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Connections August 2009
Update from the CEO

Policy Front - What We're Hearing
There are a number of exciting policy issues taking shape at the national level in the U.S. and Canada, including stimulus package funding for quitlines (U.S.), health care reform (U.S.), regulations to include a national number on cigarette packages (CAN) and FDA regulations (U.S.). NAQC plans to keep you informed about progress on these and other issues through this new section of Connections. This month, the focus is on Stimulus Package Funding.

Working with other tobacco control organizations, NAQC continues to encourage the distribution of stimulus funding to state quitlines and  monitor progress of the stimulus package at the U.S. Department of Health and Human Services (HHS). Although there is no guarantee that the funding will be distributed to state quitlines, staff believes it is important for state funders and service providers to know what we are hearing. Currently, HHS officials are considering a stimulus package for state quitlines that may include the following:
  • Approximately $44-50 million to be divided between all state and territorial quitlines;
  • Match requirements that would discourage states from replacing current quitline funding with the stimulus funding;
  • Quarterly reporting requirements that may include some MDS data and information on job creation;
    The funding may be available as early as November this year and expenditures may be allowed over two years; and
  • No information about the use of the funding has been forthcoming, but NAQC has recommended that state quitlines should be able to use the funding for a wide range of quitline activities including counseling, medications, media and infrastructure expansion.
Again, I want to emphasize that NAQC and its partners are doing all we can to make sure that the stimulus funding will be allocated to quitlines, but there is no guarantee this will happen.
Should the funding be allocated to quitlines, it will be critical to demonstrate a significant impact on reach and possibly quit rates. NAQC is planning a conference call for Wednesday, September 2 to update members on what we know and discuss key planning issues on quitline infrastructure needs and demonstrating impact. Details on the conference call will be distributed to members during the next week.
Linda Bailey, JD, MHS
NAQC President & CEO
News & Updates

Advocating for Enhanced Quitline Funding – Adjustments to the 2009 NAQC Annual Survey Plan
Although the demand for cessation services is increasing, many state and provincial quitlines have experienced recent budget cuts. To counter the budget cuts, NAQC is working with a group of national tobacco control partner organizations on strategies to enhance quitline funding. As part of this effort, NAQC will be adjusting its plans for the 2009 annual survey, as outlined below. Read more.
Annual Meeting Presentations Now Online
Presentations from NAQC’s Annual Meeting are now online and accessible to members only. You will need to login using your NAQC member username and password to access the presentations on NAQC’s Web site at
NAQC Seminar Series: Join Us for September’s Call
Join us on September 9 from 3:30-5 PM ET and September 11 from 12:30-2 PM ET for "New Technologies: Texting, Chatting and Video Counseling, Oh My!” This Webinar will feature Kimber Richter, Ph.D., M.P.H. of the University of Kansas Medical Center and Lorien Abroms, Sc.D. from George Washington University. Both presenters will highlight their current research on mobile applications for smoking cessation in the context of quitlines.
Registration is not required. All seminar-related materials will be on the NAQC calendar no later than a week before the call dates. We look forward to your participation! If you have questions, please email Tamatha Thomas-Haase at
NAQC’s Minimal Data Set Update Released – Final Feedback Requested by October 15
NAQC’s Minimal Data Set (MDS) Update workgroup has completed its work on the MDS Update recommendations and technical assistance materials. Many thanks to the workgroup members for an amazing and thorough job. An Implementation Guide has been developed to assist quitlines with the implementation process. The Guide includes an Introduction, the Intake and Follow-up questions, a comparison document highlighting changes from the original MDS, an annotated table with detailed notes and tips for each question and a two-page FAQs document on the MDS itself. Final feedback is encouraged from quitlines prior to October 15. Materials will be finalized in November, when implementation will begin.
The Update and related materials were presented during the August 5 and 7 conference calls. The slides for that presentation are available on the NAQC calendar at (or go to anyplace on NAQC's Web site and type "calendar” in the search box). The call summary will be posted shortly. The MDS Implementation Guide is available on the NAQC Web site (second bullet on the page). For additional information about the MDS Update or the implementation process, please contact Jessie Saul at
Pharmaceutical Industry Involvement in NAQC
The NAQC Board of Directors will be polling members in October about NAQC’s relationship to the pharmaceutical industry. The poll will explore 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. 
New 2008 Survey Data Now Available
The following data tables from the NAQC 2008 Survey of Quitlines are now available on NAQC’s Web site:
  • U.S. Quitlines: Free and Discounted Quitting Medications (Fiscal Year 2008)
  • Canadian Quitlines: Free and Discounted Quitting Medication (Fiscal Year 2008)
  • U.S. Quitlines: Language of Tobacco Cessation Materials (Fiscal Year 2008)
  • Canadian Quitlines: Language of Tobacco Cessation Materials (Fiscal Year 2008)
  • U.S. Quitlines: Language of Counseling Services (Fiscal Year 2008)
  • Canadian Quitlines: Language of Counseling Services (Fiscal Year 2008)
  • U.S. Quitlines: Internet-based Services (Fiscal Year 2008)
  • Canadian Quitlines: Internet-based Services (Fiscal Year 2008) 
With questions or comments, please email Jessie Saul at
Pfizer Launching New CHANTIX Direct to Consumer Campaign
Read more in NAQC's Promotion Alert sent last week.
Quitline, Cessation and Other Tobacco Control News
Director of CDC’s Office on Smoking and Health (OSH) to Assume New Position as Chief Medical Officer Position for the National Center for Chronic Disease Prevention and Health Promotion
Matthew T. McKenna, M.D., M.P.H., has been selected as the Chief Medical Officer for the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP). He will assume the position once a new director has been selected for OSH. For the last 2.5 years McKenna has done a stellar job as the Director of the Office on Smoking and Health (OSH) where he has brought a national focus to cessation and has lead major efforts in international tobacco control, revision of the guidance to state and local programs on the components and funding for comprehensive tobacco control programs known as Best Practices and has more recently been instrumental in providing the Food and Drug Administration substantial technical support as that agency attempts to implement regulation of tobacco advertising, marketing and production in the U.S. McKenna joined CDC in 1989 as an Epidemic Intelligence Service Officer in the Division of Cancer Prevention and Control in the newly formed NCCDPHP. He has held progressively more responsible positions at CDC in the areas of Cancer, Tuberculosis and HIV Surveillance. McKenna received his M.D. from Emory University and his M.P.H. from the University of Pittsburgh. NACQ congratulates Dr. McKenna and wishes him thbest in his new position. NAQC is grateful for his substantial contributions to tobacco control and looks forward to our continued work together.

