Results from the 2010 NAQC Annual Survey of Quitlines Prepared by: Westat, Jessie Saul, and the NAQC...

Results from the 2010 NAQC Annual Survey

of Quitlines

Prepared by: Westat, Jessie Saul, and the NAQC Annual Survey Workgroup

July 13, 2011

Background of Annual Survey

Conducted Annually 2004-2006, 2008-2010• Research Partners:

– 2010 Westat– 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

2010 Annual Survey MethodsCompleted from October to December 2010

• Web-based survey with email and telephone follow-up: 1) General Information, hours, services offered2) Quitline budgets3) Funding sources4) Materials used5) Counselling services and protocols6) Promotion7) Utilization8) Evaluation

65 quitline funders and their service providers were asked to respond; 52 of 53 US quitlines responded; 10 of 12 Canadian quitlines responded.

BUDGET

Budget Summary• Budgets declined for the first time in FY10• The primary impacts of the decline were a

decrease in media, promotions, and outreach; and a decrease in the number of tobacco users served.

• The level of services stayed relatively constant from FY09 to FY10

• Median services budgets increased in the US but decreased in Canada from FY09 to FY10

US Quitline Budgets FY10 (N=52)

Budget Category N MissingMedian

(Min – Max)Sum

Total 49 3$1,350,000

($175,700 – 15,019,979)$115,087,788

Services 49 3$831,674

($81,000 – 6,478,285)$53,440,839

Medications 42 10$304,103

($0 – 5,964,809)$22,490,753

Evaluation 39 13$55,000

($0 – 451433)$3,507,851

Media/promotions 44 8$304,132

($0 – 4,950,000)$28,899,387

Outreach 31 21$33,125

($0 – 1,872,000)$4,667,820

Other 30 22$0

($0 – 408,748)$1,367,392

Tobacco control 45 7$5,930,221

($653,407 – 65,324,607)$537,610,325

Canadian Quitline Budgets FY10 (N=10)

Budget Category N Missing Median Sum

Total 9 1 $157,951 $5,852,951

Services 9 1 $72,200 $2,799,750

Medications 5 5 $0 $0

Evaluation 5 5 $451 $320,451

Media/promotions 8 2 $66,925 $1,362,850

Outreach 8 2 $20,450 $1,170,900

Other 7 3 $10,000 $199,000

Tobacco control 3 7 $840,000 $43,977,951

Impact of change in budget from FY09 to FY10 US (N=52) Canada (N=10)

No Impact 42% 50%

Decrease in media, promotions, or outreach 13% 30%

Increase in media, promotions, or outreach 4% 0%

Decrease in amount of NRT provided per caller, or eligibility for NRT restricted

6% 0%

Added web-based programs 4% 0%

Increase reach or promotions to priority populations 8% 0%

Counseling provided to more people or eligibility for counseling expanded

8% 0%

Other: Restricted eligibility for counseling (US 1), Evaluation (US 1), Client services software (US 1),Increased overall budget (US 1), Decreased overall budget (US 1, CA 1)

10% 10%

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

$-

$20,000,000

$40,000,000

$60,000,000

$80,000,000

$100,000,000

$120,000,000

$140,000,000

$160,000,000

$180,000,000

$-

$200,000

$400,000

$600,000

$800,000

$1,000,000

$1,200,000

$1,400,000

$1,600,000

$1,800,000

FY06 FY08 FY09 FY10

Tota

l Qui

tlin

e Bu

dget

(sum

)

Med

ian

Qui

tlin

e Bu

dget

Median quitline budget Total quitline budget (sum)

N=48

N=50

N=50

N=51

Median quitline budgets in Canada have decreased from FY09 – FY10

$-

$1,000,000

$2,000,000

$3,000,000

$4,000,000

$5,000,000

$6,000,000

$7,000,000

$8,000,000

$-

$50,000

$100,000

$150,000

$200,000

$250,000

$300,000

$350,000

$400,000

FY05 FY06 FY08 FY09 FY10

Tota

l Qui

tlin

e Bu

dget

(sum

)

Med

ian

Qui

tlin

e Bu

dget

Median quitline budget Total quitline budget (sum)

N=6N=9 N=9 N=10 N=9

Median budget for services and medications US, 2005-2010

$621,697 $515,000

$890,075 $985,000

$1,123,536

$(100,000)

$100,000

$300,000

$500,000

$700,000

$900,000

$1,100,000

$1,300,000

2005 2006 2008 2009 2010

N=44 N=49

N=46

N=49N=51

Median budget for servicesCanada, 2005-2010

$204,893

$87,500

$221,500

$160,990

$72,200

$-

$50,000

$100,000

$150,000

$200,000

$250,000

2005 2006 2008 2009 2010

N=6

N=10 N=9

N=10N=10

US Spending per Smoker (services and medications), 2008-2010

$1.71 $1.78 $1.89

$- $0.20 $0.40 $0.60 $0.80 $1.00 $1.20 $1.40 $1.60 $1.80 $2.00

2008 2009 2010

N=45

N=49N=50

Canada Spending per Smoker (services), 2008-2010

$0.65 $0.77

$0.67

$- $0.20 $0.40 $0.60 $0.80 $1.00 $1.20 $1.40 $1.60 $1.80 $2.00

2008 2009 2010

N=8 N=9N=9

Funding Sources in FY10 and FY11US

FY10 (N=52)

US FY11

(N=52)

Canada FY10

(N=10)

Canada FY11

(N=10)Public sector/government Local government funds 0% 0% 0% 0% State/provincial general funds 25% 26% 100% 100% State/provincial dedicated tobacco tax funds 21% 24% 0% 0%

State Medicaid program 4% 6% 0% 0% MSA funds 46% 45% 0% 0% Tobacco settlement funds (not MSA) 10% 8% 0% 0% Federal CDC- ARRA/Stimulus funds 52% 82% 0% 0% CDC - other (non-ARRA) funds 71% 73% 0% 0% Health Canada 0% 0% 60% 30% Other 2% 2% 0% 0%Private sector/non-government

Third part reimbursement through healthcare institution 0% 0% 0% 0%

Third part reimbursement through insurance company 8% 8% 0% 0%

Charitable foundation 2% 2% 10% 30%

For-profit company 0% 0% 10% 10% Non-governmental organization 2% 0% 20% 10% Employer organization 0% 0% 0% 0%Other 2% 2% 0% 0%

More US quitlines report receiving funds from CDC or MSA funds than any other source

90%

60%

23%19%

6% 6% 6%2% 2%

8%

81%

52%46%

25%21%

4%

10%8%

2% 2% 2%

73%82%

45%

26% 24%

6% 8% 8%2% 0% 2%

0%

20%

40%

60%

80%

100%

FY 09

FY 10

FY 11

More US quitlines report receiving funds from CDC or MSA funds than any other source

