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Utilization and effectiveness of telephone counseling for African-Americans. Empirical and experimental research. Prepared for the NAQC Seminar, Ensuring Quality Quitline Services to Priority Populations: Challenges and Opportunities Vance Rabius, PhD October 9, 2009.

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slide1

Utilization and effectiveness of telephone counseling for African-Americans

Empirical and experimental research

Prepared for the NAQC Seminar, Ensuring Quality Quitline Services to Priority Populations: Challenges and Opportunities

Vance Rabius, PhD

October 9, 2009

slide2

Quitline and Disparities

  • Is Quitline relevant in our efforts to alleviate disparities in health care for African-Americans?
  • Do African-Americans use Quitline?
  • Quitline use is a function of promotion.
  • Do African-Americans benefit from Quitline?
slide4

Quitline Utilization

  • African-Americans tend to use Quitline services in proportions
  • greater than their representation in the smoking community
  • Texas - 2001-2008 - 28,559 Quitline callers
  • 18% of Quitline callers and
  • 9% of Texas smokers and
  • 12% of Texas population are African-American
  • Louisiana - 2005-2008 - 13,861 Quitline callers
  • 33% of Quitline callers and
  • 26% of Louisiana smokers and
  • 33% of Louisiana population are African-American
  • Washington DC - 2006-2008 - 3,050 Quitline callers
  • 89% of Quitline callers and
  • 63% of Washington DC smokers and
  • 57% of Washington DC population are African-American
slide5

Clinical Trial I - 2000-2001

Design

2-group treatment/control

Self-help materials vs. self-help materials and access to up to 5 telephone counseling sessions

Phase I & II – 3522 clients

Results

Counseling benefits young adult smokers

Health Psychology Article

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Quitline Benefits

  • African-Americans tend to benefit from Quitline services at rates comparable to European-Americans

Quit Rates as a Function of Treatment and Race/Ethnicity

African-American European-American

N = 3523, 15% African-American - Clinical Trial I - Presented at the 23rd Annual Meeting of the Society for Behavioral Medicine, Washington, DC ( April 2002)

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Clinical Trial II - 2002-2004

Effects of number and duration of counseling sessions

talk time – boosters

6,322 participants

3 x 2 plus control

3 counseling protocols w/ or w/out access to boosters

Tobacco Control Article

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Quitline Benefits by Race/Ethnicity

  • African-American Quitline callers tend to display comparable rates of current depressive mood and comparable quit rates as European-American callers
  • African-American - 45.2% Sad or Blue European-American – 45.5% Sad or Blue

Quit Rates as a Function of Treatment and Race/Ethnicity

African-American European-American

N = 6,322, 17% African-American - Clinical Trial II - Presented at the 2007 Cancer Disparities Conference, New Orleans, Louisiana ( April 2007)

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Citations:

Rabius, V, McAlister, AL, Geiger, A, Huang, P, & Todd, R. (2004). Telephone Counseling Increases Cessation Rates among Young Smokers. Health Psychology, 23, 539-541.

Rabius, V, Pike, KJ, Hunter, J, Wiatrek, D, & McAlister, AL. (2007). Effectiveness of Frequency and Duration in Telephone Counseling for Smoking Cessation. Tobacco Control. 16, Suppl 1, i71-i74.

Contact information:

Vance Rabius, PhD

Senior Scientist

American Cancer Society

National Cancer Information Center

11701 Stonehollow Drive

Austin, TX 78758

512-997-3920 - phone

512-997-3961 - fax

[email protected] - email

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