Insurance Status

* Significantly different than MATS (p ≤ .05)

Professional Data Analysts, Inc.


Are there demographic user profiles
Are there demographic “user profiles”?

  • K-Means Cluster analysis

  • 6 groups emerged

  • Determined by distance between and within clusters, meaningfulness of clusters, and parsimony

  • All participants fall into one group only

Professional Data Analysts, Inc.


Gen x gen y
Gen X - Gen Y

  • 40% male

  • Younger (18-40)

  • Few college grads (15%)

  • All unemployed

  • None married

  • Highest rate of uninsured (1/3)

  • Racially more diverse (12% nonwhite)

Professional Data Analysts, Inc.


Ms executive
Ms. Executive

  • All female

  • 25 - 50 years old

  • High proportion of college grads (59%)

  • All employed

  • ½ married

  • 90% white

Professional Data Analysts, Inc.


Working women
Working Women

  • All female

  • 41 - 60 years old

  • Almost no college grads (7%)

  • All employed

  • ½ married

  • 90% white

Professional Data Analysts, Inc.


Hard Luck

  • 36% men; 64% women

  • All 41+ years old

  • High proportion with HS or less ed (40%)

  • All unemployed

  • ½ married

  • More uninsured (¼)

  • 90% white

Professional Data Analysts, Inc.


Mr executive
Mr. Executive

  • All male

  • 31 - 60 years old

  • High proportion of college grads (59%)

  • All employed

  • 2/3 married

  • 90% white

Professional Data Analysts, Inc.


Blue collar workers
Blue Collar Workers

  • Mostly male

  • Broad age range (18-50)

  • Lowest education of all groups (75% HS or less)

  • All employed

  • 1/3 married

  • More uninsured (1/4)

  • 90% white

Professional Data Analysts, Inc.


Proportion of participants in each demographic cluster
Proportion of Participants in Each Demographic Cluster

Weighted so that each intervention is 25%

Professional Data Analysts, Inc.


Who uses the helpline
Who Uses the Helpline?

Professional Data Analysts, Inc.


Who uses the centers
Who Uses the Centers?

Professional Data Analysts, Inc.


Who uses quitplan at work
Who Uses QUITPLAN at Work?

Professional Data Analysts, Inc.


Who uses the website
Who Uses the Website?

Professional Data Analysts, Inc.


Who uses each program

Who Uses Each Program?

Tobacco Use and Quit History


Time to First Cigarette

* Significantly different than MATS (p ≤ .05)

Professional Data Analysts, Inc.


Daily Smokers

* Significantly different than MATS (p ≤ .05)

Professional Data Analysts, Inc.


Smoking Intensity

* Significantly different than MATS (p ≤ .05)

Professional Data Analysts, Inc.


Quit Attempt in Last Year

* Significantly different than MATS (p ≤ .05)

Professional Data Analysts, Inc.


Ever Quit for a Year or More?

Professional Data Analysts, Inc.


Are there tobacco use quit history user profiles
Are there tobacco use/quit history “user profiles”?

  • Six groups emerged

  • Determined by distance between and within clusters, meaningfulness of clusters, and parsimony

  • From lighter to heavier smokers

Professional Data Analysts, Inc.


Lighter smokers

Light smokers (82%)

½ are daily smokers (fewest of all clusters)

Only 1/3 highly addicted

All recent quit for 30+ days

None 1-yr quit

#1

Lighter Smokers

Poised to Quit

#2

  • Light to moderate smokers (50%/50%)

  • About ½ smoke daily

  • About ½ highly addicted

  • All recent quit for 30+ days

  • All 1-yr quit

Professional Data Analysts, Inc.


Lighter smokers1

Light smokers (82%)

½ smoke daily

Only 1/3 highly addicted

All recent quit for 30+ days

None 1-yr quit

#1

Lighter Smokers

Poised to Quit

#2

  • Light to moderate smokers (50%/50%)

  • About ½ smoke daily

  • About ½ highly addicted

  • All recent quit for 30+ days

  • All 1-yr quit

Professional Data Analysts, Inc.


Moderates

Light to moderate smokers (50%/30%)

Some heavy smokers (20%)

All daily smokers

¾ highly addicted

None have recent quit

All have 1-year quit

#3

Moderates

Professional Data Analysts, Inc.


Rookie quitters

Moderate to heavy smokers (50%/30%)

All smoke daily

85% highly addicted

No recent quit

No 1-year quit

Rookie Quitters

Second Chance

#4

#5

  • Moderate to heavy smokers (70%/30%)

  • All smoke daily

  • 90% highly addicted

  • All recent quit, most <30 days

  • No 1-year quit

Professional Data Analysts, Inc.