14

%3

3%

39

% 65%

8%

24%

0%

20%

40%

60%

80%

100%FY 09

FY 10

FY10: CDC (ARRA)

FY10: CDC (Other)

FY10: CDC (ARRA and Other)

FY 11

FY11: CDC (ARRA)

FY11: CDC (Other)

FY11: CDC (ARRA and Other)

For US quitlines, the highest proportion of funds come from MSA, general funds, state tobacco taxes, and non-MSA tobacco settlement funds

78%

64%

54%

38%

27%19% 17%

4%

77% 76%

55%

69%

19%24%

19% 18%

4%

64% 63%

49%56%

32%

18%27%

3%0%

20%

40%

60%

80%

100% FY09 avg proportion of funds amongquitlines reporting each funding source

FY10 avg proportion of funds amongquitlines reporting each funding source

FY11 avg proportion of funds amongquitlines reporting each funding source

The majority of Canadian quitlines report receiving funds from provincial general funds

90%

60%

30%20%

10% 10%

100%

60%

20%10%

0%10%

100%

30%10%

30%

0%10%

0%

20%

40%

60%

80%

100%

120%

FY 09

FY 10

FY 11

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

and Health Canada

70%

56%

14%

5%9%

69%

56%

0%

8%

0%

57%

80%

0% 0%

14%

0%

20%

40%

60%

80%

100%

Health Canada State/Provincialgeneral funds

Local governmentfunds

Non-governmentalorganization

Other

FY 09 avg proportion of funds amongquitlines reporting each funding source



Proportion of Funds by State Government Sources FY10 and FY 11 – US (N=52)

FY 2010 FY 2011

N Average % (Min, Max)


Local government funds 0 0% (0%, 0%)

0 0% (0%, 0%)

State/provincial general funds

12 76% (40%, 100%)

13 63%(30%, 100%)

State/provincial dedicated tobacco tax funds

10 55% (9%, 94%)

12 49%(6%, 83%)

State Medicaid program 2 4% (0%, 7%)

3 3%(0%, 7%)

MSA funds 23 77% (25%, 100%)

23 64% (4%, 100%)

Tobacco settlement funds (not MSA)

5 69% (15%, 100%)

4 56%(6%, 99%)

Proportion of Funds by Federal Sources FY10 and FY11 – US (N=52)

FY 2010 FY 2011



Federal – CDC - ARRA/Stimulus funds

26 19% (0%, 100%)

44 32% (1%, 100%)

Federal -- CDC - other (non-ARRA) funds

36 23% (1%, 100%)

36 18% (1%, 100%)

Federal -- Otherfunds

1 2% (2%, 2%)

1 2%(2%, 2%)

Proportion of Funds by Other Sources FY10 and FY11 – US (N=52)

FY 2010 FY 2011



Private sector/non-government -- Third-party reimbursement through health

care institution

0 0% 0 0%

Private sector/non-government -- Third-party reimbursement through insurance

company

4 2% (0%, 6%)

4 4%(0%, 12%)

Private sector/non-government -- Charitable foundation

1 76%(76%, 76%)

1 19%(19%, 19%)

Private sector/non-government -- For-profit company

0 0% 0 0%

Private sector/non-government -- Non-governmental organization

1 75% (75%, 75%)

0 0%

Private sector/non-government -- Employer organization

0 0% 0 0%

Other 1 18% (18%, 18%)

1 27%(27%, 27%)

Proportion of Funds by Provincial Sources FY10 and FY11– Canada (N=10)

FY 2010 FY 2011



Local government funds 0 0 0 0

State/provincial general funds 10 56% (15%, 100%)

8 80% (15%, 100%)

State/provincial dedicated tobacco tax funds

0 0 0 0

State Medicaid program 0 0 0 0

MSA funds 0 0 0 0

Tobacco settlement funds (not MSA)

0 0 0 0

Proportion of Funds by Federal Sources FY10 and FY11 – Canada (N=10)

FY 2010 FY 2011



Federal – Health Canada 6 69%(59%, 84%) 2 57%

(36%, 77%)

Federal – Other 0 0 0 0

Proportion of Funds by Other Sources FY10 and FY11 – Canada (N=10)

FY 2010 FY 2011



Private sector/non-government -- Third-party reimbursement through health care

institution0 0 0 0

Private sector/non-government -- Third-party reimbursement through insurance

company0 0 0 0

Private sector/non-government -- Charitable foundation 1 5%

(5%, 5%) 3 14%(8%, 25%)

Private sector/non-government -- For-profit company 1 1%

(1%, 1%) 1 1%(1%, 1%)

Private sector/non-government -- Non-governmental organization 2 8%

(8%, 8%) 1 (not reported)

Private sector/non-government -- Employer organization 0 0 0 0

Other 0 0 0 0

DESCRIPTION OF SERVICES

General Service Description FY1061 or 98% of quitlines responding reported having

counseling services available at least five days per week for a minimum of eight hours per day

48 or 92% of US and 8 or 80% of Canadian quit lines also offered counseling service on at least one day of the weekend

28 quitlines (26 or 50% 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

96% of US (n=50) and 80% of Canadian (n=8) quitlines reported closing on holidays

Most US and Canadian quitlines provide multiple proactive counseling sessions FY10

Phone counseling services

USN = 52

CAN N = 10

%(n)

%(n)

Minimal/brief intervention—client-initiated —1-10 minutes33%(17)

100%(10)

Single session counseling more than 10 minutes—client-initiated71%(37)

100%(10)

Multiple sessions—client-initiated (i.e., reactive, client calls in for each follow up)

42%(22)

100%(10)

Multiple sessions—counselor-initiated (i.e., proactive, cessation specialist / counselor / coach calls client for follow up)

92% (48)

100%(10)

US and Canadian quitlines provide interactive web-based programs to help tobacco users quit FY10

Internet-based services

Part of the quitlineNot part of the

quitlineCombined

USN = 52

CANN = 10

USN = 52

CANN = 10

US N=52

CAN n=10

% (n) % (n) % (n) % (n) % (n) % (n)

Information about the quitline 60% (31) 20% (2)27%(14)

80%(7)

75% (39)

80% (8)

Information about tobacco cessation62%(32)

20%(2)

23%(12)

80%(8)

73% (38)

90% (9)

Self-directed web-based intervention to help tobacco users quit

52%(27)

10%(1)

17%(9)

80%(8)

65% (34)

80% (8)

Automated email messages10%(5)

10%(1)

12%(6)

70%(7)

21% (11)

80% (8)

Chat rooms46%(24)

20%(2)

12%(6)

80%(8)

58% (30)

90% (9)

Interactive counseling and/or email messaging to cessation specialist/counselor/ coach to help tobacco users quit

4%(2)

20%(2)

8%(4)

