Transcript Results from the 2010 NAQC Annual Survey of Quitlines Prepared by: Westat, Jessie Saul, and the NAQC Annual Survey Workgroup July 13, 2011

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 Methods
Completed from October to December 2010
• Web-based survey with email and telephone follow-up:
1)
2)
3)
4)
5)
6)
7)
8)
General Information, hours, services offered
Quitline budgets
Funding sources
Materials used
Counselling services and protocols
Promotion
Utilization
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)
N
Missing
Median
(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
Budget Category
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
Total quitline budget (sum)
$1,800,000
$180,000,000
$1,600,000
$160,000,000
$1,400,000
$140,000,000
$1,200,000
$120,000,000
$1,000,000
$100,000,000
$800,000
$600,000
$400,000
$80,000,000
N=50
N=50
N=51
$60,000,000
$40,000,000
N=48
$200,000
$20,000,000
$-
$-
FY06
FY08
FY09
FY10
Total Quitline Budget (sum)
Median Quitline Budget
Median quitline budget
Median quitline budgets in Canada have
decreased from FY09 – FY10
Total quitline budget (sum)
$400,000
$8,000,000
$350,000
$7,000,000
$300,000
$6,000,000
$250,000
$5,000,000
$200,000
$4,000,000
$150,000
$3,000,000
$100,000
$50,000
N=6
N=9
N=9
N=10
N=9
$2,000,000
$1,000,000
$-
$-
FY05
FY06
FY08
FY09
FY10
Total Quitline Budget (sum)
Median Quitline Budget
Median quitline budget
Median budget for services and medications
US, 2005-2010
$1,300,000
$1,123,536
$1,100,000
$890,075
$900,000
$700,000
$985,000
$621,697
$515,000
N=49
$500,000
$300,000
N=51
N=46
N=44
N=49
2005
2006
$100,000
$(100,000)
2008
2009
2010
Median budget for services
Canada, 2005-2010
$250,000
$221,500
$204,893
$200,000
$160,990
$150,000
$87,500
$100,000
N=10
N=6
$50,000
N=10
N=10
$72,200
N=9
$-
2005
2006
2008
2009
2010
US Spending per Smoker (services and
medications), 2008-2010
$2.00
$1.80
$1.60
$1.40
$1.20
$1.00
$0.80
$0.60
$0.40
$0.20
$-
$1.71
$1.78
N=50
$1.89
N=49
N=45
2008
2009
2010
Canada Spending per Smoker (services),
2008-2010
$2.00
$1.80
$1.60
$1.40
$1.20
$1.00
$0.80
$0.60
$0.40
$0.20
$-
$0.77
$0.67
$0.65
N=8
2008
N=9
2009
N=9
2010
Funding Sources in FY10 and FY11
Public sector/government
Local government funds
State/provincial general funds
State/provincial dedicated tobacco tax
funds
State Medicaid program
MSA funds
Tobacco settlement funds (not MSA)
Federal
CDC- ARRA/Stimulus funds
CDC - other (non-ARRA) funds
Health Canada
Other
Private sector/non-government
Third part reimbursement through
healthcare institution
Third part reimbursement through
insurance company
Charitable foundation
For-profit company
Non-governmental organization
Employer organization
Other
US
FY10
(N=52)
US
FY11
(N=52)
Canada
FY10
(N=10)
Canada
FY11
(N=10)
0%
25%
0%
26%
0%
100%
0%
100%
21%
24%
0%
0%
4%
46%
10%
6%
45%
8%
0%
0%
0%
0%
0%
0%
52%
71%
0%
2%
82%
73%
0%
2%
0%
0%
60%
0%
0%
0%
30%
0%
0%
0%
0%
0%
8%
8%
0%
0%
2%
0%
2%
0%
2%
2%
0%
0%
0%
2%
10%
10%
20%
0%
0%
30%
10%
10%
0%
0%
More US quitlines report receiving funds from
CDC or MSA funds than any other source
100%
90%
81%
80%
73%
FY 09
82%
FY 10
FY 11
60%
60%
52%
46%
45%
40%
26%
23%25%
20%
24%
19%21%
6% 6%
4%
0%
10%
6% 8%
8%
6%8%
2%2%
2%
2%2%
0%
8%
2%2%
More US quitlines report receiving funds from
CDC or MSA funds than any other source
100%
60%
20%
0%
39%
40%
8% 24%
FY 10
FY10: CDC (ARRA)
FY10: CDC (Other)
FY10: CDC (ARRA and Other)
FY 11
65%
80%
33% 14%
FY 09
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
100%
80%
78%77%
64%
60%
40%
FY09 avg proportion of funds among
quitlines reporting each funding source
FY10 avg proportion of funds among
quitlines reporting each funding source
FY11 avg proportion of funds among
quitlines reporting each funding source
76%
69%
64% 63%
56%
54%55%
49%
38%
32%
19%
20%
27%24%
18%
19%
19%
27%
18%
17%
4%4%3%
0%
The majority of Canadian quitlines report
receiving funds from provincial general funds
120%
100%
100%100%
90%
FY 09
FY 10
80%
FY 11
60%60%
60%
40%
20%
0%
30%
30%
20%
10%
30%
20%
10%
