The Swedish Quitline Proactive treatment Hans Gilljam & Asgeir Helgason Center for Tobacco Prevention Hans Gilljam CTP 2001 Cancerfonden, Folkhälsoinstitutet,

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Presentation transcript:

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

Smoking prevalence in Sweden Men and women years old Percent SCB Year Snus/Men

SNUS - oral moist snuff a 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

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

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

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

Characteristics Medium-sized, free-of-charge Quitline –2-3 lines open 52h/week – 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

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

Opinions about reactive service 340 responders

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

Attracts spectrum of quitters IIIIIIIVV Precont Contempl Preparation Action Maintenance

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

Preliminary results