30%(3)

12% (6)

40% (4)

A higher proportion of Canadian than US quitlines provide interactive web-based programs to help tobacco users quit

FY10

0%10%20%30%40%50%60%70%80%90%

100%

75% 73%65%

21%

58%

12%

80%90%

80% 80%90%

40%

US

Canada

Nearly all US and Canadian quitlines have fax referral programs, voice mail with call backs and mail information to tobacco users FY10

Other services

US(n = 52)

CAN(n = 10)

%(n)

%(n)

Voice mail with call backs or mailed information or self-help resources

87%(45)

90%(9)

Recorded messages for help with quitting (e.g., phone tree) 69%(36)

20%(2)

Referral to any other cessation services 77%(40)

30%(3)

Referral to any other non-cessation services 62%(32)

10%(1)

Fax referral for healthcare providers and other referral sources 90%(47)

90%(9)

Mailed information or self help resources (provided through the quitline)

92%(48)

90%(9)

Text messaging to cell phones (integrated with telephone counseling) 4%(2)

10%(1)

IVR (Interactive Voice Response) (integrated with telephone counseling)

2%(1)

20%(2)

FY10 Other Cessation Services in Your State Not Offered by the Quitline – US (N=52)

3.9% 19.0% 1.9% 21.0% 0.0% 7.7%3.9%

7.7%

3.9%

11.5%

1.9%

1.9%

0%

20%

40%

60%

80%

100%

Individual counseling Single session

Individual counseling Multiple sessions

Group counseling Single session

Group counseling Multiple sessions

Workplace cessation Single session

Workplace cessation Multiple sessions

No medications offered

Medications offered

2 2

4

FY10 Other Provincial Cessation Services Not Offered by the Quitline – Canada (N=10)

10% 10%0%

10%0%

10%

10%

20%

10%

20%

0%

10%

0%

20%

40%

60%

80%

100%

Individual counseling Single session

Individual counseling Multiple sessions

Group counseling Single session

Group counseling Multiple sessions

Workplace cessation Single session

Workplace cessation Multiple sessions

No medications offered

Medications offered

2 2

4

Methods Offered to Providers to Refer Patients to Quitlines in FY10

96%

46%

4% 0% 13%

100%

0% 10% 0%20%

0%

20%

40%

60%

80%

100%

Fax-referral Form Via Email Within EMR and transmit referral

electronically

Automatically pulled from EMR

Other method

US (N=52)Canada (N=10)

Languages Available for the FY10 Fax/Electronic-Referral Form

0.0%

70.0%

0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

56.0%

1.9% 1.9% 1.9% 1.9% 1.9% 1.9% 1.9%0%

20%

40%

60%

80%

100%

Spanish French Cantonese Mandarin Korean Vietnamese Russian Other

Canada (N=10)

US (N=52)

FY10 Indication of Primary Language on Referral Form

90%

10%

67%

29%

0%

20%

40%

60%

80%

100%

Yes No

Canada (N=10)

US (N=52)

Who could make a referral to the quitline using the fax- or electronic-referral process?

USN = 52

CAN N = 10

%(n)

%(n)

Only those certified or trained as a fax referral provider6%(3)

100%(10)

Clinicians / non-clinicians in any healthcare setting88%(46)

100%(10)

Clinicians / non-clinicians in community-based organizations and public health agencies

81%(42)

90%(9)

Others who can make a referral17%(9)

50%(5)

Who could make referrals to the quitline using the fax- or electronic-referral process in FY10

Who could be referred to the quitline using the referral process in FY10

54%

79% 81%

67%

17%

80%

100% 100% 100% 100%

30%

10%0%

20%

40%

60%

80%

100%

Any patient who is thinking about quitting

Any patient who is ready to make a quit

attempt

Any patient who indicates a readiness to quit in the next 30 days

Any patient who is already quit and is

seeking help to stay quit

Any patient who has filled a prescription or

submitted an insurance claim for quitting

medications

Patient who meet other critieria

US (N=52)

Canada (N=10)

How long after the referral was received did the patient receive a call from the quitline FY10

10%

60%

10% 10% 10%

25%

62%

8% 0% 2%0%

20%

40%

60%

80%

100%

Wihin 24 hours Within 48 hours Within 72 hours Within one week Other

Canada (N=10)

US (N=52)

How many call attempts were made to make first contact with a fax- or electronically-referred patient

N Missing Min Max Mean

US (N=52) 50 2 3 5 3.4

Canada (N=10) 10 0 3 5 3.9

Quitlines made between 3 and 4 attempts to reach fax- or e-referred patients in FY10

Services Referring Providers Received from Quitlines FY10

Services received

USN = 50

CAN N = 10

% (n) % (n)

Brochures that explain the fax-referral process and provide information

22% (11) 50% (5)

Customized referral/consent forms 78% (39) 50% (5)

Training for staff on: 74% (37) 60% (6)

Use of the fax referral program (among those who offer training) 100% (37) 100% (6)

Brief patient motivational interviewing (among those who offer training)

92% (34) 67% (4)

Pharmacotherapy dosing guidelines(among those who offer training) 89.2% (33) 17% (1)

Systems-based approaches to treating tobacco use dependence (among those who offer training)

21.6% (8) 33% (2)

Other (among those who offer training) 100% (37) 0% (0)

Services Referring Providers Received from Quitlines FY10 (continued)

Services received

USN = 52

CAN N = 10

% (n) % (n)

Routine provider feedback reports: 85% (44) 30% (3)

Patient contact/enrollment report 81% (42) 20% (2)

Information on the services the patient selected 75% (39) 20% (2)

The patient’s quit status: 12% (6) 30% (3)

At 3 months 4% (2) 0% (0)

At 6 months 8% (4) 0% (0)

At one year 2% (1) 0% (0)

Other 2% (1) 0% (0)

Other patient progress reports 12% (6) 10% (1)

Services Referring Providers Received from Quitlines FY10 (continued)

Services received

USN = 52

CAN N = 10

%(n)

%(n)

Customized feedback reports to satisfy various reporting and research needs:

54%(28)

20%(2)

Aggregate only54%(28)

20%(2)

Client-level de-identified4%(2)

20%(2)

Client-level identified0%(0)

20%(2)

Regular newsletter/updates on the fax referral program and/or the quitline

4%(2)

30%(3)

Other services to referring providers2%(1)

20%(2)

Website/page provides specific information on the fax-referral program FY10

60%

40%48% 46%

0%

20%

40%

60%

80%

100%

Yes No

Canada (N=10)US (N=52)

Used a translation service for hearing clients FY10

10%

90%

64%

35%0%

20%

40%

60%

80%

100%

Yes No

Canada (N=10)

US (N=52)

How many times was the translation service used to provide counseling to hearing clients

