Range of Quitline Practice in North America and Europe Sharon Cummins, Ph.D., Shu-Hong Zhu, Ph.D., Linda Bailey, JD, MHS, Regina Van der Meer, Ph.D., Sharon Campbell, Ph.D. World Conference on Tobacco Or Health Washington, DC July 12-15, 2006

Quitlines Common goal Diversity of practice –Rich source of ideas –Challenge of definition of terms

Quitlines Telephone-based programs Evidence-based counseling, recommended in Clinical Practice Guidelines Efficient—centralized Convenient Accessible

Quitline Networks North American Quitline Consortium (NAQC) and European Network of Quitlines (ENQ) Share better practices Establish common language Collaborate on research Raise the bar on service to lower smoking and other tobacco use

NAQC 2005 Quitline Survey One in a series Fielded—sent to funders –U.S. and Canada in October 2005 –modified survey to European Network of Quitlines in April 2006 Good participation –US—100% –Canada—90% –EU—almost 90%

Median Hours of Operation

Types of Telephone-based Services

Eligibility for Counseling Restrictions to counseling services –U.S. 61.5% –Canada no restrictions –EU 19.7%

Restrictions to Counseling for QLs with restrictions

Counseling Multiple session Longer first session Follow up calls after quit date Topics Timing of follow up calls

Specialized Protocol US N=52 Canada N=9 EU N=24 Pregnant women 88.5%88.9%12.5% Smokeless tobacco 69.2%-- Racial/ ethnic 50%11.1%4.2% Teens %12.5%

Types of Internet-based Service

Free Quit Aids In the U.S. 18 quitlines (32.7%) provide free quit aids –Patch—94.4% –Gum—61.1% –Other—11.1%

Eligibility for Free Quit Aids Eligibility criteria –Low income/lack of insurance 61% –Enrollment in counseling program 22.2% –Readiness to quit 16.7% –Addiction level 2%

Multiple Language Service

Sources of Funding

Quitline Budget for Service Fiscal year US N=44 Canada N=6 EU N=16 currencyUS dollars Canadian dollars euros range40,000 to 4,169,210 59,920 to 512,134 6,580 to 3,641,200 median$621,696$204,893€59,792

Phone Calls to QL Answered Live

Total Tobacco Users Served

Clinical Training

Types of Supervision

Evaluation US N=51 % Canada N=8 % EU N=24 % Conduct evaluation Conducted by QL staff Outside agency

Evaluation Pool Criteria – phone number –Consent –Age –Language Timing

Evaluation Pool Service –All –Only counseling –Only X number of sessions Selection –all callers –convenience sample –random sample –50% of QL who answered

Evaluation

Acknowledgements NAQC Research and Evaluation work group and survey review team Quitline administrators and service providers NAQC staff and funders Carrie Koon, M.A. and Victor Wong, Ph.D. from the UCSD Research Team NCI grant #5 P30-CA