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Connections October 2009

Update from the CEO

NAQC’s 2009 Annual Survey – Thanks to Members for Your Responsiveness!!

The first wave of NAQC’s 2009 annual survey was fielded earlier this month. To date, we have received nearly 90% of all surveys! On behalf of NAQC staff, members and those who use the data, I want to extend our thanks to the quitline funders and operators who responded to the survey. NAQC uses the survey data to advocate for quitlines and assure that accurate information about the progress and challenges of quitlines is available to members, the tobacco control community, opinion leaders and the public.

The first wave of the survey includes information on budget cuts and their impact on quitline service delivery. NAQC plans to analyze this information and share results with members and advocates by the end of the year. The results will be used to help make the case for maintaining and enhancing state quitline and tobacco control budgets.

We look forward to sharing the analyses with you in December.

Linda Bailey, JD, MHS
NAQC President & CEO
News & Updates
Board of Directors' Poll on Pharmaceutical Industry Membership and Funding –Opening Tuesday, October 20 to October 29
On Tuesday, October 20, all NAQC members will receive in invitation to participate in the NAQC Board of Directors poll about NAQC’s relationship to the pharmaceutical industry. The poll explores pharmaceutical membership in NAQC and NAQC acceptance of funding from pharmaceutical companies. The poll will help inform the development of a NAQC policy on this issue. The poll will be open from October 20 through October 29.  If you have any questions, please email

NAQC Sustainability Project Underway: Your Help Is Needed
NAQC recently launched work on its Sustainability Project.  The focus of this project is to help identify existing materials and develop new materials that can better make the case to key audiences and decision makers (e.g., elected officials, media, other funders) to continue funding, restore funding or enhance funding for quitline programs across the country.  Many of you have done work in this area already and one of our goals is to help share the information you have already pulled together as part of an online toolkit of resources and to help us develop other resources for NAQC members to make the most effective and powerful case possible on behalf of quitlines. The areas in which we are specifically looking for information (fact sheets, white papers, reports, legislative testimony, research, press/media materials, advocacy materials, etc) include:
  • Information that succinctly and effectively describes “what is a quitline?” to a lay audience (consumers, health care providers, media, and policymakers).
  • Information about return on investment for quitlines – cost/savings data that describes the costs/savings associated with the quitline relative to other modes of quitting, other preventive services, the status quo/no intervention (or other comparisons not listed here); and data on the amount of annual funds collected from state tobacco taxes and from the master settlement agreement relative to the level of annual funding for the quitline and/or all state-funded treatment services for cessation.
  • Information about success stories that quitlines and their supporters can use to put a human face on the services provided, the challenges and realities faced and the impact of success on those individuals – information can be in the form of written materials/stories, as well as audio and video materials.Information on the quitting process itself and the nature of nicotine addiction, how these realities impact and need to be reflected in the design and funding of quitlines and how quitlines define “success” relative to the people they serve.
  • Information about how quitlines serve priority populations – African American, Hispanic/Latino, Asian American, Native American, Low SES, LBGT.
Our goal is to finish collecting this information by the end of October and to have these resources and new materials developed and available to NAQC members later this year. 
For more information about this project or to share information or resources, please contact Matt Barry at or call Matt at (410) 533-6111.

NAQC Issue Paper: Increasing Reach of Tobacco Cessation Quitlines Now Available
This paper provides a comprehensive review of the current literature on a wide variety of strategies to increase reach of tobacco cessation quitlines. Additionally, several examples from practice are included. The paper also highlights recommendations for quitline reach and funding levels from key government and health agencies, highlighting the need to increase reach to more tobacco users to save lives and direct medical costs. The paper is available on the Issue Papers page of the NAQC Web site.

NAQC Benchmarks on Reach and Investment Coming Soon!
NAQC staff has used the 2008 annual survey data to calculate the reach and investment (per smoker) for each quitline and to rank quitlines on both measures. This information will be provided to each quitline on October 23. Aggregate and de-identified data will be shared with all members at the November seminar (see below for details). 

NAQC 2009 Seminar Series Update
Sustaining Quitlines Now and in the Future: Topics to Build the Case

Be sure to mark your calendars for the final seminars of 2009!
November 4th: 3:30 – 5 PM ET and November 6th: 12:30 – 2 PM ET
Innovative Approaches and Proven Strategies for Maximizing Reach

December 9th: 3:30 – 5 PM ET and December 11th: 12:30 – 2 PM ET
2009 Quitline and Cessation Research: Implications for our Practice?