10%
0% 0%
10%10%10%
For Canadian quitlines, the highest proportion
of funds come from provincial general funds
and Health Canada
100%
FY 09 avg proportion of funds among
quitlines reporting each funding source
80%
FY 10 avg proportion of funds among
quitlines reporting each funding source
80%
70%69%
60%
57%
FY 11 avg proportion of funds among
quitlines reporting each funding source
56%56%
40%
20%
14%
14%
5%
0% 0%
9%
8%
0%
0%
0%
Health Canada
State/Provincial
general funds
Local government
funds
Non-governmental
organization
Other
Proportion of Funds by State Government
Sources FY10 and FY 11 – US (N=52)
FY 2010
FY 2011
N
Average %
(Min, Max)
N
Average %
(Min, Max)
Local government funds
0
0%
(0%, 0%)
0
0%
(0%, 0%)
State/provincial general
funds
State/provincial dedicated
tobacco tax funds
12
76%
(40%, 100%)
13
63%
(30%, 100%)
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
Federal – CDC ARRA/Stimulus funds
Federal -- CDC - other
(non-ARRA) funds
Federal -- Other
funds
FY 2011
N
Average %
(Min, Max)
N
Average %
(Min, Max)
26
19%
(0%, 100%)
44
32%
(1%, 100%)
36
23%
(1%, 100%)
36
18% (1%,
100%)
1
2%
(2%, 2%)
1
2%
(2%, 2%)
Proportion of Funds by Other Sources
FY10 and FY11 – US (N=52)
FY 2010
FY 2011
N
Average %
(Min, Max)
N
Average %
(Min, Max)
Private sector/non-government -- Thirdparty reimbursement through health care
institution
0
0%
0
0%
Private sector/non-government -- Thirdparty 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 -- Forprofit company
0
0%
0
0%
Private sector/non-government -- Nongovernmental organization
1
75%
(75%, 75%)
0
0%
Private sector/non-government -Employer organization
0
0%
0
0%
1
18%
(18%, 18%)
1
27%
(27%, 27%)
Other
Proportion of Funds by Provincial Sources
FY10 and FY11– Canada (N=10)
N
Local government funds
State/provincial general funds
FY 2010
Average %
(Min, Max)
FY 2011
N
Average %
(Min, Max)
0
0
0
0
10
8
0
80%
(15%, 100%)
0
State/provincial dedicated
tobacco tax funds
State Medicaid program
0
56%
(15%, 100%)
0
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)
N
FY 2010
Average %
(Min, Max)
FY 2011
N
Average %
(Min, Max)
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)
N
Private sector/non-government -- Thirdparty reimbursement through health care
institution
Private sector/non-government -- Thirdparty reimbursement through insurance
company
Private sector/non-government -Charitable foundation
Private sector/non-government -- Forprofit company
Private sector/non-government -- Nongovernmental organization
Private sector/non-government -Employer organization
Other
FY 2010
Average %
(Min, Max)
FY 2011
N
Average %
(Min, Max)
0
0
0
0
0
0
0
0
1
3
1
14%
(8%, 25%)
1%
(1%, 1%)
2
5%
(5%, 5%)
1%
(1%, 1%)
8%
(8%, 8%)
1
(not reported)
0
0
0
0
0
0
0
0
1
DESCRIPTION OF SERVICES
General Service Description FY10
61 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
US
N = 52
CAN
N = 10
%
(n)
%
(n)
Minimal/brief intervention—client-initiated —1-10 minutes
33%
(17)
100%
(10)
Single session counseling more than 10 minutes—client-initiated
71%
(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)
Phone counseling services
US and Canadian quitlines provide interactive web-based
programs to help tobacco users quit FY10
Part of the quitline
Not part of the
quitline
Combined
US
N = 52
CAN
N = 10
US
N = 52
CAN
N = 10
US
N=52
CAN
n=10
% (n)
% (n)
% (n)
% (n)
% (n)
% (n)
60% (31)
20% (2)
27%
(14)
80%
(7)
75%
(39)
80%
(8)
Information about tobacco cessation
62%
(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 messages
10%
(5)
10%
(1)
12%
(6)
70%
(7)
21%
(11)
80%
(8)
Chat rooms
46%
(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)
Internet-based services
Information about the quitline
A higher proportion of Canadian than US quitlines provide
interactive web-based programs to help tobacco users quit
FY10
100%
90%
90%
90%
80%
80%
75%
70%
80%
80%
73%
65%
58%
60%
50%
40%
40%
US
Canada
30%
21%
20%
12%
10%
0%
Info about the
quitline
Info about tobacco Self-directed webAutomated email