Rookie quitters1

Moderate to heavy smokers (50%/30%)

All smoke daily

85% highly addicted

No recent quit

No 1-year quit

Rookie Quitters

Second Chance

#4

#5

  • Moderate to heavy smokers (70%/30%)

  • All smoke daily

  • 90% highly addicted

  • All recent quit, most <30 days

  • No 1-year quit

Professional Data Analysts, Inc.


Heaviest

Moderate to heavy (50%/40%)

80% daily smokers

93% highly addicted

All recent quit, most for <30 days

Few 1-year quit

Heaviest

#6

Professional Data Analysts, Inc.


Proportion of participants in each tobacco use quit history cluster
Proportion of Participants in Each Tobacco Use / Quit History Cluster

Lighter Smokers

Poised to Quit

Mod-erates

Rookie Quitters

Second Chance

Heaviest

Weighted so that each intervention is 25%

Professional Data Analysts, Inc.


Who used the helpline
Who Used the History Cluster Helpline?

Lighter Smokers

Poised to Quit

Mod-erates

Rookie Quitters

Second Chance

Heaviest

Professional Data Analysts, Inc.


Who used the centers

R History Clusterx

Who Used the Centers?

Lighter Smokers

Poised to Quit

Mod-erates

Rookie Quitters

Second Chance

Heaviest

Professional Data Analysts, Inc.


Who used quitplan at work
Who Used History ClusterQUITPLAN at Work?

Lighter Smokers

Poised to Quit

Mod-erates

Rookie Quitters

Second Chance

Heaviest

Professional Data Analysts, Inc.


Who used the website
Who Used the History ClusterWebsite?

Lighter Smokers

Poised to Quit

Mod-erates

Rookie Quitters

Second Chance

Heaviest

Smokers

Professional Data Analysts, Inc.


Programs serve different tobacco quit groups
Programs Serve Different Tobacco / Quit Groups History Cluster

Lighter Smokers

Poised to Quit

Mod-erates

Rookie Quitters

Second Chance

Heaviest

Professional Data Analysts, Inc.


Summary
Summary History Cluster

  • QUITPLAN participants can be described by clusters based on demographics and tobacco use.

  • QUITPLAN programs serve demographic and tobacco use groups that differ in important ways.

Professional Data Analysts, Inc.


Summary1

R History Clusterx

Summary

The Helpline serves the Hard Luck demographic group and the Second Chance tobacco use group most frequently.

The Centers serve the Hard Luck demographic group and the Rookie Quitter tobacco use group most frequently.

Professional Data Analysts, Inc.


Summary2
Summary History Cluster

QUITPLAN at Work serves all employed demographic groups and the Rookie Quitter tobacco use group most frequently

The Website serves Ms. Executive and Rookie Quitters most frequently.

Professional Data Analysts, Inc.


Results at six months

Results at Six Months History Cluster

How effective is each cessation program?


Desired outcomes at six months
Desired Outcomes at Six Months History Cluster

  • Quit attempt of at least 24 hours

  • 7-day point prevalence

  • 30-day point prevalence

Professional Data Analysts, Inc.


Cautions in Interpreting Results History Cluster

  • Evaluation, not a clinical trial

  • Participants not randomly assigned

  • No comparison or control group

  • Observations of what occurred in these real-life programs

  • Caution in generalizing results to other populations

Professional Data Analysts, Inc.


Calculating quit rates
Calculating Quit Rates History Cluster

Artificially high quit rate:

“Quitters” / Respondents = Quit rate

Intention to treat rate:

“Quitters” / (Respondents + Nonrespondents)

= ITT Rate

Professional Data Analysts, Inc.


The majority of participants successfully quit for at least 24 hours
The majority of participants successfully quit for at least 24 hours

24-Hour Abstinence during Past Six Months for Each Program (Intent to Treat Rate)

Professional Data Analysts, Inc.


Used no tobacco in past 7 days

100% 24 hours

80%

60%

26.7%

40%

22.1%

18.5%

15.6%

20%

0%

Helpline

Centers

Work

Website

Used No Tobacco in Past 7 Days

7 Day Point Prevalence at Six Months, Intent-to-Treat Rates

Professional Data Analysts, Inc.


Used no tobacco in past 30 days

100% 24 hours

80%

60%

40%

24.0%

19.4%

14.7%

11.8%

20%

0%

Helpline

Centers

Work

Website

Used No Tobacco in Past 30 Days

30-Day Point Prevalence at Six Months, Intent-to-Treat Rates

Professional Data Analysts, Inc.


Which programs work best for whom is there a relationship between cessation and

Which programs work best for whom?

Is there a relationship between cessation and:


Tobacco use quit history

Do people with different tobacco use patterns quit at different rates at each of the programs?

Tobacco Use/Quit History


Helpline different rates at each of the programs? produces high quit rates for a variety of smoking types, from light to heavy, with and without a quit history.

Participants in the heaviest use group do not fare as well.

