Quitline, Cessation & Other Tobacco News
Great American Smokeout – November 19, 2009
The 34th Great American Smokeout is a great time to promote the quitline. On this day, smokers are encouraged to make a plan to quit or to actually quit smoking on that day. The GASO Web site
contains more information.
Maximizing ARRA Funding Opportunities Encouraged to Demonstrate Unmet Need for Tobacco Control Funding
The Campaign for Tobacco Free Kids (CTFK) has prepared a summary
of the key elements of a tobacco control policy educational initiative which can be used to help states identify activities to include in application(s) and in project budgets. The activities can be applied across the range of policy initiatives.
CTFK encourages all states to apply for both the non-competitive AND competitive grant opportunities made available through the American Reinvestment and Recovery Act. This may be the best opportunity we have in the coming years to get additional funds for important tobacco control efforts. A great deal of effort was made to ensure that at least some stimulus dollars could be used for tobacco control, so we need to be able to show that there is a high level of demand for these dollars in the tobacco control community.
California Smokers’ Helpline Helps First Half-Million Callers
California’s quitline, in operation since 1992, is celebrating a tremendous milestone. This month, the 500,000th person called for services. Congratulations to the California Smokers’ Helpline, the first statewide quitline in the U.S. California is using this opportunity to promote the importance of health care referrals to encourage more quitting among smokers and tobacco chewers. According to the 2005 California Tobacco Survey, 62 percent of smokers were advised by a doctor to quit smoking, but only 33 percent of those were referred to a quit smoking program. The Helpline has experienced a big increase in referrals by health care providers, from six percent of callers in 1992 to nearly 44 percent today. Still, the Helpline wants to see more intervention by medical personnel.
American Lung Association, Helping Smokers Quit: State Cessation Coverage 2009, Report Released
Last week, the American Lung Association released the second annual Helping Smokers Quit: State Cessation Coverage report. The report addresses state coverage of cessation treatments through Medicaid, state employee health plans, private insurance, and quitlines in 2009. It calls for states to do more to help smokers quit. The report includes information about the following recommendations:
Provide all smokers with access to cessation treatments in health care reform.
Provide all Medicaid recipients and state employees with comprehensive, easily-accessible tobacco cessation medications and counseling.
Offer comprehensive cessation coverage through private insurance plans and require all insurance companies to cover these treatments.
National EX Campaign Launches Second Phase with Advertising and Promotions
The National Alliance for Tobacco Cessation has launched the second phase of the EX campaign with radio, cable television, online, print and ambient/out-of-home channels. The new set of "Re-learn” ads focuses on the behavioral aspects of smoking, knowledge of addiction and use of medications and the role that friends and family can play in quitting. The ads are geared towards sports fans and two spots will be aired as public service announcements in cooperation with The Advertising Council. The campaign will run from November 1 through January. partnerships with Major League Baseball on Fox, "Bassmasters" on ESPN2 and on radio through ABC and Sporting News Radio. The ads will promote BecomeAnEx.org. Review
descriptions of the television spots and the complete release.
Legacy Survey Finds One in Three Sports Fans Smoke, Five Out of Six Smoke While Watching Sports
This survey found that the majority (63 percent) of sports fans included in the study reported being current or former smokers and 76 percent of them have smoked while watching or attending sporting events. The study examines whether sports fans were exposed to secondhand smoke while watching sports; smoked while watching sports at certain venues; or whether those who quit smoking relapsed while watching a game. The survey also examined whether watching sports was a trigger for fans who smoke. More information is available on the American Legacy Foundation Web site
New Articles and Tools Related to the 2008 US PHS Guideline, Treating Tobacco Use and Dependence
Since the May 2008 release of the US PHS Guideline, Treating Tobacco Use and Dependence: 2008 Update, several new tools have been developed and are now available online. As with all guideline materials and information, these tools are in the public domain and can be used without obtaining permission from the US PHS. These new materials and tools include:
1) A 20-page "quick reference guide” for clinicians that summarizes key Guideline findings in a short, easy-to-use guide.
2) A PowerPoint presentation containing every data table and recommendation in the 2008 guideline to aid policymakers, researchers and others who may need this information for presentations.