N Missing Min Max Mean Median Sum

US (N=52) 29 23 0 999 61.79 3 1792

Canada (N=10) 1 9 9 9 9.0 9 9

Number of times translation service used for counseling hearing clients FY10

Quitline used a third party translation service for deaf and hard-of-hearing clients FY10

10% 0% 0%

39%

52%

2%0%

20%

40%

60%

80%

100%

Video relay interpreter TTY relay CA Communication Assistant

Other translation service

Canada (N=10)US (N=52)

How many times was a third party translation service used to provide counseling to Deaf and Hard-of-hearing clientsN Missing Min Max Mean Median Sum

US (N=52) 24 28 0 1 0.17 0 4

Canada (N=10) 1 9 0 0 0 0 0

Number of times translation service used for counseling deaf and hard-of-hearing clients FY10

Language of Counseling Service FY10

98%

0% 2% 2% 2% 2%

12%

100%

0%

20%

40%

60%

80%

100%

Spanish French Mandarin Cantonese Korean Vietnamese

US (N=52)

Canada (N=10)

Number of Calls of Counseling Service by Language FY10

N Missing Min Max Mean Median Sum

US (N=52)

English 39 13 0 40,281 8,210 4,750 320,180

Spanish 48 4 0 2,582 215 46 10,329

Asian Languages

1 51 392 392 392 392 392

Canada (N=10))

English 7 3 190 5,899 1,273 439 8,911

French 8 2 0 16,883 2,129 3 17,029

Hours Per Week of Counseling Service Availability by Language FY10

N Missing Min hrs/wk

Max hrs/wk

Mean hrs/wk

US (N=52)

English 39 13 72 133 121

Spanish 48 4 0 133 93

Asian Languages

1 51 74 74 74

Canada (N=10)

English 7 3 5 78 68

French 8 2 59 168 87

The figure below shows the organizations (n=15) that were the primary service provider of counseling services for US quitlines

US Primary Service Providers FY10

Free and Clear

National Jewish Health

JSI IQH Healthways ACS Mayo Other (1 each of 9 dif-

ferent providers)

0%

10%

20%

30%

40%

50%

60%

33%

12%

6% 6%2%

22%

4%

16%

53%

18%

6% 4% 4%0% 0%

16%

Start of Year

End of Year

Canadian Service Providers FY10

60%

10% 10% 10% 10%

0%

20%

40%

60%

80%

100%

Canadian Cancer Society, Ontario

Division

Canadian Cancer Society and Conseil

québécois sur le tabac et la santé

Alberta Health Services

Sykes Assistance Services (SASC)

Lung Association of Newfoundland and

Labrador

% ofquitlinesreportingservice

provider

The majority of Canadian quitlines (60%) had counseling services provided by the Canadian Cancer Society, Ontario Division

1 1 1 1

Language of Cessation Materials FY10

98%92%

0% 4% 4% 4% 4% 2% 0%

100%

0%

90%

10% 10% 10%

0% 0%

10%

0%

20%

40%

60%

80%

100%US (N=53)Canada (N=10)

Specialized Materials for Special Populations FY10

90% 90%

71% 69%64%

58%

12%8% 4% 4% 4% 4% 4% 4%

40%

10%

0%

30%

10% 10%

0% 0%

10%

0% 0%

10%

0%

10%

0%

20%

40%

60%

80%

100%US (N=53)

Canada (N=10)

48 US quitlines (92%) and 5 Canadian quitlines (50%) send specialized materials to special populations. These include:

Specialized Materials for Racial/Ethnic Populations FY10

65%

6%

67%

0% 0% 2%0%

20%

40%

60%

80%

100%

Hispanic/Latino African American American Indian/ Aboriginal/

First Nations

Asian/ Asian American

Native Hawaiian/ Pacific Islander

African Immigrant

US (N=53)

76% of US and 0% of Canadian quitlines offers specialized materials to callers of racial/ethnic populations. These include:

1

Materials sent to callers who are not tobacco users or recent quitters FY10

89%96%

8%

100% 100%

1%0%

20%

40%

60%

80%

100%

Health professionals Those who want to help othersquit

Other callers

US (N=52)Canada (N=10)

Specialized Counseling Protocols FY10

87%

31%

67%

15% 12% 8% 4% 8% 4% 8%2% 4% 2% 4%

100%

20% 20%

0%

20% 20%

0% 0%10%

0% 0%

20%10% 10%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

US (N=53) Canada (N=10)

89% of US and 100% of Canadian quitlines use specialized counseling protocols for special populations. These include:

Specialized Counseling Protocols for Racial/Ethnic Populations FY10

12%4%

12%2% 0%

15%

0%

20%

40%

60%

80%

100%

Hispanic/Latino African American American Indian/ Aboriginal/ First Nations


Native Hawaiian/ Pacific Islander

African Immigrant

US (N=53)

1

Specialized Counselor Training for Special Populations FY10

92%85% 85% 83%

75%69% 69% 67% 64% 62% 62% 58% 58% 54%

8%

80%

10%

60%

80%

10%0%

10% 10%0% 0% 0%

10%0% 0% 0%

0%

20%

40%

60%

80%

100%US (N=53)

Canada (N=10)

49 US quitlines (94%) and 8 Canadian quitlines (80%) send specialized materials to special populations. These include:

Specialized Counselor Training for Racial/Ethnic Populations FY10

73% 69%77%

67%54% 54% 54%

2%0% 0%

60%

0% 0% 0% 0% 0%0%

20%

40%

60%

80%

100%

Hispanic/Latino African American

American Indian/

Aboriginal/ First Nations


Native Hawaiian/

Pacific Islander

African Immigrant

Arab Other

US (N=53)

Canada (N=10)

1

Eligibility Criteria for Counseling FY10

92%

62%

33%

8% 6% 6% 6% 4% 2% 0% 0%

10%

100%

0%

20%

40%

60%

80%

100%US (N=52)

Canada (N=10)

94% of US and 80% of Canadian quitlines have eligibility criteria for callers to receive counseling. These include:

8

Eligibility Criteria for Different Levels of Service FY10

20 US quitlines (39%) and 1 Canadian quitline (10%) have different eligibility criteria for different levels of service

Open-ended responses described eligibility criteria for differing level of service including:• Increased sessions depending on readiness to quit (n=8,

US)• Increased sessions for pregnant women (n=7, US)• Increased sessions for union members (n=1, US)• Increased sessions for youth (n=1, US)• Increased sessions for study participants (n=1, US)• Increased sessions for uninsured or

Medicaid/Medicare/VA/IHS insured (n=7, US)• Employee or dependent of the public service (n=1, Canada)

MEDICATIONS

Provision of Quitting Medication FY10Patch Gum Lozenge Zyban Chantix Nasal

SprayInhaler ANY

Meds

US (N=52)