NAQC's Web site contains more information about the 2009 Seminar Series. If you have ideas for topics to be addressed in the 2010 series, please send an email to Tamatha Thomas-Haase at

NAQC Board of Directors' Call for Nominations

The Board’s “Call for Nominations” will be distributed to members in November. This is an important way for members to influence the leadership of NAQC. If you have ideas for new Board members, please send them to

NAQC Annual Survey– Wave Two – Timeline and Content
NAQC’s second wave of the 2009 Annual Survey will launch Monday, November 9. Wave 2 will be conducted with an online web-based data collection system very similar to the format for the 2008 annual survey. A training call will be held on Monday, November 16 (time TBD). The call will cover specific survey questions, instructions for the survey, how to access the survey, how to get help and more. Call-in information will be sent closer to the date of the call to all Annual Survey respondents.

The focus of data collection for Wave Two will be quitline and quitline-related services provided (types, hours, materials, special protocols, eligibility, etc.), service provider information, selected aggregate MDS intake items and evaluation protocols (not outcomes). The biggest change for Wave Two from previous years will be the collection of aggregate MDS intake items, which will help NAQC provide the first national picture of the types of callers quitlines are serving in the U.S. and Canada. Because of the timeline for CDC stimulus and continuation funding proposals, data collection for Wave Two of the annual survey will be extended to December 16. Please contact Jessie Saul, NAQC’s Director of Research, for any questions about Wave Two of the Annual Survey, at You may also vist the 2009 Survey page of the NAQC Web site for more information.

NAQC Annual Survey Data Request Approved
The Centers for Disease Control and Prevention, Office on Smoking and Health, requested NAQC Annual Survey Data from 2008. Their request was approved by a 3-person panel of NAQC members and NAQC’s Director of Research on September 18. For details, see the full request in the data request section of NAQC's Web site.

NAQC Seeks Members to Propose MDS Optional Question on Mental Health/Chronic Disease
NAQC has received several inquiries from members about developing an optional MDS question that addresses mental health/chronic disease at intake. If other members are interested in working together to develop an optional question on this topic, please contact Jessie Saul, Director of Research, at before November 4.

KIQNIC Workgroup Needs New Members!
Are you interested in learning about where your quitline fits in the North American network? Do you have a good working knowledge of how decisions are made for your state or provincial quitline? Do you like figuring out how things work? Then this workgroup is for you.

Over the past year the Knowledge Integration in Quitlines: Networks that Improve Cessation (KIQNIC) workgroup has had their hands in nearly every aspect of this important research partnership. These dedicated members provided input and feedback on research design questions, reviewed the survey instrument and provided important guidance to the research team on how best to share results with members. Unfortunately a few of our current members must “retire” due to other pressing duties…so this is your chance to join us for year two of the five year project.

This core group of NAQC members has the primary responsibility for providing regular feedback to the KIQNIC research team on study design, survey questions and interpretation of results. Time commitment: one monthly conference call (90 minutes maximum) November, 2009 – July, 2010, with review of documents between calls.
If you are interested in serving NAQC by participating in this important Workgroup, please contact Tamatha Thomas-Haase at by October 28th.

Benefits to Workgroup membership include being “first to know” how the study is going, having a say in what questions are asked, influencing how other members will be engaged in the process and providing a voice for quitlines in a study about quitlines.

KIQNIC Project Web site Updates
Several updates have been made to the KIQNIC page on NAQC’s Web site, including a brief description of the project, the presentation that was given at NAQC’s Annual Conference and contact information for finding out more about the project. Additional information will be posted regularly as data analysis occurs over the next several months.

Quitline, Cessation & Other Tobacco News

ARRA Funding for 1-800-QUIT-NOW Enhancements and
As part of the recently announced stimulus funding for U.S. quitlines, the U.S. Department of Health and Human Services has set aside $5.5 million for the National Cancer Institute’s enhancement of the 1-800-QUIT-NOW portal, the Web site and CDC’s data monitoring efforts (related to state stimulus funding). NAQC will provide additional details as they become available.

American Cancer Society and Free & Clear Announce Joint Collaboration
On Friday, October 16, the American Cancer Society and Free & Clear announced a strategic business collaboration. The American Cancer Society Quitline with combine with Free & Clear’s Quit for Life(R) Program to offer telephone-based coaching and Web-based learning support service to tobacco users who want to quit under the Quit for Life brand. For more information, review the news release.

The National Business Coalition on Health (NBCH) Findings on Tobacco Cessation Efforts of Health Plans
Seminar Scheduled for October 22
NBCH released its report on health plan performance related to tobacco cessation reporting that health plans are playing an important role in administering smoking cessation benefits and encouraging physicians and other providers to focus on smoking cessation. The report illustrates how employers can maximize on health plan services to help their employees quit. For more information and to access the report you can visit the NBCH Web site or the National Working Group for ACTTION.