3) A 30-40 minute PowerPoint presentation that summarizes key findings in the 2008 guideline for people who wish to give a presentation on the Guideline.
4) A tool for health systems interested in incorporating the Guideline recommendations into clinical practice, summarizing key strategies and opportunities.
5) An updated poster for clinician offices.
6) A new Guideline addition and corrections section. This new section now provides clinicians with a link to the recent update by the FDA on the use of bupropion and varenicline and a correction to Table 6.22 from page 102.
These new tools and other materials, including the full Guideline and references, are available online at:http://www.ahrq.gov/path/tobacco.htm
In addition, a free, one-hour CME program sponsored by the University of Wisconsin School of Medicine and Public Health on treating tobacco dependence has been updated based on the 2008 Guideline. The program is currently accredited for physicians (up to Category 1 CME credit), nurses (one ANCC contact hour), and pharmacists (one ACPE contact hour). The CME program is available on Medscape
. Two Important Recent Publications Related to Cessation U.S. Preventive Services Task Force recommendation
that using evidence-based cessation interventions in adults and pregnant women can lead many to quit using tobacco products and improve their health.
An article in Addiction that describes the high rate of concordance between two independent entities that have examined the smoking cessation literature: the 2008 PHS Guideline and relevant Cochrane Collaboration analyses (Hughes JR. How confident should we be that smoking cessation treatments work?
Addiction 2009; published online August 4, 2009.)
Enrollment Now Open for Tobacco Chewers and Dippers Nationwide
The California Tobacco Chewers’ Helpline (1-800-844-CHEW), with funding from the National Cancer Institute, is currently enrolling participants nationwide in an important new research study. Smokeless tobacco users will be randomly assigned to participate in one of four quitting programs that use research-tested methods. Study participants will be able to use the tobacco cessation program at home at times that fit their own personal schedules. They will be asked to complete two follow-up surveys for which they will receive a small payment.
Regular use of smokeless tobacco products can cause cancer of the mouth, other cancers, heart disease, and disfiguring dental problems. Most dippers and chewers want to quit but have resources designed specifically to help them quit. For more information or to sign up for this new program, chewers living anywhere in the United States can call toll free at 1-800-844-CHEW Monday through Friday from 7am to 9pm PST and Saturday from 9am to 1pm PST. Questions can also be directed to firstname.lastname@example.org
Proposed Healthy People 2020 Objectives Now Online
The U.S. Department of Health and Human Services (HHS), Office of Disease Prevention and Health Promotion has posted the proposed Healthy People 2020 objectives online. Objectives for all focus areas can be accessed at http://www.healthypeople.gov/
or you can access the proposed Tobacco Objectives
HHS is seeking public input from communities across the country on the proposed Healthy People 2020 objectives through a series of public meetings. Meetings were already held in Kansas City and Philadelphia. The last meeting is on Tues. Nov. 20 in Seattle. For more information
HHS will also be accepting public comments about proposed Healthy People 2020 objectives online beginning October 30, 2009 through December 31. 2009. More information about the public comment process
. If you have any questions, please feel free to email email@example.com
or contact Allison MacNeil at 770-488-5529 or Gabbi Promoff at 770-488-6491. FDA Extends Comment Period
The FDA has extended the period for submitting comments on the implementation of the Family Smoking Prevention and Tobacco Control Act. Comments are now due December 28, 2009
. Members are encouraged to submit electronic comments to http://www.regulations.gov/
or written comments to the Division of Dockets Management (HFA305), Food and Drug Administration, 5630 Fishers Lane, rm. 1061, Rockville, MD 20852.