Provide free medication

75% 65% 38% 4% 4% 2% 2% 75%

Provided discounted meds

2% 2% 2% 6% 6% 2% 2% 6%

Provided voucher to

redeem meds

0% 0% 0% 2% 10% 0% 0% 10%

Canada (N=10)

Provide free medication

- - - - - - -

Provided discounted meds

- - - - - - -

Provided voucher to redeem meds

- - - - - - -

Provision of Information about Quitting Medication FY10

Patch Gum Lozenge Zyban Chantix Nasal Spray Inhaler

US (N=52)

Provided info about using meds

87% 85% 81% 63% 65% 50% 50%

Provided info about accessing meds

31% 29% 27% 25% 25% 19% 21%

Canada (N=10)

Provided info about using meds

100% 100% 100% 100% 100% 10% 100%

Provided info about accessing meds

60% 60% 50% 60% 60% - 50%

Free Medication Provision – US Quitlines – FY10

Free Meds Type

# Providing Type of Free

Meds

N (Providing

weeks data)

Median # of Weeks

Provided

Minimum # of Weeks

Maximum # of Weeks

Patch 39 39 4 2 12

Gum 34 34 4 2 12

Lozenge 20 20 8 2 12

Zyban 2 2 10 8 12

Inhaler 1 1 8 8 8

Chantix 2 2 10 8 12

Nasal Spray

1 1 8 8 8

The number of US quitlines providing free medications has increased over time

FY 2006 FY 2008 FY 2009 FY 20100%

10%20%30%40%50%60%70%80%90%

100%

46%

70% 70%75%

Eligibility Criteria for Free Medications FY10, US (N=52)

73% 69%

48% 46% 42%

21%14%

8% 6% 4% 4% 2% 2% 2%

17%

0%

20%

40%

60%

80%

100%

3

Note: many quitlines reported varying eligibility criteria for different populations or circumstances.

PROMOTION AND OUTREACH

Promotions and Referral Networks to Increase Reach to Tobacco Users FY10

98%

32%27%

60%

8%

19%

100%

40%

20% 20% 20%

30%

0%

20%

40%

60%

80%

100%

Fax Community organization

networks

Online advertising (paid)

Web referrals (unpaid)

Triage Other

US (N=52)

Canada (N=10)

Types of Media/Promotions and Outreach Activities FY10&11, US Quitlines

FY10 (N=52) FY11 (N=52)

Paid Media/Promotions

TV 71% 85%

Radio 63% 83%

Newspaper ads 35% 44%

Billboards 35% 48%

Online advertising 48% 65%

Earned media 85% 83%

Outreach

Information display at health fairs, meetings, workshops, conferences 88% 87%

Building healthcare referral networks 87% 96%

Building other referral networks 77% 75%

Types of Media/Promotions and Outreach Activities FY10&11, US Quitlines (cont.)

FY10 (N=52) FY11 (N=52)

Social Media

Facebook 37% 62%

Myspace 8% 14%

Twitter 14% 25%

Other 8% 8%

Other 10% 12%

Types of Media/Promotions and Outreach Activities FY10&11, Canadian quitlines

FY10 (N=10) FY11 (N=10)

Paid Media/Promotions

TV 70% 50%

Radio 60% 40%

Newspaper ads 60% 50%

Billboards 0% 10%

Online advertising 40% 70%

Earned media 70% 80%

Outreach

Information display at health fairs, meetings, workshops, conferences 100% 90%

Building healthcare referral networks 80% 100%

Building other referral networks 90% 90%

Types of Media/Promotions and Outreach Activities FY10&11, Canadian quitlines (cont.)

FY10 (N=10) FY11 (N=10)

Social Media

Facebook 60% 70%

Myspace 10% 0%

Twitter 30% 30%

Other 10% 10%

Other 20% 20%

UTILIZATION

Utilization – Calls FY10Total Calls N Missing Min Max Median Mean Sum % of

total

US (N=52)

Answered live 49 3 236 104,573 8,868 15,704 769,497 83%

Went to voicemail 47 5 7 13,657 131 774 36,385 4%

Pre-recorded message 33 19 0 2,797 0 128 4,237 0.5%

Hung up or abandoned 48 4 48 27,294 965 2,222 106,641 11.5%

Total 50 2 316 121,371 10,054 18,563 928,146 100%

Canada (N=10)

Answered live 9 1 221 11,439 746 2,727 24,544 93%

Went to voicemail 2 8 67 147 107 107 214 1%

Pre-recorded message 7 3 0 479 0 68 479 2%

Hung up or abandoned 9 1 4 388 45 104 932 4%

Total 9 1 453 11,577 784 2,935 26,421 100%

Number of unique tobacco users FY10N Missing Min Max Median Mean Sum

US (N=52)

Total unique users 48 4 125 72,837 5,610 9,150 439,185

Smokers calling for self

47 5 141 80,296 4,711 8,701 408,947

Other users calling for self

46 6 5 2,780 272 458 21,067

Canada (N=10)

Total unique users 8 2 139 4,852 322 1,273 10,180

Smokers calling for self

8 2 137 4,543 320 1,230 9,842

Other users calling for self

7 3 0 12 1 4 31

Number of referrals received by the quitline in FY10

Total Calls N Missing Min Max Median Sum

US (N=52)

Fax referrals 49 3 0 10,036 692 75,887

EMR referrals 41 11 0 0 0 0

Other referrals 44 8 0 6874 110 25,629

Total 47 5 41 16,910 899 96,485

Canada (N=10)

Fax referrals 7 3 23 1,555 298 3,931


Other referrals 8 2 0 8,812 1,207 9,656

Total 9 1 23 10,603 1,740 15,656

US quitlines receive 3.5 times as many direct calls from tobacco users as referrals;

Canadian quitlines receive 1.5 times as many referrals as direct calls from tobacco users

US Canada0

1

2

3

4 3.5

0.621 1

Ratio of Total number of smokers calling to total number of referrals received

Total smokers callingTotal referrals received

Number of referrals reached by the quitline in FY10

Total Calls N Missing Min Max Median Sum

US (N=52)

Fax referrals 44 8 17 4,187 383 37,274


Other referrals 40 12 0 6,874 80 18,218

Total 43 9 17 11,061 546 55,257

Canada (N=10)

Fax referrals 2 8 239 1,064 679 1,357


Other referrals 7 3 0 546 0 546

Total 2 8 839 1,064 952 1,903

Number of referrals registered for services/agreed to receive services in FY10

Total Referrals N Missing Min Max Median Mean Sum

US (N=52)

Fax referrals 44 8 14 3,680 283 610 26,849

EMR referrals 37 15 0 0 0 0 0

Other referrals 40 12 0 6,677 44 504 20,141

Total 43 9 14 8,343 381 1,138 48,950

Canada (N=10)