cessation services based intervention to
messages
help tobacco users
quit
Chat rooms
Interactive
counseling and/or
email messaging to
cessation
specialist/counselor/
coach to help
tobacco users quit
Nearly all US and Canadian quitlines have fax referral programs, voice mail with
call backs and mail information to tobacco users FY10
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)
Other services
FY10 Other Cessation Services in Your State
Not Offered by the Quitline – US (N=52)
100%
No medications offered
Medications offered
80%
60%
40%
4
7.7%
20%
3.9%
3.9%
2
19.0%
3.9%
1.9%
11.5%
2
21.0%
0.0%
1.9%
Group counseling
Multiple sessions
Workplace cessation
Single session
1.9%
7.7%
0%
Individual counseling
Single session
Individual counseling Group counseling Single
Multiple sessions
session
Workplace cessation
Multiple sessions
FY10 Other Provincial Cessation Services Not
Offered by the Quitline – Canada (N=10)
100%
No medications offered
Medications offered
80%
60%
40%
4
20%
20%
20%
10%
10%
0%
Individual counseling
Single session
10%
2
10%
10%
0%
Individual counseling Group counseling Single
Multiple sessions
session
10%
Group counseling
Multiple sessions
0% 2
0%
Workplace cessation
Single session
10%
Workplace cessation
Multiple sessions
Methods Offered to Providers to Refer
Patients to Quitlines in FY10
100%
96%
US (N=52)
Canada (N=10)
100%
80%
60%
40%
46%
20%
20%
0%
4%
10%
0%
0%
13%
0%
Fax-referral Form
Via Email
Within EMR and
transmit referral
electronically
Automatically
pulled from EMR
Other method
Languages Available for the FY10
Fax/Electronic-Referral Form
100%
Canada (N=10)
US (N=52)
80%
70.0%
60%
56.0%
40%
20%
0%
0.0%
Spanish
1.9%
French
0.0%
1.9%
Cantonese
0.0%
1.9%
Mandarin
0.0%
1.9%
Korean
0.0%
1.9%
Vietnamese
0.0%
1.9%
Russian
0.0%
1.9%
Other
FY10 Indication of Primary Language on
Referral Form
100%
80%
Canada (N=10)
US (N=52)
90%
67%
60%
40%
29%
20%
10%
0%
Yes
No
Who could make referrals to the quitline using
the fax- or electronic-referral process in FY10
US
N = 52
CAN
N = 10
%
(n)
%
(n)
Only those certified or trained as a fax referral provider
6%
(3)
100%
(10)
Clinicians / non-clinicians in any healthcare setting
88%
(46)
100%
(10)
Clinicians / non-clinicians in community-based organizations and
public health agencies
81%
(42)
90%
(9)
Others who can make a referral
17%
(9)
50%
(5)
Who could make a referral to the quitline using the faxor electronic-referral process?
Who could be referred to the quitline using
the referral process in FY10
100%
100%
100%
US (N=52)
100%
Canada (N=10)
80%
79%
60%
40%
100%
81%
80%
67%
54%
30%
20%
17%
10%
0%
Any patient who is
Any patient who is
Any patient who
Any patient who is
Any patient who has
thinking about quitting ready to make a quit indicates a readiness to already quit and is filled a prescription or
attempt
quit in the next 30 days seeking help to stay submitted an insurance
quit
claim for quitting
medications
Patient who meet
other critieria
How long after the referral was received did the
patient receive a call from the quitline FY10
100%
Canada (N=10)
US (N=52)
80%
60%
60%
62%
40%
20%
25%
10%
10%
8%
10%
0%
10%
2%
0%
Wihin 24 hours
Within 48 hours
Within 72 hours
Within one week
Other
Quitlines made between 3 and 4 attempts to
reach fax- or e-referred patients in FY10
How many call attempts were made to make first contact with a faxor 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
Services Referring Providers Received from
Quitlines FY10
US
N = 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 received
Services Referring Providers Received from Quitlines FY10 (continued)
US
N = 52
CAN
N = 10
% (n)
% (n)
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)
12% (6)
10% (1)
Services received
Routine provider feedback reports:
Other patient progress reports
Services Referring Providers Received from
Quitlines FY10 (continued)
US
N = 52
CAN
N = 10
%
(n)
%
(n)
54%
(28)
20%
(2)
Aggregate only
54%
(28)
20%
(2)
Client-level de-identified
4%
(2)
20%
(2)
Client-level identified
0%
(0)
20%
(2)