- For more information, view the extenstion notice
- NAQC's comments to FDA
- FDA Resources on legal, regulatory, and policy issues related to tobacco products
Key Provisions of FDA Tobacco Regulation Retained in Recent Ruling
Earlier this month, a federal judge in Kentucky ruled that tobacco companies would have to submit for FDA review any claims of reduced risk despite their challenge to the provision. The complete statement offered by Campaign for Tobacco-Free Kids, American Cancer Society, American Cancer Society Cancer Action Network, American Heart Association, American Lung Association and American Legacy Foundation is available on the CTFK Web site
Campaign for Tobacco Free Kids Seeking Nominations for U.S. Youth Advocate of the Year
Please consider nominating a youth who has advocated for cessation or quitlines in your state for CTFK’s Youth Advocate of the Year! Winners are chosen based on their advocacy experience, their demonstration of initiative and creativity, and the effectiveness of their efforts to prevent youth from smoking, among other qualities. Youth Advocate of the Year Award winners are given the opportunity to be part of the Campaign’s efforts throughout the year. Winners gain leadership experience that helps strengthen their advocacy skills and empower their peers to join the movement against the tobacco industry.
The nomination packet is available on the CTFK Web site
. Nomination forms must be POSTMARKED by Friday, January 22, 2010. Winners will be notified of a decision by Friday, March 5, 2010. Advocates will be formally recognized at the annual gala on May 12, 2010.
Please note that there are a few differences from in past years. If you have any questions, contact April Schweitzer at firstname.lastname@example.org
Telephone Recruitment into a Randomized Controlled Trial of Quitline Support
Tzelepis F, Paul CL, Walsh RA, Wiggers J, Knight J, Lecathelinais C, Daly J, Neil A, Girgis. American Journal Preventive Medicine. 2009 Oct;37(4):324-9.
This study investigated the impact of recruiting smokers to the quitline by randomly selecting people in the New South Wales (NSW) electronic telephone directory. Over half (52%) of eligible smokers contacted by telephone were recruited for quitline services. The cost per smoker recruited was AU$71 (US$59). The participants recruited represented groups that are currently under-represented among quitline users, including those not planning to quit in the next 30 days, older smokers, more highly educated smokers, non-metropolitan residents and more heavily addicted smokers. The authors conclude that active telephone recruitment may provide a cost-effective way to dramatically increase the number of smokers using quitline services.
Surveillance Indicators for Potential Reduced Exposure Products (PREPs): Developing Survey Items to Measure Awareness
Bogen K, Biener L, Garrett CA, Allen J, Cummings KM, Hartman A, Marcus S, McNeill A, O’Connor RJ, Parascandola M, Pederson L. Harm Reduction Journal. 2009; 6:27.
This study examined existing strategies for measuring awareness of Potential Reduced Exposure Products, or PREPS. Tobacco companies have begun to market PREPS, including cigarettes and smokeless tobacco products with reportedly lower levels of some toxins than conventional products. The study found that high levels of awareness of PREPS reported in some studies were likely inaccurate due to misclassification of "no additive” and "natural” cigarettes as PREPS, or brand confusion between similarly named products (e.g., Eclipse chewing gum and Accord automobiles). Based on the findings, the authors developed new surveillance items, subjected them to two rounds of cognitive testing and recommend these measurement strategies for future surveys.
Switching to "Lighter” Cigarettes and Quitting Smoking
Tindle HA, Shiffman S, Hartman AM, Bost JE. Tobacco Control. Online First November 3, 2009.
This study examined factors associated with switching from regular cigarettes to "lighter” cigarettes and making a quit attempt as well as recent quitting. The authors found that those who switched to "lighter” cigarettes were more likely to make a quit attempt, but less likely to be recently quit (>90 day abstinence when surveyed). The authors conclude that smokers who switch to "lighter” cigarettes may be diverted from quitting smoking.
TOBACCO-RELATED POLICYThe Cost of Tobacco Use in Saskatchewan. GPI Atlantic. Prepared for the Canadian Cancer Society.
Rhymes J and Coleman R. October 2009.
This study was commissioned by the Canadian Cancer Society Saskatchewan Division and reported that tobacco use in Saskatchewan creates a $1.1 billion drain to the province’s economy. The direct and indirect costs of tobacco result in a price tag of $1,063 for every resident – adults and children. Unfortunately, only 18% of those costs are offset through tobacco tax revenue. Access the full report
. MMWRCigarette Smoking Among Adults and Trends in Smoking Cessation – United States, 2008
Centers for Disease Control and Prevention. MMWR
. November 13, 2009; 58(44):1227-1232.