Fax referrals 6 4 15 1,008 114 261 1,567


Other referrals 9 1 0 1,055 0 166 1,493

Total 8 2 15 2,017 162 522 4,173

Number of referrals received counseling or medications in FY10

Total Referrals N Missing Min Max Median Mean Sum

US (N=52)

Fax referrals 41 11 10 3,680 232 494 20,271


Other referrals 38 14 0 6,677 39 364 13,815

Total 43 9 10 7,433 301 1,014 43,620

Canada (N=10)

Fax referrals 6 4 12 986 104 254 1,521


Other referrals 9 1 0 808 0 138 1,246

Total 8 2 12 1,664 128 465 3,720

33% of US fax referrals received counseling or medications (N=40)

Fax referrals RECEIVED

Fax referrals REACHED

Fax referrals REGISTERED

Fax referrals RECEIVED

COUNSELING or MEDS

0

10000

20000

30000

40000

50000

60000

7000058476

33190

238891957357% 72% 82%

33%

42% of US total referrals received counseling or medications (N=41)

Total referrals RECEIVED

Total referrals REACHED

Total referrals REGISTERED

Total referrals RECEIVED

COUNSELING or MEDS

0100002000030000400005000060000700008000090000 85367

55079

4055135950

64% 74% 89%

42%

Number of tobacco users who completed an intake or registration process in FY10

Number N Missing Min Max Median Mean Sum

US (N=52) 52 0 117 104,679 4,735 10,078 513,999

Canada (N=10) 3 7 1,148 6,121 1,664 2,978 8,933

US Quitlines Utilization – Received Service FY10

Tobacco Users Who Received Service

N Missing Median (Min,Max) Sum

US (N=52)

Self-help Materials 46 6 83 (0,95986) 124,981

Any amount of counseling

50 2 4860 (130,80613) 426,780

Medication received 44 8 2713 (0,85827) 296,012

Total served with evidence-based

services (counseling or meds)

50 2 4129 (86,104679) 424,548

Canadian Quitlines Utilization – Received Service FY10

Tobacco Users Who Received Service

N Missing Median (Min,Max)

Sum

Canada (N=10)

Self-help Materials 3 7 37 (0,502) 539

Any amount of counseling

9 1 376 (156,4252) 12,959

Medication received 10 0 0 (0, 187) 187

Total served with evidence-based

services (counseling or meds)

9 1 376 (156,4252) 12,959

Average number of minutes of counseling and number of counseling calls completed FY10

Total Calls N Missing Min Max Median Mean

US (N=52)

Minutes 38 14 8 60 29.5 28.0

Calls 41 11 1 5 2.1 2.2

Canada (N=10)

Minutes 3 7 5 20 15.0 13.2

Calls 3 7 3 4 3.7 3.6

US Promotional Reach FY 2005-2010

FY05 FY06 FY08 FY09 FY100

100,000

200,000

300,000

400,000

500,000

600,000

-0.20%

0.00%

0.20%

0.40%

0.60%

0.80%

1.00%

1.20%

Number of unique tobacco users (sum)

Reach (unique tobacco users calling divided by estimated number of smokers in the state or territory using 2009 BRFSS)

Num

ber o

f uni

que

toba

cco

user

s ca

lling

Re

ac

h

Canada Promotional Reach FY 2005-2010

N=3

N=8 N=10N=9

N=8

Where are we now?

FY10 Reach

Promotional reach (# of

unique tobacco users

calling)Reach (N)

Registration reach (# of

tobacco users completing an

intake) Reach (N)

Treatment reach (#

receiving evidence

based services) Reach (N)

U.S. 1.15% (48) 1.30% (52) 1.09% (51)

Canada 0.21% (9) 0.51% (3) 0.31% (9)

Registration reach FY 2009-2010

Canada N Min Max Mean Actual

2009 9 0.14% 1.37% 0.43% 0.35%

2010 3 0.36% 1.45% 0.77% 0.51%

US N Min Max Mean Actual

2009 49 0.16% 9.84% 1.89% 1.22%

2010 52 0.12% 7.26% 1.71% 1.30%

Treatment Reach FY09-FY10

Canada N Min Max Mean Actual

2009 3 0.24% 1.90% 0.80% 0.37%

2010 9 0.17% 1.79% 0.49% 0.31%

US N Min Max Mean Actual

2009 46 0.05% 7.25% 1.57% 1.19%

2010 50 0.05% 6.66% 1.45% 1.09%

Treatment reach and spending benchmarking – US FY10

1 2 3 4 5 6 7 8 9 1011121314151617181920212223242526272829303132333435363738394041424344454647484950 A B C

0%

1%

2%

3%

4%

5%

6%

7%

$-

$5

$10

$15

$20

$25

$30

treatment reach 2010 Spending per smoker (svcs + meds)2010 spending per smoker (promotions) 2010 spending per smoker (outreach)

Treatment Reach Rank

Tre

atm

ent

Rea

ch

.

Sp

end

ing

per

sm

oke

r (U

S D

oll

ars)

.

Treatment Reach and spending benchmarking – Canada FY10

$- $5.00 $10.00 $15.00 $20.00 $25.00 $30.00 0.00%

1.00%

2.00%

3.00%

4.00%

5.00%

6.00%

7.00%

Spending per Smoker (Services and Medications)

Tre

atm

ent

Rea

chUS Quitlines Treatment Reach and

Spending Per Smoker (svcs + meds) FY10

CDC recommendation: 6% reach, $10.53 per smoker

$- $2.00 $4.00 $6.00 $8.00 $10.00 $12.00 $14.00 $16.00

-1.0%

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

Spending per Smoker (services budget)

Tre

atm

en

t R

ea

ch

Canada Quitlines Treatment Reach and Spending Per Smoker (svcs + meds) FY10

CDC recommendation: 6% reach, $10.53 per smoker

Number of Unique Tobacco Users Receiving Services by Type of Tobacco Use FY10, US

Quitline Number of Tobacco Users Receiving Evidence-based Services

N Missing Min Max Mean Median

US (N=53)

Cigarette 21 32 123 104,065 11,752 4511

Cigar 20 33 3 1,520 261 65

Pipe 20 33 0 138 25 9

Smokeless 20 33 0 1047 252 140

Other 15 38 0 320 35 8

The majority of tobacco users receiving evidence-based services are

cigarette users FY10US (median) N=21

95.3%

1.4%

0.2%2.9% 0.2%

CigarettesCigarsPipeSmoklessOther

Utilization FY10 – Amount of Tobacco Used Cigarettes per Day

Quitline Person Served Cigarettes per Day


US* (N=52)

Mean 15 37 18 27 21 20

Minimum 15 37 1 3 1 1

Maximum 15 37 21 6010 494 100

Canada** (N=10)

Mean 2 8 16 16 16 16

Minimum 2 8 1 1 1 1

Maximum 2 8 80 80 80 80

* For the US, the number of smokers on which the mean, minimum and maximum were based ranged from a low of 123 to a high of 92,356.