Regular newsletter/updates on the fax referral program and/or the quitline
4%
(2)
30%
(3)
Other services to referring providers
2%
(1)
20%
(2)
Services received
Customized feedback reports to satisfy various reporting and research
needs:
Website/page provides specific information on
the fax-referral program FY10
100%
Canada (N=10)
US (N=52)
80%
60%
60%
48%
40%
46%
40%
20%
0%
Yes
No
Used a translation service for hearing clients
FY10
100%
80%
90%
60%
US (N=52)
64%
40%
20%
Canada (N=10)
35%
10%
0%
Yes
No
Number of times translation service used for
counseling hearing clients FY10
How many times was the translation service used to provide counseling to hearing
clients
N
Missing
Min
Max
Median
Sum
Mean
US (N=52)
29
23
0
999
61.79
3
1792
Canada (N=10)
1
9
9
9
9.0
9
9
Quitline used a third party translation service
for deaf and hard-of-hearing clients FY10
100%
Canada (N=10)
US (N=52)
80%
60%
52%
40%
39%
20%
10%
0%
0%
2%
0%
Video relay interpreter
TTY relay CA
Communication Assistant
Other translation service
Number of times translation service used for
counseling deaf and hard-of-hearing clients FY10
How many times was a third party translation service used to provide counseling to
Deaf and Hard-of-hearing clients
N
Missing
Min
Max
Median
Sum
Mean
US (N=52)
24
28
0
1
0.17
0
4
Canada (N=10)
1
9
0
0
0
0
0
Language of Counseling Service FY10
100%
100%
98%
US (N=52)
Canada (N=10)
80%
60%
40%
20%
12%
0%
2%
2%
2%
2%
0%
Spanish
French
Mandarin
Cantonese
Korean
Vietnamese
Number of Calls of Counseling Service
by Language FY10
N
Missing
Min
Max
Mean
Median
Sum
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
US (N=52)
)
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
English
39
13
72
133
121
Spanish
48
4
0
133
93
Asian
Languages
1
51
74
74
74
English
7
3
5
78
68
French
8
2
59
168
87
US (N=52)
Canada
(N=10)
US Primary Service Providers FY10
The figure below shows the organizations (n=15) that were the
primary service provider of counseling services for US quitlines
60%
53%
50%
40%
Start of Year
End of Year
33%
30%
22%
18%
20%
16% 16%
12%
10%
6% 6%
6%
4%
2%
4%
0%
Free and
Clear
National
Jewish
Health
JSI
IQH
Healthways
4%
0%
ACS
0%
Mayo
Other (1 each
of 9 different
providers)
Canadian Service Providers FY10
The majority of Canadian quitlines (60%) had counseling services
provided by the Canadian Cancer Society, Ontario Division
100%
80%
% of
quitlines
reporting
service
provider
60%
60%
40%
20%
10%
10%
10%
10%
0%
Canadian Cancer Canadian Cancer
Society, Ontario Society and Conseil
1
Division
québécois
sur le
tabac et la santé
Alberta Health
Services
1
Sykes Assistance Lung Association of
Services (SASC) Newfoundland and
1
1
Labrador
Language of Cessation Materials FY10
100%
100%
98%
92%
90%
US (N=53)
Canada (N=10)
80%
60%
40%
20%
0%
0%
0%
10%
4%
10%
4%
10%
4%
4%
10%
0%
2% 0%
0%
Specialized Materials for Special Populations
FY10
48 US quitlines (92%) and 5 Canadian quitlines (50%)
send specialized materials to special populations. These include:
100%
90%
90%
80%
US (N=53)
71%
69%
Canada (N=10)
64%
60%
58%
40%
40%
20%
30%
10%
10%
0%
0%
10% 12%
0%
8%
0%
10%
4%
4%
0%
4%
0%
10%
4%
4%
0%
10%
4%
Specialized Materials for Racial/Ethnic
Populations FY10
76% of US and 0% of Canadian quitlines offers specialized materials
to callers of racial/ethnic populations. These include:
100%
US (N=53)
80%
67%
65%
60%
40%
1
20%
6%
0%
Hispanic/Latino
African American
American Indian/
Aboriginal/
First Nations
0%
0%
2%
Asian/ Asian
American
Native Hawaiian/
Pacific Islander
African Immigrant
Materials sent to callers who are not tobacco
users or recent quitters FY10
100%
100%
96%
100%
US (N=52)
Canada (N=10)
89%
80%
60%
40%
20%
8%
1%
0%
Health professionals
Those who want to help others
quit
Other callers
Specialized Counseling Protocols FY10
89% of US and 100% of Canadian quitlines use specialized
counseling protocols for special populations. These include:
100%
90%
100%
87%
US (N=53)
80%
Canada (N=10)
67%
70%
60%
50%
40%
30%
20%
10%
0%
31%
20%
20%
15%
0%
20%
12%
20%
8%