Webinar Information
To educate others on effective strategies, NBCH is co-sponsoring a Webinar hosted by the National Working Group for ACTTION highlighting the critical roles that employers, insurers and benefits managers play in fostering access to and coverage for comprehensive tobacco cessation treatments.

The Webinar, Evaluating the Effectiveness and Cost-Savings of Tobacco Use Treatment Programs in the Workplace is scheduled for October 22, 2009 from 12:30 to 1:30 EDT. For details or to register please visit

Institute of Medicine (IOM) Report Finds Smoke-Free Laws Prevent Heart Attacks
The IOM report, Secondhand Smoke Exposure and Cardiovascular Effects: Making Sense of the Evidence, released on October 15 provides a comprehensive review of the relationship between secondhand smoke exposure and acute coronary events. The report concludes that there is a causal relationship between smoke-free laws and decreases in acute coronary events and that short-term exposure to secondhand smoke can lead to a heart attack. This report presents a terrific opportunity to make the case for smoke-free laws to the media, policy makers and other audiences and to be sure these decision makers know of the resources available to help tobacco users quit using quitline services.

The report is available for purchase on the National Academies'  Web site. The report can be read and printed page-by-page, but it is not available to print or download in full. A Report in Brief  is also available on the Academies' site.

Additional resources from the CDC including a web feature on the cardiovascular effects of secondhand smoke exposure and a link to CDC's media statement on the IOM Report are available at:
Division of Heart Disease and Stroke Prevention
CDC’s Smoking and Tobacco Use Page

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 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
Canada Announces Funding for Tobacco Cessation Programs for Industries with Higher than Average Smoking Rates
The Smart Steps . . . towards a smoke-free life project will focus on helping employees who work in industries with higher than average smoking rates to reach young adults who work in retail, construction, transportation and the oil and gas sector. The workshops will be delivered on site in 25 work places in seven cities. More information is available from Health Canada’s news release.

Amendments to Canada’s Federal Tobacco Act Applauded

Earlier this month, Canadian law makers passed C-32 which mandates the cigarillos and blunt wraps be sold in packages of not less than 20, bans the use of flavours and additives in tobacco products, prohibits graphic description or depiction of flavours in tobacco and bans all tobacco advertising and promotion in print and electronic media that may be viewed by youth. More information from the Canadian Lung Association is available.

Campaign for Tobacco Free Kids Seeking Nominations for U.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 at the following link 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

American Lung Association Launches Campaign, Quitter in You

The American Lung Association is launching a campaign that highlights the need to change the way Americans looks at quitting smoking. The campaign acknowledges survey findings that multiple quit attempts are normal and necessary for long-term success. More information is available at The campaign will include public service announcements, personalized tools and support. Read the full press release.


Group-randomized Trial of a Proactive, Personalized Telephone Counseling Intervention for Adolescent Smoking Cessation
Peterson AV Jr, Kealey KA, Mann SL, et al. Journal of the National Cancer Institute. 2009 101(20):1378–1392.
This study examined a randomized trial of telephone counseling for smoking cessation among high school junior smokers. The intervention increased 6-month prolonged abstinence among all smokers and especially among daily smokers. The authors conclude that counselor-initiated telephone calls that deliver personalized motivational interviewing plus cognitive behavioral skills training are effective in increasing teen smoking cessation. This study is the first to show substantial quit rates in adolescent smokers at 6 months after quitting. The study was accompanied by an editorial in the same issue that made two recommendations based on its findings: First, all state quitlines should be encouraged in the strongest possible way to implement the intervention investigated by Peterson et al. to the extent feasible (recognizing that their intervention was quite complex) with the goal of increasing on a national scale the number of adolescents who quit smoking. Second, funding should be provided to both replicate the existing design and also investigate modifications of the protocol that would tease out the relative impact of specific components of the protocol. The editors conclude that “at last, we have a new and promising foundation for youth tobacco cessation intervention that can serve both as a catalyst for future research as well as a community resource to address the immediate need of young daily smokers who wish to quit.”

Cognitive Barriers to Calling a Smoking Quitline

Solomon LJ, Hughes JR, Livingston A, Naud S, Callas PW, Peters EN, Kamon J, Etter J-F. Nicotine & Tobacco Research [epub ahead of print]. Advanced Access published September 30, 2009. doi: 10.1093/ntr/ntp143
This study examined barriers to cigarette smokers calling quitlines despite being interested in quitting. Of 641 daily smokers in the study who were “definitely” or “probably” interested in quitting in the next 30 days, 78% made a quit attempt in the 2-month study period, but only 22% called a quitline following repeated prompts to do so. The study results show that while there are barriers to quitting, it remains unclear what those barriers are. Further research is needed to more fully understand barriers to calling quitlines, as well as to understand the perceived benefits of calling quitlines.