FDA Says E-Cigarettes Bad, but Not Banned – Warning Issued
Last month, the FDA warned Americans not to use electronic cigarettes. However, to date the products are not banned from sales, yet the FDA has issued a warning. Learn more.

An Act to Amend the Tobacco Act – Canada
Frequently asked questions and information from Health Canada on changes to the federal tobacco act, with efforts aimed at increased action on tobacco marketing practices toward youth. View FAQs.

Ohio Barred from Raiding State Tobacco Prevention Foundation Funds to Balance Budget
Last week an Ohio judge permanently barred the state from taking more than $250 million in funds designated for anti-smoking programs and using it for Medicaid services and other state functions. Read full story.


Michael Fiore to Receive Common Good Award From Bowdoin College
Dr. Michael Fiore ('76) has been selected by the Board of Trustees to receive the 2009 Common Good Award. Established on the occasion of the Bowdoin College Bicentennial, the Common Good Award honors those alumni who have demonstrated an extraordinary, profound and sustained commitment to the common good, in the interest of society, with conspicuous disregard for personal gain in wealth or status. To view the complete story, click here.

Remembering Yale Scientist Julie Staley-Gottschalk
Staley-Gottschalk, a faculty member of the Department of Psychiatry at the Yale University School of Medicine, passed away last month. During her twelve-year career at Yale, she contributed greatly to the advancement of science and knowledge in psychiatry. Her research focused on the use of neuroimaging to understand the molecular causes and consequences of nicotine dependence, alcoholism, depression and other psychiatric disorders. As a dynamic and energetic leader of the SPECT program at Yale, she validated a number of novel SPECT ligands for use in human brain imaging and enhanced the study of SPECT radiotracers in humans, thus allowing the advancement of nicotinic receptor imaging which is now being used in studies of nicotine dependence, alcoholism, Alzheimer's disease, depression and schizophrenia.
Active Telephone Recruitment to Quitline Services: Are Nonvolunteer Smokers Receptive to Cessation Support?
Tzelepis F, Paul CL, Walsh RA, Wiggers J, Duncan SL, Knight J. Nicotine and Tobacco Research. 2009 Jul 24. [epub ahead of print]
This study examined the acceptability of active telephone recruitment to quitline support in New South Wales. Smokers were randomly selected from the telephone directory and recruited into a randomized controlled trial offering telephone counseling (n=769) or self-help materials (n=793). At four months after recruitment, 1,369 completed an assessment and more than 90 percent of respondents found the active recruitment to be acceptable. Of smokers assigned to proactive telephone counseling, 90 percent accepted at least one counseling call, and 65 percent accepted three or more counseling calls. The authors conclude that active telephone recruitment could potentially enroll a broader representation of smokers to quitline services. Given these smokers are receptive to cessation assistance, quitlines should consider active telephone recruitment.