**For Canada, the number of smokers on which the mean, minimum and maximum were based ranged from a low of 1,082 to a high of 13,305.

Utilization FY10 – Amount of Tobacco Used Cigars per weekQuitline Caller Cigars per Week


US* (N=52)

Mean 10 42 1 76 20 14

Minimum 11 41 1 1 1 1

Maximum 11 41 6 350 105 80

Canada** (N=10)

Mean 1 9 10 10 10 10

Minimum 1 9 1 1 1 1

Maximum 1 9 70 70 70 70

* For the US, the number of cigar smokers on which the mean, minimum and maximum were based ranged from a low of 50 to a high of 1,185.

**For Canada, the number of cigar smokers on which the mean, minimum and maximum were based ranged from a low of 35 to a high of 35.

Utilization FY10 – Amount of Tobacco Used Pipes per Week

Quitline Caller Pipes per Week


US* (N=52)

Mean 7 45 1 34 11 11

Minimum 8 44 1 7 2 1

Maximum 8 44 4 100 41 35

Canada** (N=10)

Mean 1 9 1 1 1 1

Minimum 1 9 1 1 1 1

Maximum 1 9 1 1 1 1

* For the US, the number of pipe smokers on which the mean, minimum and maximum were based ranged from a low of 2 to a high of 57.

**For Canada, the number of pipe smokers on which the mean, minimum and maximum were based ranged from a low of 1 to a high of 1.

Utilization FY10 – Amount of Tobacco Used Tins per Week (Smokeless)

Quitline Caller Tins per Week


US* (N=52)

Mean 8 44 0 5 3 3

Minimum 8 44 1 1 1 1

Maximum 8 44 1 55 26 21

Canada** (N=10)

Mean 1 9 1 1 1 1

Minimum 1 9 1 1 1 1

Maximum 1 9 1 1 1 1

* For the US, the number of smokeless users on which the mean, minimum and maximum were based ranged from a low of 30 to a high of 369.

**For Canada, the number of smokeless users on which the mean, minimum and maximum were based ranged from a low of 1 to a high of 1.

Utilization FY10 – Cigarette Users Only Frequency of Smoking

Quitline Number of Callers


US (N=52)

Everyday/daily 16 36 123 97,587 12,070 3,596

Someday/Occasional 16 36 0 743 130 28

Not at all 16 36 0 1,275 255 67

Of not at all, # quit <30 days 11 41 0 1,001 210 20

Canada (N=10)

Everyday/daily 2 8 1,071 1,641 1,356 1,356


Not at all 2 8 124 247 186 186

Of not at all, # quit <30 days 2 8 109 203 156 156

The majority of tobacco users receiving evidence-based treatment are everyday/daily

smokers FY10

US (n=16) Canada (n=2)

86%

2% 12%

Everyday/ daily

Somedays/ Occasional

Not at all

97%

1% 2%

Utilization FY10 – Cigar Users Only Frequency of Smoking


N Missing

Min Max Mean Median

US (N=52)

Everyday/daily 5 47 26 659 228 126


Not at all 5 47 0 116 33 10

Canada (N=10)

Everyday/daily 1 9 7 7 7 7


Not at all 1 9 0 0 0 0

Utilization FY10 – Pipe Users Only Frequency of Smoking


N Missing

Min Max Mean Median

US (N=52)



Not at all 5 47 0 18 5 1

Canada (N=10)



Not at all 1 9 0 0 0 0

Utilization FY10 – Smokeless Tobacco Users Only Frequency of Smoking



US (N=52)

Everyday/daily 7 45 22 565 163 58


Not at all 7 45 0 62 15 6

Canada (N=10)



Not at all 1 9 0 0 0 0

Utilization FY10 – Other Tobacco Users Only Frequency of Smoking

• Most quitlines were unable to report the number of other tobacco users that were Daily, Occasional, or Not at All users of other tobacco products.

Utilization FY10 – Time to First CigaretteQuitline Number of Callers


US (N=52)

Within 5 minutes 20 32 51 26,547 4,615 2,450

6-30 minutes 20 32 54 17,333 3,029 1,542

31-60 minutes 20 32 4 4,382 881 492

>60 minutes 20 32 11 4,015 746 251

Canada (N=10)

Within 5 minutes 2 8 281 385 333 333

6-30 minutes 2 8 218 325 272 272

31-60 minutes 2 8 94 122 108 108

>60 minutes 2 8 78 156 117 117

Utilization FY10 – Time to First Use of TobaccoQuitline Number of Callers


US (N=52)

Within 5 minutes 5 47 32 345 111 59

6-30 minutes 5 47 12 346 94 30

31-60 minutes 5 47 2 147 46 30

>60 minutes 5 47 0 160 48 29

Canada (N=10)

Within 5 minutes 1 9 19 19 19 19

6-30 minutes 1 9 17 17 17 17

31-60 minutes 2 8 7 7 4 4

>60 minutes 1 9 7 7 7 7

Utilization FY10– Gender



US (N=52)

Male 24 28 64 49,432 5,216 2,461

Female 24 28 66 54,862 6,685 3,206

Canada (N=10)

Male 3 7 322 1,640 861 620

Female 3 7 497 2,903 1,398 795

Most tobacco users served with evidence-based services are female FY10

US (n=24) Canada (n=2)

38%

62%

MaleFemale

43%

57%

Utilization FY10 – AgeQuitline Callers


US* (N=52)

Mean 14 38 38 54 45 45

Minimum 15 37 10 23 15 15

Maximum 15 37 70 101 88 89

Canada** (N=10)

Mean 2 8 46 47 46 46

Minimum 2 8 14 15 15 15

Maximum 2 8 84 86 85 85

* For the US, the number of callers on which the mean, minimum and maximum age were based ranged from a low of 123 to a high of 98,350.

**For Canada, the number of callers on which the mean, minimum and maximum age were based ranged from a low of 1,189 to a high of 1,189.