20%
4%
0%
8%
0%
10%
4%
8%
0%
2%0%
4%
10%
2%
10%
4%
Specialized Counseling Protocols for
Racial/Ethnic Populations FY10
100%
US (N=53)
80%
60%
40%
20%
12%
1
4%
15%
12%
2%
0%
Asian/ Asian
American
Native Hawaiian/
Pacific Islander
0%
Hispanic/Latino
African American
American Indian/
Aboriginal/
First Nations
African Immigrant
Specialized Counselor Training for Special
Populations FY10
49 US quitlines (94%) and 8 Canadian quitlines (80%)
send specialized materials to special populations. These include:
100%
92%
80%
85%
85%
80%
83%
80%
US (N=53)
75%
69%
69%
Canada (N=10)
67%
60%
64%
62%
62%
60%
58%
58%
54%
40%
20%
10%
10%
10%
0%
0%
10%
10%
0%
0%
0%
0%
0%
8%
0%
Specialized Counselor Training for Racial/Ethnic
Populations FY10
100%
80%
73%
69%
60%
US (N=53)
77%
Canada (N=10)
67%
60%
54%
54%
54%
40%
1
20%
0%
0%
Hispanic/Latino
0%
African
American
0%
American
Indian/
Aboriginal/
First Nations
Asian/ Asian
American
0%
Native
Hawaiian/
Pacific Islander
0%
African
Immigrant
0%
Arab
2%0%
Other
Eligibility Criteria for Counseling FY10
94% of US and 80% of Canadian quitlines
have eligibility criteria for callers to receive counseling. These include:
100%
80%
100%
92%
US (N=52)
Canada (N=10)
8
62%
60%
40%
33%
20%
8%
0%
6%
6%
6%
4%
10%
2%
0%
0%
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 FY10
Patch
Gum
Lozenge
Zyban
Chantix
Nasal
Spray
Inhaler
ANY
Meds
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%
Provide free
medication
-
-
-
-
-
-
-
Provided
discounted meds
-
-
-
-
-
-
-
Provided voucher
to redeem meds
-
-
-
-
-
-
-
US (N=52)
Canada (N=10)
Provision of Information about Quitting Medication FY10
Patch
Gum
Lozenge
Zyban
Chantix
Nasal Spray
Inhaler
Provided info about
using meds
87%
85%
81%
63%
65%
50%
50%
Provided info about
accessing meds
31%
29%
27%
25%
25%
19%
21%
Provided info about
using meds
100%
100%
100%
100%
100%
10%
100%
Provided info about
accessing meds
60%
60%
50%
60%
60%
-
50%
US (N=52)
Canada (N=10)
Free Medication Provision – US Quitlines – FY10
Free Meds
Type
# Providing
Type of Free
Meds
Patch
39
Gum
N
Median # of
Weeks
Provided
Minimum #
of Weeks
Maximum #
of Weeks
39
4
2
12
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
(Providing
weeks data)
The number of US quitlines providing free
medications has increased over time
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
70%
70%
FY 2008
FY 2009
75%
46%
FY 2006
FY 2010
Eligibility Criteria for Free Medications FY10,
US (N=52)
100%
80%
60%
73%
69%
48%
46%
42%
40%
21%
20%
17%
14%
8%
6%
4%
4%
2%
2%
0%
3
Note: many quitlines reported varying
eligibility criteria for different
populations or circumstances.
2%
PROMOTION AND OUTREACH
Promotions and Referral Networks to
Increase Reach to Tobacco Users FY10
100%
98%
100%
US (N=52)
Canada (N=10)
80%
60%
60%
40%
40%
32%
30%
27%
20%
20%
20%
20%
19%
8%
0%
Fax
Community
organization
networks
Online advertising
(paid)
Web referrals
(unpaid)
Triage
Other
Types of Media/Promotions and Outreach
Activities FY10&11, US Quitlines
FY10 (N=52)
FY11 (N=52)
TV
71%
85%
Radio
63%
83%
Newspaper ads
35%
44%
Billboards
35%
48%
Online advertising
48%
65%
85%
83%
Information display at health fairs,
meetings, workshops, conferences
88%
87%
Building healthcare referral networks
87%
96%
Building other referral networks
77%
75%
Paid Media/Promotions
Earned media
Outreach
Types of Media/Promotions and Outreach
Activities FY10&11, US Quitlines (cont.)
FY10 (N=52)
FY11 (N=52)
Facebook
37%
62%
Myspace
8%
14%
Twitter
14%
25%
Other
8%
8%
10%
12%
Social Media
Other
Types of Media/Promotions and Outreach
Activities FY10&11, Canadian quitlines
FY10 (N=10)
FY11 (N=10)
TV
70%
50%
Radio
60%
40%
Newspaper ads
60%
50%
Billboards
0%
10%
Online advertising
40%
70%
70%
80%
Information display at health fairs,
meetings, workshops, conferences
100%
90%
Building healthcare referral networks
80%
100%
Building other referral networks
90%
90%
Paid Media/Promotions
Earned media
Outreach
Types of Media/Promotions and Outreach
Activities FY10&11, Canadian quitlines (cont.)