Continuous Individual Support of Smoking Cessation Using Text Messaging: A Pilot Experimental Study
Haug S, Meyer C, Schorr G, Bauer S, John U. Nicotine & Tobacco Research 2009 11(8):915-923
This study tested the feasibility and acceptance of a text-messaging intervention for young adults and found that participants participated at high rates and had good retention rates. University cafeteria visitors were screened for smoking status and use of text messaging. 174 fulfilled inclusion criteria and consented to participate. These were divided into three groups: a control group (no intervention), an intervention group with one weekly text message and a group with three weekly text messages. Messages were modified based on participants’ responses to a baseline assessment and stage of change. Acceptance of the program and smoking status did not differ significantly between the three groups at three months. Both intervention groups had very similar rates of replies to the text messages sent. The authors suggest that longer follow-up periods and larger sample sizes are needed to determine efficacy of the program.
Treatment of Tobacco Dependence in Mental Health and Addictive Disorders
Hitsman B, Moss TG, Montoya ID, George TP. Can J. Psychiatry, 2009. 54(6): p. 368 - 378
This study examined tobacco treatment for smokers with mental health and addictive disorders and found that tobacco treatment can be effective and can actually improve outcomes for patients with MHA disorders. Highlights from the article include:
  • Tobacco treatment combining cognitive-behavioural therapies and motivational enhancement interventions tailored to the needs of smokers with MHA disorders as well as pharmacotherapy integrated into ongoing psychiatric care provides the best abstinence outcomes.
  • Tobacco treatments do not appear to have an adverse effect on psychiatric symptoms. On the contrary, patients may demonstrate significantly improved clinical status following treatment regardless of abstinence status.
  • Smoking reduction (reduction as the initial treatment goal), a chronic disease approach and integrated care strategies have the potential to improve the efficacy of existing smoking treatment tailored to MHA smokers.

The Health Status of Black Canadians: Do Aggregated Racial and Ethnic Variables Hide Health Disparities?
Rodney P, Copeland E. Journal of Health Care for the Poor and Underserved 2009;20(3):817-823
This paper examines the impact of ways of reporting race and ethnicity and suggests that aggregating categories broadly (e.g., "visible minorities” and "racialised groups”) may obscure real disparities in health outcomes between groups, especially blacks. The authors note that black and minority groups in Canada have higher rates of unemployment, lower rates of educational attainment and lower socioeconomic status.
Special Issues
Light and Intermittent Smoking
The American Legacy Foundation, and the National Institutes (NIH) of Health National Cancer Institute, National Institute of Drug Abuse and Office of Behavioral and Social Sciences Research recently published a special journal issue of Nicotine & Tobacco Research entitled, Light and Intermittent Smoking.  The special issue includes 13 original research articles that examine smoking prevalence, trajectories, transitions, situations, nicotine dependence, health outcomes and characteristics of light and intermittent smokers. The issue calls attention to the increasing need to address and reduce light and intermittent smoking worldwide. This special issue stemmed from the meeting What’s in a Name?  Examination of Light and Intermittent Smokers: Helping to Set a Tobacco Control held in the fall of 2005 and hosted by Legacy and NIH.
Special Issue on Social Disparities and Tobacco Control Policy
The American Journal of Preventive Medicine recently published a special issue on social disparities and tobacco control policy. The nine papers published investigate whether and in what ways policies can have unintended consequences for those experiencing gender and socioeconomic disadvantage. Papers cover topics including the impact of policies regulating smoking in enclosed public spaces on low-income female smokers. One study reported that women may perceive themselves to be "easy targets” and vulnerable to harassment when forced to smoke outside. Another showed that smoking mothers left the hospital sooner after giving birth than non-smokers. Yet other studies explore the stigmatizing effect of de-normalizing policies and the differential impact on mothers, especially low-income mothers. Remedies in the supplement's forward are proposed for practitioners to help reduce the unintended burden on the population groups outlined.

Resources & Information


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 July 31, 2009 is now posted on NAQC’s Web site.