7-Day Abstinence Rates (ITT) at Six Months for Each Cluster

Professional Data Analysts, Inc.


Helpline different rates at each of the programs? produces high quit rates for a variety of smoking types, from light to heavy, with and without a quit history.

Helpline users in the heaviest use group do not fare as well.

Includes 50% of all Helpline participants

7-Day Abstinence Rates (ITT) at Six Months for Each Cluster

Professional Data Analysts, Inc.


R different rates at each of the programs?x

Centers show the highest quit rates in the light and moderate tobacco use clusters.

7-Day Abstinence Rates (ITT) at Six Months for Each Cluster

Professional Data Analysts, Inc.


R different rates at each of the programs?x

Centers show the highest quit rates in the light and moderate tobacco use clusters.

1/3 of all Center participants fall within these clusters.

1/3 of Center participants are “rookie quitters”

7-Day Abstinence Rates (ITT) at Six Months for Each Cluster

Professional Data Analysts, Inc.


Work program different rates at each of the programs? shows strong results with three clusters, one light, one moderate and the heaviest group.

7-Day Abstinence Rates (ITT) at Six Months for Each Cluster

Professional Data Analysts, Inc.


Work program different rates at each of the programs? shows strong results with three clusters, one light, one moderate and the heaviest group.

Only 10% of Work participants are the “heaviest” users.

“Rookie quitters” are the largest cluster (1/3 of all Work participants)

7-Day Abstinence Rates (ITT) at Six Months for Each Cluster

Professional Data Analysts, Inc.


Website different rates at each of the programs?participants did not have statistically significant differences in the quit rates of tobacco use groups. Quit rates ranged from 10% to 22%.


Programs have success with different tobacco use groups. different rates at each of the programs?

Quit rates 30% or higher

Quit rates20% - 29.9%

Professional Data Analysts, Inc.



Demographic Clusters each of the programs?

Centers highest rates are seen in the demographic clusters with older age groups.

7-Day Abstinence Rates (ITT) at Six Months for Each Cluster

Professional Data Analysts, Inc.


Demographic Clusters each of the programs?

Centers highest rates are seen in the demographic clusters with older age groups.

10%

20%

70% of all Center participants

7-Day Abstinence Rates (ITT) at Six Months for Each Cluster

Professional Data Analysts, Inc.


Helpline, Work and Website each of the programs?

These QUITPLAN programs did not have significant differences in quit rates for different demographic clusters.

The conclusion is that the programs have about equal success with all demographic groups.

However, the smoking and quit history clusters have varying levels of success, depending on the program.

Professional Data Analysts, Inc.


Utilization each of the programs?

How do participants make use of available program services?

How is level of use related to cessation at each of the programs?

Professional Data Analysts, Inc.


Programs have mixed patterns of utilization each of the programs?

Professional Data Analysts, Inc.


Participants using more program services have higher quit rates
Participants Using More Program Services Have Higher Quit Rates

* p < .05

Professional Data Analysts, Inc.


Pharmacotherapy Use Rates

How is pharmacotherapy used by QUITPLAN participants?

How is use of medications related to cessation?

Professional Data Analysts, Inc.


Used meds to help quit
Used Meds* to Help Quit? Rates

  • Vast majority of Helpline and Center participants used meds

  • Over half of QUITPLAN at Work and quitplan.com did

* Includes use of one or more medication: Zyban/Wellbutrin/buproprion, nicotine patch, gum, inhaler, lozenge or nasal spray.

Professional Data Analysts, Inc.


Type of medications used
Type of Medications Used Rates

Professional Data Analysts, Inc.


Pharmacotherapy users have higher quit rates
Pharmacotherapy Users have Higher Quit Rates Rates

Professional Data Analysts, Inc.


Tobacco Use Clusters Rates

NRT Alone Is Helpful for all except the heaviest users.

7-Day Abstinence Rates (respondents only)

at Six Months for Each Cluster

Professional Data Analysts, Inc.


Demographic Clusters Rates

NRT Use is helpful to all demographic groups,

especially “Hard Luck” group.

! ! !

7-Day Abstinence Rates (respondents only)

at Six Months for Each Cluster

Professional Data Analysts, Inc.


Putting it all together…. Rates.

What is the unique contribution of each of these factors to cessation?

Demographic profiles

Tobacco use profiles

Confidence in successful quit

Program type

Utilization

Pharmacotherapy use

Professional Data Analysts, Inc.


Logistic Regression Results Rates

Demographic profiles: Not significant

Tobacco use profiles: Moderates 1.7 times and

Light-Moderates 1.4 times more likely to quit

Heaviest 1.7 times more likely to be smoking

Confidence in Those with highest confidence are 2.2 times

successful quit: more likely to quit

Program type: Not significant

Utilization: High utilization: 2.6 times more likely to quit Medium utilization: 1.9 times more likely to quit

Pharmacotherapy use: NRT users 1.8 times more likely to quit than non-usersZyban users 1.4 more likely than non-users

Professional Data Analysts, Inc.


