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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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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:

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


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)


BUDGET


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


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


Median budget for services and medications US, 2005-2010


Median budget for servicesCanada, 2005-2010


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


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


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


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


DESCRIPTION OF SERVICES


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


All US and Canadian quitlines provide multiple proactive counseling sessions FY09


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


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


Language of Counseling Service FY09

10

52

51

8

1

2

1

1

1

1


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


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


Language of Cessation Materials FY09

10

52

51

9

1

1

1

1

1

1

1


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


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


MEDICATIONS


Provision of Quitting Medication FY09


Free Medication ProvisionUS Quitlines, FY09


Provision of Quitting Medication FY10


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


PROMOTION AND OUTREACH


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


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


Promotions/Outreach for Priority/Specialized Populations FY10

34

31

6

27


UTILIZATION


US Promotional Reach FY 2005-2009


Canada Promotional Reach FY 2005-2009


Where are we now?


US Quitlines Promotional Reach and Spending per Smoker FY09

CDC recommendation: 8% reach, $10.53 per smoker


US Quitlines Treatment Reach and Spending Per Smoker FY09

CDC recommendation: 6% reach, $10.53 per smoker


Canada Quitlines Promotional Reach and Spending Per Smoker FY09

CDC recommendation: 8% reach, $10.53 per smoker


The majority of quitline callers are cigarette users FY09

US (median)Canada (median)


The majority of quitline callers are everyday/daily smokers FY09

US (median)Canada (median)


Most quitline callers are female FY09

US (median)Canada (median)


Utilization FY09 – Level of Education US


Utilization FY09– Ethnicity and Race US


Insurance Status of Callers FY09


EVALUATION


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)


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)


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)


Evaluation – Sampling Time Points FY09


Evaluation – Sampling Criteria FY09


ADDITIONAL INFORMATION AND RESOURCES


2009 Annual Survey Web Page

  • http://www.naquitline.org/?page=survey2009


Using Annual Survey Data

  • http://www.naquitline.org/?page=surveyrequestdata


NEW! Quitline Map

  • www.naquitline.org, click on “About Quitlines/Quitline Map”


Same information

Phone numbers

Hours of operation

Languages

Services offered

Materials provided

Medications

Service provider

Eligibility

New information

Provider (e.g., fax) referral information

Smoke-free laws

Tobacco tax rates

Quitline metrics (reach, spending per smoker, quit rate)

Context for quitline metrics

NEW! Revised Quitline Profiles


New controls for profiles

  • Each quitline will be able to edit most profile fields in real-time

  • Launch and training for new profiles in Fall, 2010


SURVEY FEEDBACK AND QUESTIONS

Feedback from members about FY09 survey process, suggestions for 2010 survey

2010 survey timeline:

Finalize survey by July 31

Launch in October 2010

Data collection Oct-Nov 2010


For more information on the survey or on NAQC’s data request and review process, please contact;

Jessie Saul, Ph.D.Director of ResearchNorth American Quitline Consortium3030 N. Central Ave, Ste 602Phoenix, AZ 85012Ph: 602.279-2719Email: jsaul@naquitline.org


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