FY10 (N=10)
FY11 (N=10)
Facebook
60%
70%
Myspace
10%
0%
Twitter
30%
30%
Other
10%
10%
20%
20%
Social Media
Other
UTILIZATION
Utilization – Calls FY10
N
Missing
Min
Max
Median
Mean
Sum
% of
total
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%
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%
Total Calls
US (N=52)
Canada (N=10)
Number of unique
tobacco users FY10
N
Missing
Min
Max
Median
Mean
Sum
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
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
US (N=52)
Canada (N=10)
Number of referrals received by the
quitline in FY10
Total Calls
N
Missing
Min
Max
Median
Sum
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
Fax referrals
7
3
23
1,555
298
3,931
EMR referrals
8
2
0
0
0
0
Other referrals
8
2
0
8,812
1,207
9,656
Total
9
1
23
10,603
1,740
15,656
US
(N=52)
Canada (N=10)
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
Ratio of Total number of smokers calling to total
number of referrals received
4
3.5
3
2
1
1
0.62
1
0
US
Canada
Total smokers calling
Total referrals received
Number of referrals reached by the
quitline in FY10
Total Calls
N
Missing
Min
Max
Median
Sum
Fax referrals
44
8
17
4,187
383
37,274
EMR referrals
37
15
0
0
0
0
Other referrals
40
12
0
6,874
80
18,218
Total
43
9
17
11,061
546
55,257
Fax referrals
2
8
239
1,064
679
1,357
EMR referrals
7
3
0
0
0
0
Other referrals
7
3
0
546
0
546
Total
2
8
839
1,064
952
1,903
US
(N=52)
Canada (N=10)
Number of referrals registered for
services/agreed to receive services in FY10
Total Referrals
N
Missing
Min
Max
Median Mean
Sum
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
Fax referrals
6
4
15
1,008
114
261
1,567
EMR referrals
9
1
0
0
0
0
0
Other referrals
9
1
0
1,055
0
166
1,493
Total
8
2
15
2,017
162
522
4,173
US (N=52)
Canada (N=10)
Number of referrals received counseling or
medications in FY10
Total Referrals
N
Missing
Min
Max
Median Mean
Sum
Fax referrals
41
11
10
3,680
232
494
20,271
EMR referrals
34
18
0
0
0
0
0
Other referrals
38
14
0
6,677
39
364
13,815
Total
43
9
10
7,433
301
1,014
43,620
Fax referrals
6
4
12
986
104
254
1,521
EMR referrals
9
1
0
0
0
0
0
Other referrals
9
1
0
808
0
138
1,246
Total
8
2
12
1,664
128
465
3,720
US (N=52)
Canada (N=10)
33% of US fax referrals received
counseling or medications (N=40)
70000
60000
58476
50000
33%
40000
33190
30000
20000
23889
57%
72%
19573
82%
10000
0
Fax referrals
RECEIVED
Fax referrals
REACHED
Fax referrals
REGISTERED
Fax referrals
RECEIVED
COUNSELING or
MEDS
42% of US total referrals received
counseling or medications (N=41)
90000
80000
70000
60000
50000
40000
30000
20000
10000
0
85367
42%
55079
40551
64%
Total referrals
RECEIVED
74%
Total referrals
REACHED
35950
89%
Total referrals
REGISTERED
Total referrals
RECEIVED
COUNSELING or
MEDS
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
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
US (N=52)
Canadian Quitlines Utilization –
Received Service FY10
Tobacco Users Who
Received Service
N
Missing
Median
(Min,Max)
Sum
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
Canada (N=10)
Average number of minutes of counseling and
number of counseling calls completed FY10
Total Calls
N
Missing
Min
Max
Median Mean
Minutes
38
14
8
60
29.5
28.0
Calls
41
11
1
5
2.1
2.2
Minutes
3
7
5
20
15.0
13.2
Calls
3
7
3
4
3.7
3.6
US (N=52)
Canada (N=10)
600,000
1.20%
500,000
1.00%
400,000
0.80%
300,000
0.60%
200,000
0.40%
100,000
0.20%
0
0.00%
FY05
FY06
FY08
FY09
FY10
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)
Reach
Number of unique tobacco users calling
US Promotional Reach
FY 2005-2010
Canada Promotional Reach
FY 2005-2010
N=8
N=9
N=10
N=8
N=3
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
2009
2010
N
9
3
Min
0.14%
0.36%
Max
1.37%
1.45%
Mean
0.43%
0.77%
Actual
0.35%
0.51%
US
2009
2010
N
49
52
Min
0.16%
0.12%
Max
9.84%
7.26%
Mean
1.89%
1.71%
Actual
1.22%
1.30%
Treatment Reach FY09-FY10
Canada
2009
2010
N
3
9
Min
0.24%
0.17%
Max
1.90%
1.79%
Mean
0.80%
0.49%
Actual
0.37%
0.31%
US
2009
2010
N
46
50
Min
0.05%
0.05%
Max
7.25%
6.66%
Mean
1.57%
1.45%
Actual
1.19%
1.09%
Treatment reach and spending
benchmarking – US FY10
7%
$30
6%
.
$25
.
