Implementing the Affordable Care Act: A Report on Sustainability Activities Among State Quitlines
Poster presentation at the Society for Research on Nicotine and Tobacco, February 2014
Jessie E. Saul, Ph.D., Tamatha Thomas-Haase, M.P.A., Deb Osborne, M.P.H., RaeAnne Davis, M.S.P.H. , Linda Bailey, J.D., M.H.S.
This poster presents data from the FY2012 NAQC Annual Survey of Quitlines and examines state sustainability efforts (funding sources; cost-sharing activities).
As the Affordable Care Act (ACA) is implemented in the U.S., cessation services are likely to become more available and their cost will be borne by health care payers. Under the ACA, tobacco cessation is included as a required preventive service and the financial responsibility for providing these services is placed on the insurer/health plan. As demand for quitline services continues to rise, cost-sharing strategies with appropriate health care payers will be critical for making available an adequate level of services to meet the growing demand. A large proportion of state quitlines are making innovative changes to their business practices to align payment for quitline services with appropriate payers such as Medicaid, health plans and employers. These practices include pursuing the newly allowed 50% Federal financial participation (FFP match) for quitline administrative expenditures for Medicaid enrollees, establishing cost-sharing agreements with entities other than Medicaid (eg, health plan, employer), and internal policies such as transferring callers directly to health plan/employer services they are eligible for or restricting quitline services for callers who have access to cessation coverage through an insurer or employer.PDF of the poster(PDF 288KB)
If You Spend It, Will They Come? The Relationship Between Quitline Spending and Reach, FY2011Poster presentation at the Society for Research on Nicotine and Tobacco, March 2013
Jessie E. Saul, Ph.D., Mignonne Guy, Ph.D., RaeAnne Davis, M.S.P.H., Linda Bailey, JD, M.H.S.
This poster presents data from the FY2011 NAQC Annual Survey of Quitlines and examines the relationship between quitline spending and reach.
There was a much stronger association between spending per smoker on services and medications and treatment reach (the proportion of adult smokers served by a quitline) than between spending per smoker on promotions and outreach and promotional reach (the proportion of adult smokers calling or referred to a quitline). While there was a relationship between spending per smoker on promotions and outreach activities and promotional reach, there was quite a bit of variation in the reach rates achieved for a given spending amount. Additional research is needed to better understand what factors are more strongly associated with promotional reach than spending per smoker on promotions and outreach efforts, including the types of promotions used, existence of strong community referral networks, and other factors.PDF of the poster(PDF 1MB)
Trends in Quitline Funding, FY2009-FY2012: Implications for Cessation Services
Poster presentation at the National Conference on Tobacco or Health, August 2012
Jessie E. Saul, Ph.D., Mignonne C. Guy, Ph.D., Linda Bailey, J.D., M.H.S.
This poster presents data from the FY2009, FY2010, and FY2011 NAQC Annual Surveys tracking funding trends for quitlines over time (FY2009-FY2012). The findings show that total quitline budgets decreased from FY2009 to FY2010, stabilized in FY2011, and again decreased in FY2012 while tobacco control program (TCP) budgets consistently decreased over the four year period. In addition, quitline budgets represented slightly more than 18% of TCP budgets in FY2009 and FY2010, but increased to 28.6% of TCP budgets by FY2012. At the same time, the proportion of quitline budgets from federal sources (including ARRA stimulus funding) nearly doubled. These results suggest that while states have managed to protect quitline funding in the midst of significant cuts to other areas of tobacco control program budgets, quitlines' reliance on federal funding has grown over time. The discussion addresses the need to diversify funding sources for quitlines to ensure their sustainability, and NAQC efforts to support quitlines in these efforts.
PDF of the poster (PDF 300KB)
Moving Quitline Research Forward: Resources and Tools
Poster presentation at the National Conference on Tobacco or Health, August 2012
Jessie E. Saul, Ph.D., Barbara Zupko, M.A., Terry Bush, Ph.D., Mignonne C. Guy, Ph.D., Linda Bailey, J.D., M.H.S., Erik Augustson, Ph.D.
This poster presents information about two documents that were produced by NAQC in collaboration with a NAQC workgroup to facilitate collaborations between researchers and quitlines. The first is a Research Agenda for Quitlines, which is designed to provide criteria for developing and managing internally generated research (within the network of quitlines) as well as external requests for network participation, to develop a balanced research portfolio that meets the needs of the various stakeholder groups, and to leverage use of the Minimal Data Set for evaluating quitlines. The second is a Research Guide for Quitlines, which contains information for both researchers (about quitlines) and quitlines (about the research process) to facilitate understanding and collaboration between researchers and quitlines. These and other resources for researchers and students interested in working with quitlines or their data are available at http://www.naquitline.org/?page=RS. The conclusion states that use of these resources and tools will improve the quality of relationships between quitlines and researchers, expand access to quitlines interested in participating in research studies, and enhance the likelihood of success for research studies that may improve current practices and increase rates of tobacco cessation.
