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Case Studies

Innovative Approaches and Proven Strategies for Maximizing Reach

In an effort to improve the reach across all quitlines in North America, and as part of an overall focus on critical quality measures including quit rates and reach to specific populations, NAQC has developed a Web repository of case studies on states that have achieved a reach that is at least three times higher than the median reach of all state quitlines.1 The information shared in this resource will help other members identify mechanisms and approaches for increasing the reach of their quitlines and is intended to compliment NAQC’s 2009 publication, Increasing Reach of Tobacco Cessation Quitlines (2009).

While it is important to remember that reach is not the only or most important measure of quitline value, the following case studies focus on experiences with various strategies intended to increase the reach of a state quitline. Each case study highlights the methods employed to maximize reach, opportunities, challenges, and lessons learned by states and their partners. These case studies can assist other states and provinces working to increase the reach of their quitline services by providing information about key outreach and promotional strategies and approaches and the potential impact on reach.

Each case study includes:
  • An overview of the strategic objectives of the quitline and the services offered
  • The promotional and outreach strategies employed to maximize reach
  • Key elements of success
  • Evaluation efforts for various strategies
  • Sustaining strategies over time
  • Lessons learned and key opportunities

Iowa Case Study(PDF 925KB)
New York Case Study(PDF 1MB)
Oklahoma Case Study (PDF 467KB)
South Dakota Case Study (PDF 205KB)
Colorado Case Study - coming soon
Delaware Case Study - coming soon


NOTE: Case studies are being produced as a series and new ones will appear in the coming months.



Providing Cessation Services during the Implementation of Smoke-Free Policies

The following case studies focus on experiences of states providing cessation services during the implementation of new statewide smoke-free policies. Each case study highlights the main issues, opportunities, challenges, and lessons learned by quitlines and their partners. These case studies can assist other states with plans to promote their quitlines during policy implementation by providing information about implementation strategies and approaches and the potential impact on quitline services. Learn more about this group of case studies.

Arizona Case Study (PDF 258KB)
Colorado Case Study (PDF 330KB)
Nevada Case Study (PDF 277KB)
North Carolina Case Study (PDF 791KB)



1 In these case studies reach refers to promotional reach, calculated using 2008 NAQC Annual Survey data, and based on the total number of unique tobacco users calling the quitline. Please note this is not NAQC’s standard calculation of treatment reach, counting only those who receive at least some evidence-based treatment, but rather is based on the number of unique smokers calling the quitline divided by the total number of smokers in each state.

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