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The Swedish Quitline Proactive treatment Hans Gilljam & Asgeir Helgason Center for Tobacco Prevention

Cancerfonden, Folkhälsoinstitutet, Hjärt - Lungfonden, Apoteket AB och Centrum för Tobaksprevention. The Swedish Quitline Proactive treatment Hans Gilljam & Asgeir Helgason Center for Tobacco Prevention. Hans Gilljam CTP 2001. Smoking prevalence in Sweden. Men and women 16-84 years old.

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The Swedish Quitline Proactive treatment Hans Gilljam & Asgeir Helgason Center for Tobacco Prevention

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  1. Cancerfonden, Folkhälsoinstitutet, Hjärt - Lungfonden, Apoteket AB och Centrum för Tobaksprevention The Swedish Quitline Proactive treatment Hans Gilljam & Asgeir Helgason Center for Tobacco Prevention Hans Gilljam CTP 2001

  2. Smoking prevalence in Sweden Men and women 16-84 years old Percent Snus/Men SCB Year

  3. SNUS - oral moist snuffa peculiar habit of swedish men • Health effects of snus • locally - oral cavity • cancer - no evidence • gingiva • neck of tooth • systemic - little harm described as yet • cancer - no evidence • cardio-vascular - still debated • type 2 diabetes (x2.6 risk increase) • strong dependence SNUFF

  4. Snus - harm reduction in real life • Snus was a habit of elderly, rural men • Snus was intensively marketed from 1970´s • 2001: prevalence snus users = smokers (males) • About 5% of quitline callers are snus users • No established cessation programs

  5. Centre for Tobacco Prevention • Smoking cessation • Education & training • Research and development • Health information • Epidemiology • Primary prevention Budget 1 mill Euro Staff 16 full-time 15 part-time Professions 2 physicians 2 dentists 2 psychologists 6 nurses 1 information off 3 assistants +15 part time counsellors

  6. Computer-tailored smoking cessation on internet with automatic follow- up and evaluation Tone-dial 24h service * # 020-331122 Hälso L I N J E N 52h/week Nationwide continous campaign The smorgasbord of support systems run by CTP Smokefree at work

  7. Characteristics • Medium-sized, free-of-charge Quitline • 2-3 lines open 52h/week • 4000-5000 serious quit attempts/year • Emphasis on data collection/evaluation • data recorded at point of origin aided by techn. • no data overload or interference w. Counseling • research • Proactive service

  8. Time line TV Adverts Reactive service Proactive service Planning Phase Present Start No of calls 02/98 05/98 09/98 04/99 11/99 09/01 Evaluation 1 Evaluation 2 Continous Evaluation Hans Gilljam CTP 2001

  9. Opinions about reactive service 340 responders

  10. Proactive service • Ask client if he/she desires call back and/or evaluation • Negotiate dates for calls • Register dates/time of day • Proactive calls automatically registered • Send questionnaire & material

  11. Attracts spectrum of quitters Precont Contempl Preparation Action Maintenance I II III IV V

  12. Characteristics of callers (first call) • 2 % Precontemplators • 40 % Contemplation • 38 % Preparation • 20 % Action • < 1% Maintenance • > 80% chose proactive treatment

  13. Preliminary results

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