Mobile Phone-Based Interventions for Smoking Cessation.
Whittaker R, Borland R, Bullen C, Lin RB, McRobbie H, Rodgers A. Cochrane Database of Systematic Reviews. 2009 Issue 4. Art. No.: CD006611. DOI: 10.1002/14651858.CD006611.pub2
This review of the literature attempted to determine whether mobile phone-based interventions are effective at helping people who smoke to quit. Any study examining mobile phone-based interventions were included. Four trials were included in the analysis. The meta-analysis of the text message program trials showed a significant increase in short-term self-reported quitting. When data from the Internet and mobile phone programs were pooled, significant increases were found in both short and long-term self-reported quitting. The authors conclude that while short-term results are positive for mobile phone-based cessation interventions, more rigorous studies of the long-term effects are needed.
Treatment of Tobacco Dependence in Mental Health and Addictive Disorders
Hitsman B, Moss TG, Montoya ID, George TP. Canadian Journal of Psychiatry. 2009 Jun; 54(6):368-78.
This article reviews the treatment options for people with tobacco dependence and mental health and addictive disorders, offers recommendations on tobacco assessment and tailored treatment strategies and provides suggestions for future research. The authors suggest that treatment efficacy could be enhanced through promoting smoking reduction as an initial treatment goal, extending the duration of treatment and delivering it within an integrated care model that also aims to reduce the availability of tobacco in treatment settings and in the community.

Nicotine Replacement Therapy During Pregnancy: Recommended or Not Recommended?

Osadchy A, Kazmin A, Koren G. Journal of Obstetrics and Gynaecology Canada. 2009 Aug; 31(8):744-7.
This review article examined the data on the safety and effectiveness of NRT and on the possible physiological reasons for NRT’s low effectiveness in pregnant women. The authors conclude that pregnant women with a moderate or high level of addiction (smoke more than 5 cigarettes per day) may use NRT under the supervision of their physician, and that a combination of behavioral therapy and counseling with NRT is the most effective way to help pregnant women quit smoking.

Resources & Information

Request for Proposals
Announcement of South Dakota’s Request for Proposals
The SD-DOH, Tobacco Control Program is pleased to announce the new RFP for Telephone-based Tobacco Cessation Counseling for the SD-QuitLine. Any QuitLine service providers who are interested in this RFP should contact Jim McCord at the SD Department of Health


1-800 QUIT NOW Monthly Volume Report: Now Posted
The 1-800 QUIT NOW monthly call volume report for the period November 9, 2004 through September 30, 2009 is now posted on NAQC’s Web site
Conferences, Meetings & Trainings
The Ninth National Hispanic Science Network on Drug Abuse International Conference: Advances in Etiologic and Intervention Models in Hispanic Addiction Research
October 29-31, 2009, Miami, FL 
For more information

National Conference to End Health Disparities II
November 3-6, 2009, Winston-Salem, NC
For more information

6th National Conference on Tobacco or Health – Canada
November 1-4, 2009, Montréal, Canada
This conference presents a great opportunity to find out the latest developments in tobacco control north of the border. From display bans to banning smoking in cars and outdoor spaces; from contraband to cessation geared to special pops, the conference sessions will be dynamic, engaging and thought provoking. Early bird fees end October 23.
For more information
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
Deadlines for abstract submission have not yet been announced.
For more information

Society for Behavioral Medicine 2010 Conference
April 7-10, 2010 in Seattle, WA
Deadline for abstract submissions has yet to be announced.
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
Call for Journal Abstracts
Call for Abstracts on Smoking Interventions Among Priority Populations
The National Cancer Institute in collaboration with the Tobacco Research Network on Disparities (TReND) is sponsoring a special journal issue on smoking interventions among priority populations to help advance the understanding of tobacco-related health disparities. 

The deadline for abstract submissions is Monday, November 2, 2009.  Abstracts should be sent to Dr. Anita Fernander at Review the call for abstracts. For more information about TReND, visit their Web site.
Position Announcements
beBetter Networks Director of Tobacco Cessation Services
beBetter Networks, Inc. a charter member of NAQC has a position open for our Director of Tobacco Cessation Services. For more information, view the job description or contact

Campaign for Tobacco-Free Kids State Communications Director

The Campaign for Tobacco-Free Kids is seeking candidates for State Communications Director to develop and implement communications strategies in support of state policy goals. The position is based in Washington, DC. Among the qualifications, communications experience in political or policy advocacy campaigns is particularly important. View the full job announcement.

Fellowships in Tobacco Control Research - Center 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:
Fellowship Assistant
Phone: 415-476-0140
Fax: 415-514-9345

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 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 to join.


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