Summary of Results Rates

  • All four QUITPLAN programs are effective at helping participants quit tobacco.

  • Tobacco use profiles: The four programs have differing levels of success depending on tobacco use profiles.

  • Demographic profiles: For Centers, quit rates are high for all groups except Gen X – Gen Y. In all other programs, quit rates for demographic groups do not differ.

  • Participants who use more of the available program services are more likely to quit.

Professional Data Analysts, Inc.


Summary of Results Rates

  • Participants who use medications are more likely to quit.

  • NRT has a differential benefit depending on the demographic profile (all groups benefit from NRT; especially the Hard Luck group)

  • NRT is beneficial for all tobacco use profiles except the heaviest smokers.

  • Tobacco/Quit history, Confidence, Utilization and Pharmacotherapy contribute to cessation holding all other variables constant.

Professional Data Analysts, Inc.


Why conduct a synthesis evaluation
Why conduct a synthesis evaluation? Rates

  • MPAAT invests significant resources in cessation services

  • These is a need to synthesize:

    • Answer overall questions about the initiative

    • Answer common questions asked about each individual intervention

  • This allows MPAAT

    • Conduct continuous quality improvement of each program

    • Assess overall return on investment

    • Make information decisions about future resource allocation

Professional Data Analysts, Inc.


Why conduct a synthesis evaluation1
Why conduct a synthesis evaluation? Rates

  • Allows MPAAT to assess the degree to which the services delivered meet cessation goals:

    • Ensure assistance to all tobacco users in Minnesota

    • Provide a full range of evidence-based cessation services

    • Ensure access to counseling and NRT without regard to ability to pay

    • Reach populations and communities with the highest tobacco use rates and poor access to health care

Professional Data Analysts, Inc.


Limitations in using synthesis evaluation results
Limitations in Using Synthesis Evaluation Results Rates

  • Limits in comparing services

    • Each component delivers cessation counseling differently (face to face or remotely, and by group or individual)

    • These methods vary in intensity for the participants

  • Findings do not equate to results from clinical trials

    • Self selection of services and intensity of use

    • Real world, real services, real time

Professional Data Analysts, Inc.


What do we know about the initiative based on the synthesis evaluation
What do we know about the initiative based on the synthesis evaluation?

  • Who is using MPAAT’s intervention services?

    • We are serving a wide range of Minnesota tobacco users

    • Each demographic and clinical cluster is well-served by one or more program

    • Collectively across programs, we are serving MN tobacco users

  • How are they using these services?

    • Participants are using the services with varying levels of intensity

Professional Data Analysts, Inc.


What do we know about the initiative based on the synthesis evaluation1
What do we know about the initiative based on the synthesis evaluation?

How effective are our services?

  • Using QUITPLAN services increases the chance of a successful quit

    • Need to examine why the four programs have differing levels of success depending on tobacco use profiles

  • Participants using more program services have higher quit rates

    • Need to examine ways to increase program intensity

  • Pharmacotherapy users have higher quit rates

    • Need to examine ways to further reduce barriers to NRT

    • Need to consider where targeting resources to make NRT more accessible will have the greatest impact

Professional Data Analysts, Inc.


What do we know about each individual evaluation based on the synthesis evaluation
What do we know about each individual evaluation based on the synthesis evaluation?

  • Helpline

    • Serves the greatest number of demographic and clinical clusters

    • Good reach - over 16,000+ served in 4 year period

    • Highest quit rates

  • Website

    • Serves younger, lighter smokers

    • Highest reach – over 11,000+ served in 18 month period

    • Quit rates lower but still effective

Professional Data Analysts, Inc.


What do we know about each individual evaluation based on the synthesis evaluation1
What do we know about each individual evaluation based on the synthesis evaluation?

  • Treatment Centers

    • Appeals to heavier smokers; broad reach across the demographic clusters

    • Relatively fewer served

    • Quit rates high

  • Worksites

    • Though numbers are few, serves well the heaviest smokers

    • Overall, higher level of intensity of use of services

    • Relatively fewer served

    • Quit rates high

Professional Data Analysts, Inc.


Future directions
Future Directions the synthesis evaluation?

  • Interpret findings as they relate to program goals

  • Refine services; expand where necessary

  • Continue to evaluate and assess resource allocations

  • Conduct additional research to enhance the use of services and improve outcomes

    • Enhance utilization rates

    • Increase access to and use of NRT

Professional Data Analysts, Inc.


For additional information
For Additional Information the synthesis evaluation?

Dr. Ann Wendling

MPAAT

952-767-1411

[email protected]

Professional Data Analysts, Inc.


ad