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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: (605) 773-5942 PowerPoint PPT Presentation


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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: (605) 773-5942 Email: [email protected] 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: (605) 773-5942

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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: [email protected]


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)


Eligibility Requirements

  • Must be a resident of the state of South Dakota

  • Must be a current tobacco user ready to quit


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


QuitLine Medications

  • Up to 8 weeks of:

    • Nicotine Replacement Patch

    • Nicotine Replacement Gum

  • Up to 12 weeks of:

    • Zyban

    • Chantix


  • 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


    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


    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


    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


    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


    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


    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


    Coaching Session 5Graduation Session

    • Contact Information

    • Graduation Letter Issued

    • Leave with any Last Suggestions

    • Answer Questions


    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


    Challenges with Chantix

    Reasons Chantix users stopped using the medication (n= 1,614)

    Reasons Chantix users were not able to stay quit (n=838)


    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).


    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.


    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.


    Medication Requests

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


    Enrollment

    SD QuitLine use increased nearly three-fold in 2008.


    SD QuitLine Timeline

    2005200620072008

    13mo quit rate (7dpp): 29% 26% 38% N/A


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