According to 2008 National Health Interview Survey data analyzed by CDC, smoking rates between 2007 (19.8%) and 2008 (20.6%) are statistically unchanged. Further, the rate of adult smoking over the past five years shows little to no change. Subgroups such as those with low educational levels have alarmingly high rates of smoking. For example, adults older than 24 (25+) with a GED had a smoking rate of 41.3%, and the lowest quit ratio (39.9%) than any other group.
State-Specific Secondhand Smoke Exposure and Current Cigarette Smoking Among Adults – United States, 2008
Centers for Disease Control and Prevention. MMWR
. November 13, 2009; 58(44):1232-1235.
CDC analyzed 2008 Behavioral Risk Factor Surveillance System (BRFSS) data from 11 states and the U.S. Virgin Islands, and found that exposure to SHS in homes ranged from 3.2% (Arizona) to 10.6% (West Virginia), and exposure to SHS in indoor workplaces varied from 6.0% (Tennessee) to 17.3% (USVI). Most people surveyed in the 11 states and USVI reported having completely smoke-free homes (68.8% in West Virginia to 85.7% in USVI). In addition, 2008 BRFSS data was analyzed to generate state-specific smoking rate estimates in 50 states, the District of Columbia (DC), and three territories (Guam, Puerto Rico, and USVI). Among states, smoking prevalence was highest in West Virginia (26.6 percent), Indiana (26.1 percent), and Kentucky (25.3 percent) and lowest in Utah (9.2 percent), California (14.0 percent), and New Jersey (14.8 percent). Median smoking prevalence for the 50 states and DC was 20.4% for men and 16.7% for women. State Medicaid Coverage for Tobacco-Dependence Treatments --- United States, 2007
Centers for Disease Control and Prevention. MMWR
. November 9, 2009; 58(43);1199-1204
In 2007, the Center for Health and Public Policy Studies at the University of California, Berkeley, surveyed all 51 Medicaid programs in all 50 states and the District of Columbia. The survey results found that while 43 (84%) programs offered coverage for some form of tobacco-dependence treatment to Medicaid enrollees, only two states (New Mexico and New Jersey) reported no limitations or restrictions on that access (e.g., co-pays, limitations in duration of treatment, prior authorization, and stepped-care therapy). Two additional states (Arizona and Washington) reported coverage for pregnant women only. Forty-one programs (80%) covered some form of quitting medications; 26 programs (51%) covered tobacco cessation counseling (7 of which covered it only for pregnant women). Only four of the 26 states that cover counseling also covered telephone counseling using Medicaid funds (Kentucky, Oregon, Utah, and West Virginia). Access the full article
Resources & Information
Resources1-800 QUIT NOW Monthly Volume Reports: All Reports Since Inception Available on NAQC’s Web Site
of monthly 1-800-QUIT-NOW call data reports is now complete starting with the first report issued in April 2005 through September 2009. The October 2009 is not yet available but will be posted as soon as it is released.
Podcast Available: What Happens When Your Patient Calls a Smoking Cessation Quitline?
includes an interview with Michael Fiore, MD, professor of medicine at the University of Wisconsin and focuses on the professionalism patients will find when they call a quitline. Conferences, Meetings & Trainings
November 19 Webinar: The Impact of the Massachusetts MassHealth (Medicaid) Benefit on Smoking Prevalence and Health OutcomeImplications for National and State Action
This Webinar is being presented as a partnership between the Multi-State Collaborative for Health Systems Change, the Massachusetts Department of Public Health and Partnership for Prevention. The program will bring together public health leaders to discuss the results, implications and opportunities surrounding the Massachusetts Medicaid study, which measured changes in utilization and health outcomes following the establishment of comprehensive smoking cessation benefits for Massachusetts Medicaid recipients.