Utilization FY10 – Level of Education US



US (N=52)

< Grade 9 22 30 5 1,845 357 122

Grade 9-11, no degree 23 29 18 9,324 1,454 558

GED/HS degree 23 29 49 33,759 4,203 2,039

Some college or university 23 29 37 27,239 3,511 1,545

College or university degree 23 29 23 18,130 1,794 486

Utilization FY10 – Level of Education US

3%12%

43%

33%

10%

US (n=22)

< Grade 9

Grade 9-11, no degree

GED/HS degree

Some college or university

College or university degree

Utilization FY10 – Level of Education Canada



Canada (N=10)

< HS 2 8 171 328 250 250

HS diploma 2 8 201 332 267 267Some post-secondary education

without degree2 8 0 142 71 71

Registered Apprenticeship 2 8 2 187 95 95College, CEGEP 2 8 0 268 134 134University degree 1 9 337 337 337 337

Level of Education – Canada FY10

17.0%

18.0%

4.0%7.0%

8.0%

24.0%

Canada (n=2)

< HS

HS diploma

Some post-secondaryeducation without degree

Registered Apprenticeship

College, CEGEP

University degree

Utilization FY10– Ethnicity and Race USQuitline Number of Callers


US (N=52)

Hispanic or Latino 24 28 3 5,115 1,033 178

White 23 29 121 64,801 8,638 5,457

Black or African American

23 29 2 11,150 1,142 251

Asian 23 29 0 1,778 149 21

Native Hawaiian or Pacific Islander

22 30 0 66 14 5

American Indian or Alaskan Native

23 29 0 881 172 76

Other 24 28 1 4,053 594 123

Utilization FY10–Ethnicity US

3%

97%

US (n=24)

Hispanic/ Latino

Not Hispanic/ Latino

Utilization FY10–Race US

72%

10%

3%2% 3% 1%0%

US (median)White

Black or AfricanAmericanHispanic or Latino

American Indian orAlaskan NativeOther

Asian

Native Hawaiian orPacific Islander92%

4.2%0.4%

0.1% 1.3% 2%

US (median) n=23White

Black or African American

American Indian orAlaskan Native

Asian

Native Hawaiian orPacific Islander

Other

Utilization FY10 – Race CanadaQuitline Number of Callers


Canada (N=10)

White 1 9 592 592 592 592

Aboriginal (Native Indian, Métis, Inuit)

1 9 21 21 21 21

Asian 1 9 13 13 13 13

Other 1 9 30 30 30 30

Utilization FY10 – Sexual Orientation



US (N=52)

Straight 10 42 1264 21,807 8,354 7,616

Gay or lesbian 10 42 39 679 234 209

Bisexual 10 42 21 473 161 113

Transgender 7 45 2 17 9 11

Other 7 45 0 77 14 2

Refused 7 45 0 545 117 19

Missing 7 45 20 11,980 1939 142

Utilization FY10 – Sexual Orientation



Canada (N=10)

Straight 1 9 733 733 733 733

Gay or lesbian 1 9 12 12 12 12

Bisexual 1 9 8 8 8 8

Transgender 0 10 . . . .

Other 0 10 . . . .

Refused 1 9 9 9 9 9

Missing 1 9 45 45 45 45

Insurance Status of Callers FY10


Insurance Type N Missing Min Max Mean Median

US (N=52)

None 21 31 16 27,465 4,119 1,650

Gov’t Provided (Medicare, Medicaid, etc.)

20 32 27 24,333 3,796 1,276

Private 20 32 67 47,571 4,357 835

50 US quitlines (96%) reported that they collect information on the insurance status of callers who receive services. 20 were able to report on insurance status for the population of tobacco users receiving evidence-based services. The types of insurance quitlines collect information about include:

Insurance Status of Callers FY10

None, 44%

Gov't provided (Medicare,

Medicaid, etc), 34%

Private, 22%

US (n=21)

Utilization FY10–Registrants for Web-based Services N Missing Min Max Mean Sum

US (N=52)

Registrants for web-based cessation services

integrated with the quitline

23 29 1 43,907 5818 133,819

Registrants for web-based cessation services NOT


9 43 209 6,883 2388 21,496

Canada (N=10)

Registrants for web-based cessation services


0 10 - - - -

Registrants for web-based cessation services NOT


7 3 3 9,541 1,543 10,801

Canadian quitlines received proportionally more registrants for web-based cessation

services than US quitlines

US Canada0

1

2

3

4

1 1

3.3

1.2

Ratio of Registrants for Web-based Cessation Services to Phone-based Cessation Services

Registrants for web-based cessation servicesRegistrants for phone-based cessation services

EVALUATION

Evaluation FY10

38 US quitlines (73%) and 2 Canadian quitlines (20%) conducted follow-up evaluations in FY10

Most quitlines had follow-up evaluation conducted by:• staff other than quitline staff (e.g., internal evaluation unit)

(US n=20; Canada n=0),• an outside evaluation firm (US n=15; Canada n=1)

Next most commonly cited was evaluation conducted by: • quitline staff (US n=5; Canada n=1)• the funding agency (US n=1) • an other source (US n=1)

Evaluation FY10The types of evaluation data collected by those quitlines

that conduct follow-up evaluations include:• Customer satisfaction:

US (71%, 37), Canada (20%, 2)• Quitting outcome:

US (73%, 38), Canada (20%, 2)• Staff performance:

US (25%, 13), Canada (10%, 1)• Other:

US (2+%, 10), Canada (10%, 1)

Evaluation – Sampling Strategy FY10 The sampling strategy used by Quitlines for follow-up

evaluations include:• Random sampling: US (42%, 22), Canada (0%, 0)

• Census Sampling (all callers): US (23%, 12), Canada (10%, 1)

• Continuous sampling (year-round): US (17%, 9), Canada (10%, 1)

• Cohort sampling (time-limited): US (21%, 11), Canada (20%, 2)

• Periodic sampling (within one year or across multiple years): US (2%, 1), Canada (0%, 0)

• Other sampling: US (8%, 4), Canada (20%, 2)

Evaluation – Sampling Time Points FY10

N %

US (N=52)

3 months after registration/first contact 10 19






Canada (N=10)




Other 1 10

Evaluation – Sampling Criteria FY10US (N=38) Canada (N=2)

Sample all those who… N % N %

Call (regardless of reason) 4 11% - -

Are current tobacco users at first call 10 26% 1 50%

Are former tobacco users at first call 3 8% 1 50%

Are 18 years and older 17 45% 1 50%

Register for counseling 15 39% - -

Receive counseling (begin first call) 15 39% 1 50%

Receive medications 1 3% - -

Consent to follow-up 29 76% 1 50%

Set a quit date 3 8% 1 50%

Complete all counseling session 2 5% - -

Other 13 34% 1 50%

Funding Sources for the FY 2010 NAQC Annual Survey of Quitlines

Centers for Disease Control and Prevention, Office on Smoking and Health

American Legacy Foundation

NAQC Membership Dues

Recommended Citation:

North American Quitline Consortium. 2011. Results from the 2010 NAQC Annual Survey of Quitlines. Available at

http://www.naquitline.org/?page=survey2010.

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 Consortium1300 Clay Street, Ste. 600Oakland, CA 94612Ph: 800-398-5489 x702Email: [email protected]

mailto:[email protected]

Results from the 2010 NAQC Annual Survey of Quitlines Prepared by: Westat, Jessie Saul, and the NAQC...

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