5%
4%
$15
3%
$10
2%
$5
1%
0%
$1 2 3 4 5 6 7 8 9 10 11 1213 14 15 1617 18 19 2021 22 2324 25 26 2728 29 30 3132 33 34 3536 37 38 3940 41 42 4344 45 4647 48 49 50 A B C
Treatment Reach Rank
treatment reach
2010 spending per smoker (promotions)
2010 Spending per smoker (svcs + meds)
2010 spending per smoker (outreach)
Spending per smoker (US Dollars)
Treatment Reach
$20
Treatment Reach and spending
benchmarking – Canada FY10
US Quitlines Treatment Reach and
Spending Per Smoker (svcs + meds) FY10
7.00%
CDC recommendation: 6% reach, $10.53 per smoker
6.00%
Treatment Reach
5.00%
4.00%
3.00%
2.00%
1.00%
0.00%
$-
$5.00
$10.00
$15.00
$20.00
Spending per Smoker (Services and Medications)
$25.00
$30.00
Canada Quitlines Treatment Reach and
Spending Per Smoker (svcs + meds) FY10
6.0%
CDC recommendation: 6% reach, $10.53 per smoker
Treatment Reach
5.0%
4.0%
3.0%
2.0%
1.0%
0.0%
$-
$2.00
$4.00
$6.00
$8.00
$10.00
$12.00
Spending per Smoker (services budget)
$14.00
$16.00
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
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
US (N=53)
The majority of tobacco users receiving
evidence-based services are
cigarette users FY10
US (median) N=21
0.2% 2.9% 0.2%
1.4%
Cigarettes
Cigars
Pipe
Smokless
Other
95.3%
Utilization FY10 – Amount of Tobacco Used
Cigarettes per Day
Quitline
Person Served Cigarettes per Day
N
Missing
Min
Max
Mean
Median
Mean
15
37
18
27
21
20
Minimum
15
37
1
3
1
1
Maximum
15
37
21
6010
494
100
Mean
2
8
16
16
16
16
Minimum
2
8
1
1
1
1
Maximum
2
8
80
80
80
80
US* (N=52)
Canada** (N=10)
* 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 week
Quitline
Caller Cigars per Week
N
Missing
Min
Max
Mean
Median
Mean
10
42
1
76
20
14
Minimum
11
41
1
1
1
1
Maximum
11
41
6
350
105
80
Mean
1
9
10
10
10
10
Minimum
1
9
1
1
1
1
Maximum
1
9
70
70
70
70
US* (N=52)
Canada** (N=10)
* 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
N
Missing
Min
Max
Mean
Median
Mean
7
45
1
34
11
11
Minimum
8
44
1
7
2
1
Maximum
8
44
4
100
41
35
Mean
1
9
1
1
1
1
Minimum
1
9
1
1
1
1
Maximum
1
9
1
1
1
1
US* (N=52)
Canada** (N=10)
* 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
N
Missing
Min
Max
Mean
Median
Mean
8
44
0
5
3
3
Minimum
8
44
1
1
1
1
Maximum
8
44
1
55
26
21
Mean
1
9
1
1
1
1
Minimum
1
9
1
1
1
1
Maximum
1
9
1
1
1
1
US* (N=52)
Canada** (N=10)
* 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
N
Missing
Min
Max
Mean
Median
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
Everyday/daily
2
8
1,071
1,641
1,356
1,356
Someday/Occasional
2
8
20
40
30
30
Not at all
2
8
124
247
186
186
Of not at all, # quit <30 days
2
8
109
203
156
156
US (N=52)
Canada (N=10)
The majority of tobacco users receiving
evidence-based treatment are everyday/daily
smokers FY10
US (n=16)
Canada (n=2)
1% 2%
2%
12%
Everyday/
daily
Somedays/
Occasional
Not at all
97%
86%
Utilization FY10 – Cigar Users Only
Frequency of Smoking
Quitline
Number of Callers
N
Missin
g
Min
Max
Mean
Median
Everyday/daily
5
47
26
659
228
126
Someday/Occasional
4
48
0
440
128
36
Not at all
5
47
0
116
33
10
Everyday/daily
1
9
7
7
7
7
Someday/Occasional
1
9
28
28
28
28
Not at all
1
9
0
0
0
0
US (N=52)
Canada (N=10)
Utilization FY10 – Pipe Users Only
Frequency of Smoking
Quitline
Number of Callers
N
Missin
g
Min
Max
Mean
Media
n
Everyday/daily
4
48
2
21
12
13
Someday/Occasional
4
48
0
27
10
6
Not at all
5
47
0
18
5
1
Everyday/daily
1
9
0
0
0
0
Someday/Occasional
1
9
1
1
1
1
Not at all
1
9
0
0
0
0
US (N=52)
Canada (N=10)
Utilization FY10 – Smokeless Tobacco
Users Only Frequency of Smoking
Quitline
Number of Callers
N
Missing
Min
Max
Mean
Median
Everyday/daily
7
45
22
565
163
58
Someday/Occasional
7
45
0
196
62
39
Not at all
7
45
0
62
15
6
Everyday/daily
1
9
0
0
0
0
Someday/Occasional
1
9
1
1
1
1
Not at all
1
9
0
0
0
0
US (N=52)
Canada (N=10)
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 Cigarette
Quitline
Number of Callers
N
Missing
Min
Max
Mean
Median
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
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
US (N=52)
Canada (N=10)
Utilization FY10 – Time to First Use of Tobacco
Quitline
Number of Callers
N
Missing
Min
Max
Mean
Median
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
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
US (N=52)
Canada (N=10)
Utilization FY10– Gender
Quitline
Number of Callers
N
Missing
Min
Max
Mean
Median
Male