12:30 – 1:30 p.m. (ET) on November 19, 2009
More information about presenters and registration
15th Annual Rural Multiracial & Multicultural Health Conference: Blueprints for Success: Ideas for Change
December 9-11, 2009, Memphis, TN
For more information
Society for Research on Nicotine and Tobacco
Feb. 24-27, 2010, Baltimore, MD
For more informationOpportunity for Travel Scholarship to Increase SRNT Membership Diversity
The Tobacco-Related Health Disparities Committee of the Society for Research on Nicotine and Tobacco (SRNT) has established as one of its goals to increase the diversity of its membership. Therefore, SRNT is committed to increasing the diversity of researchers who help to stimulate and generate new knowledge concerning nicotine in all its manifestations -- from the molecular to the societal level. The scholarship program is a partnership between the American Legacy Foundation, the National Cancer Institute, the California Tobacco-Related Disease Research Program, and the Society for Research on Nicotine and Tobacco and is administered by the Tobacco-Related Health Disparities Committee of SRNT. Access more information
including eligibility criteria and a scholarship application.
Society for Behavioral Medicine 2010 Conference
April 7-10, 2010 in Seattle, WA
For more information
Promising Practices: Achieving Health and Social Equity in Tobacco Control – Call for Abstracts Now Open
April 27-28, 2010 in New Orleans, Louisiana at the Hotel Monteleone
For more information
11th International Congress of Behavioral Medicine Conference and Call for Abstracts
Translational Behavioral Research: A Global Challenge
August 4 -7, 2010, Grand Hyatt Washington, Washington, D.C.
Members and non-members of the Society of Behavioral Medicine are invited to submit abstracts until December 4, 2009. Read more about the conference
or the submission process
National Association of Local Boards of Health (NALBOH) 18th Annual Conference – Call for Abstracts
August 5-7, 2010, Omaha, Nebraska
The National Association of Local Boards of Health (NALBOH) Program Committee invites you to submit a proposal for a workshop or concurrent session presentation at their conference - Journey to the Future: Facing Public Health Challenges Today for a Healthier Tomorrow
. More information
University of Minnesota Positions
The Center for Health Equity is a Medical School center that was established in 2009 with receipt of an NIH Comprehensive Centers of Excellence in Minority Health and Health Disparities award. The Center is looking for a Post-Doctoral Associate
and a Center Administrative Director
(master’s degree required, doctoral
Fellowships in Tobacco Control ResearchCenter for Tobacco Control Research and Education at UCSF
The purpose of the fellowship is to attract individuals from a wide variety of backgrounds in medical, biological, social, behavioral, and policy sciences to develop a new generation of academic leaders in tobacco control. Upon completion of training, fellows will be well positioned to be active participants in crucial policy debates about the future development and implementation of tobacco control interventions. Academic Background Required: Doctorate/Equivalent Degree Applications are due January 27, 2010, for fellowships beginning July 1, 2010.
Please direct requests for information and applications to:
NIDA and NCI Co-Sponsor RFA to Support Secondary Data Analysis
NIDA has developed and NCI is a co-sponsor of a unique RFA to perform secondary data analysis using small R01s. Topic must be related to drug abuse, but tobacco is included. This is a good opportunity for researchers with existing datasets and/or to use national datasets (HINTS, NHANES, etc).
NIH Recovery Act Grant Information Supported by the American Recovery & Reinvestment Act of 2009
For information about NIH grant opportunities, visit the NIH Recovery Web site.
State and Community Tobacco Control Policy and Media Research RFA
The purpose of this RFA is to solicit cooperative agreement (U01) applications for research projects to investigate the effectiveness of the State and community tobacco control policy and media interventions. Focal areas include secondhand smoke policies, tax and pricing policies, tobacco industry marketing and promotion, mass media countermeasures, and community and social norms. The proposed projects may address tobacco use and exposure in any form in the United States and may involve both observational and intervention studies. This FOA also solicits separate cooperative agreement applications for a Coordinating Center for this program.
Letters of Intent Receipt Date: December 22, 2009 Application Receipt Date: January 22, 2010 Earliest Anticipated Start Date: September 2010. More information. Connect with NAQC Members!
NAQC’s Listserv offers an opportunity for NAQC members to connect with one another. Through the Listserv, you can ask questions, post comments and share resources. To post a question or comment to the NAQC Listserv, email NAQC@listserv.naquitline.org
. You must be a member of the Listserv to post a question or comment. If you are not on the Listserv and wish to participate, please email email@example.com