1. 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

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

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

4. 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

5. 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%

6. Median Hours of Operation

7. Types of Telephone-based Services

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

9. Restrictions to Counseling for QLs with restrictions

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

11. 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% Teens44.211.1%12.5%

12. Types of Internet-based Service

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

14. 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%

15. Multiple Language Service

16. Sources of Funding

17. Quitline Budget for Service Fiscal year 2004-2005 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

18. Phone Calls to QL Answered Live

19. Total Tobacco Users Served

20. Clinical Training

21. Types of Supervision

22. Evaluation US N=51 % Canada N=8 % EU N=24 % Conduct evaluation 68.6100.041.7 Conducted by QL staff Outside agency 57.1 51.4 25.0 87.5 80.0 30.0

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

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

25. Evaluation

26. 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-CA023100-22