PDF of the poster (PDF 613KB)
National Promotions of Tobacco Cessation: An Opportunity to Identify Clients with Behavioral Health IssuesPoster presentation at the Society of Behavioral Medicine, April 2012
Jessie E. Saul, Ph.D., Chad Morris, Ph.D.
This poster presents background information on the use of the MDS Data Set for evaluating quitlines and the development of a new standard optional question to screen callers for behavioral health issues. It also features recent promotional efforts in North America with information on the 12-week National Tobacco Education Campaign in the US and the release of the mandatory graphic heath warnings in Canada. The discussion features opportunities to leverage national promotions of quitlines to identify tobacco users with behavioral health issues, refer them to available treatment options, and conduct research to fill gaps in our knowledge base.PDF of the poster (PDF 597KB)
Poster presentation at the Society for Research on Nicotine and Tobacco, March 2012
Calling all Smokers: Quitlines' Reach Overall and for Priority Populations, FY2010
Jessie E. Saul, Ph.D., Ryan Seltzer, M.S., M.A., Mignonne Guy, Ph.D.
This poster presents data from the FY2010 NAQC Annual Survey of Quitlines. Aggregate demographic data of tobacco users served by quitlines during fiscal year 2010 are used to calculate reach of U.S. quitlines overall, and for specific priority populations (ethnic and racial sub-populations, and individuals with low educational status). Resources for helping quitlines increase their reach are also presented.PDF of the poster (PDF 166KB)
The Relationship Between Reach and Spending for U.S. Quitlines
Oral presentation at the Society for Research on Nicotine and Tobacco, February 2011
Mignonne Guy, Jessie E. Saul, Michele Walsh, Pamela Luckett, Linda Bailey
Mignonne Guy, NAQC's Interim Director of Research, gave an oral presentation at the meeting of the Society for Research on Nicotine and Tobacco (SRNT). According to NAQC annual survey data, reach of U.S. quitlines is very highly correlated with spending on services and medications, and moderately correlated with spending on promotions and outreach. Given that few quitlines are serving 6% of tobacco users, the presentation concluded that additional funding needs to be allocated to quitlines.Assessing Quitline Reach in the U.S.: A National Comparison of Demographic and Tobacco Use Characteristics
Presentation slides (PowerPoint 1.4 MB)
Poster presentation at the Society for Research on Nicotine and Tobacco, February 2011
Mignonne Guy, Jessie E. Saul, Ozlem Kacira, Pamela Luckett, Linda Bailey
Mignonne Guy, NAQC's Interim Director of Research, gave a poster presentation at the meeting of the Society for Research on Nicotine and Tobacco (SRNT). The analysis focused on a description of who is using tobacco quitlines in the U.S., and a comparison of their characteristics to those of the population of smokers in the U.S. The poster's conclusions were that reach of quitlines nationally and for all sub-populations remains well below the target of 6% set by the CDC. These data provide the first national picture of the population of quitline callers, and can be used to target promotions to increase the reach of quitlines.
PDF of the poster(PDF 143 KB)
Tobacco Cessation Quitlines: A Platform for Behavior Change ResearchSeminar presentation at the Society for Behavioral Medicine, April 7, 2010
Jessie Saul, Paula Keller, Susan Zbikowski, Cindy Haugland
NAQC’s Director of Research, Jessie Saul, presented a seminar at the Society for Behavioral Medicine with NAQC members Paula Keller (UW-CTRI), Susan Zbikowski (Free & Clear, Inc.), and Cindy Haugland (National Jewish Health). The seminar focused on the recommended process for conducting research with quitlines, and the potential for working with quitlines to answer questions of interest to both tobacco control and behavioral medicine more generally.presentation slides (PDF 2.64MB)discussion items (PDF 24KB)– a list of suggested topics to consider before designing or finalizing a quitline research projectbibliography of quitline research articles (Excel 244KB)– 112 articles, loosely grouped by topic, abstracts included, 2005+
NOTE: Document is currently formatted to print on 8 ½ x 11 paper; to view abstracts, unhide all columns.currently-funded quitline research projects (Excel 272KB)– a list of 40 projects from NIH Reporter, abstracts included
NOTE: Document is currently formatted to print on 8 ½ x 11 paper; to view abstracts, unhide all columns.funding opportunities for quitline research (PDF 14KB)NOTE: Selective list; not intended to be comprehensive.