24
28
64
49,432
5,216
2,461
Female
24
28
66
54,862
6,685
3,206
Male
3
7
322
1,640
861
620
Female
3
7
497
2,903
1,398
795
US (N=52)
Canada (N=10)
Most tobacco users served with evidencebased services are female FY10
US (n=24)
Canada (n=2)
38%
43%
Male
Female
57%
62%
Utilization FY10 – Age
Quitline
Callers
N
Missing
Min
Max
Mean
Median
Mean
14
38
38
54
45
45
Minimum
15
37
10
23
15
15
Maximum
15
37
70
101
88
89
Mean
2
8
46
47
46
46
Minimum
2
8
14
15
15
15
Maximum
2
8
84
86
85
85
US* (N=52)
Canada** (N=10)
* 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
Quitline
N
Number of Callers
Missing Min
Max
Mean Median
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
US (n=22)
10%
3%
12%
< Grade 9
Grade 9-11, no degree
GED/HS degree
33%
Some college or university
College or university degree
43%
Utilization FY10 – Level of Education
Canada
Quitline
Number of Callers
N
Missing
Min
Max
Mean
Median
< HS
2
8
171
328
250
250
HS diploma
2
8
201
332
267
267
Some post-secondary education
without degree
2
8
0
142
71
71
Registered Apprenticeship
2
8
2
187
95
95
College, CEGEP
2
8
0
268
134
134
University degree
1
9
337
337
337
337
Canada (N=10)
Level of Education – Canada FY10
Canada (n=2)
17.0%
< HS
24.0%
HS diploma
Some post-secondary
education without degree
Registered Apprenticeship
College, CEGEP
18.0%
8.0%
7.0%
4.0%
University degree
Utilization FY10– Ethnicity and Race US
Quitline
Number of Callers
N
Missing
Min
Max
Mean
Median
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
US (N=52)
Utilization FY10–Ethnicity US
US (n=24)
3%
Hispanic/ Latino
Not Hispanic/ Latino
97%
Utilization FY10–Race US
US (median)
US (median) n=23
3% 0%
1%
2%0.1% 1.3%
2%
3% 0.4%
4.2%
White
White
Black or African
Black American
or African American
Hispanic or Latino
10%
American Indian or
Alaskan
Native Indian or
American
Asian Alaskan Native
Other
Native Hawaiian or
Asian
Pacific Islander
72%
92%
OtherNative Hawaiian or
Pacific Islander
Utilization FY10 – Race Canada
Quitline
Number of Callers
N
Missing
Min
Max
Mean
Median
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
Canada (N=10)
Utilization FY10 – Sexual Orientation
Quitline
Number of Callers
N
Missing
Min
Max
Mean
Median
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
US (N=52)
Utilization FY10 – Sexual Orientation
Quitline
Number of Callers
N
Missing
Min
Max
Mean
Median
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
Canada (N=10)
Insurance Status of Callers FY10
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:
Quitline
Insurance Type
Number of Callers
N
Missing
Min
Max
Mean
Median
None
21
31
16
27,465
4,119
1,650
Gov’t Provided
20
32
27
24,333
3,796
1,276
20
32
67
47,571
4,357
835
US (N=52)
(Medicare, Medicaid, etc.)
Private
Insurance Status of Callers FY10
US (n=21)
Private, 22%
None, 44%
Gov't provided
(Medicare,
Medicaid, etc),
34%
Utilization FY10–Registrants for Web-based Services
N
Missing
Min
Max
Mean
Sum
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
integrated with the quitline
9
43
209
6,883
2388
21,496
Registrants for web-based
cessation services
integrated with the quitline
0
10
-
-
-
-
Registrants for web-based
cessation services NOT
integrated with the quitline
7
3
3
9,541
1,543
10,801
US (N=52)
Canada (N=10)
Canadian quitlines received proportionally
more registrants for web-based cessation
services than US quitlines
Ratio of Registrants for Web-based Cessation
Services to Phone-based Cessation Services
4
3.3
3
2
1
1
1
1.2
0
US
Canada
Registrants for webbased cessation services
Registrants for phonebased 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 FY10
The 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
%
3 months after registration/first contact
10
19
4 months after registration/first contact
8
15
6 months after registration/first contact
11
21
7 months after registration/first contact
27
52
12 months after registration/first contact
10
19
13 months after registration/first contact
9
17
3 months after registration/first contact
1
10
7 months after registration/first contact
2
20
12 months after registration/first contact
1
10
Other
1
10
US (N=52)
Canada (N=10)
Evaluation – Sampling Criteria FY10
US (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 Research
North American Quitline Consortium
1300 Clay Street, Ste. 600
Oakland, CA 94612
Ph: 800-398-5489 x702
Email: [email protected]