Smoking Cessation Rounds – Canadian Website and Newsletter Focused on Cessation Issues for Physicians
A product of the Minto Prevention and Rehabilitation Centre, University of Ottawa Heart Institute and The Centre for Addiction and Mental Health, University of Toronto, Smoking Cessation Rounds and Web site seeks to provide interested physicians throughout Canada and around the world with a unique window on the most current scientific and clinical developments concerning the contemporary management of nicotine addiction and smoking cessation. Visit the Web site or view the most recent newsletter.

New Resources from the Tobacco Control Legal Consortium on Family Smoking Prevention and Tobacco Control Act
Given the scope and complexity of the new legislation giving the FDA authority to regulate the manufacturing, marketing and sale of tobacco products, the Tobacco Control Legal Consortium has developed the following new publications on how the law may effect local and state policies:
  • Federal Regulation of Tobacco Products: A Summary: A series of fact sheets on key provisions of the new legislation.
  • Federal Regulation of Tobacco Products: Impact on State and Local Authority: A series of fact sheets on how the new Federal law is likely to affect state and local governments.
    View resources.
AMA Secondhand Smoke Initiative Podcasts
The American Medical Association (AMA), with cooperative agreements from the Environmental Protection Agency, is implementing an initiative to increase physician counseling on secondhand smoke to reduce children’s exposure. The initiative focuses on providing physicians and other healthcare providers with the tools they need to overcome practice-based barriers and offer families advise on how to protect their children and themselves from secondhand smoke exposure. As part of this initiative, the AMA has produced five informational podcasts available at The podcasts offer a brief overview about secondhand smoke and advice on how to address it with parents in the clinic setting. 
New AHRQ Evidence Report on Community Health Worker Effectiveness Available
A new AHRQ evidence report says that community health workers can improve appropriate use of some cancer screening services among minority and low-income patients and may improve their health knowledge. However, the report could not determine other ways these workers impact health behaviors, health outcomes or utilization of other health services because of conflicting or absent study findings. Access Report - Outcomes of Community Health Worker Interventions
Latest Issue of Tobacco Free Press
July issue available at
Toolkit for Responsible Tobacco Retailers – Atlantic Region, Canada
The Toolkit for Responsible Tobacco Retailers provides information and tools to help retailers understand and interpret the laws governing the sale of tobacco and tobacco-related products, and also provides tips and resources for the training and on-going monitoring of retail employees who handle tobacco products.

Evaluation of Retailers' Behaviour Towards Certain Youth Access-to-Tobacco Restrictions – 2008
This survey, carried out on a regular basis since 1995, has provided a unique and continuous perspective on retailer behaviour as well as in-store advertising and promotion of tobacco products for Health Canada. The survey provides a measure of retailer behaviour at the national level. A total of 5,598 retail stores were visited in this data collection. The national results reported in this document reflect the core 30 cities for which data have been collected since 2002. Learn more.

AHRQ Spanish Language Resources
Consejos de Salud Para Tí, (Health Advice for You) is a new monthly online health advice column for Spanish-speaking consumers. The column provides evidence-based tips on preventive health, safe and appropriate use of medications and other medical therapies, ways to get better healthcare and other key health care issues.
The column is part of AHRQ’s Información en Español Web site (

Conferences, Meetings & Trainings
2009 Indian Health Service National Behavioral Health Conference - Honoring Our Traditions, While Embracing Change
August 4-7, 2009, St. Paul, MN
For more information, visit

TEACH Community of Practice Teleconference
TEACH Community of Practices will host a teleconference on Monday, August 24, 2009 from 3-4 p.m. (EDT). Dr. Charl Els will present a "White Paper” on tobacco Addiction: What do we know, and where do we go? To register for the conference call, email, or contact TEACH at 416-535-8501 x1600.

National Conference on Health Communication, Marketing and Media 2009
August 11-13, 2009, Atlanta, GA
For more information, visit

5th National Summit on Smokeless and Spit Tobacco - New Products, New Users and a New Generation of Advocacy September 21-23, 2009, Madison, WI
For more information, visit

SRNT IAHF Latin American Conference on Tobacco Control
October 14-16, 2009, Mexico City, Mexico
For more information, visit

TEACH Francophone Trainings
The followings trainings will take place at the TEACH Learning Centre in Toronto: 
  • A Comprehensive Course on Smoking Cessation: Essential Skills and Strategies –  Three-day core course held October 19-21. This course is designed to enable healthcare professionals to gain access to evidence-based knowledge about tobacco use and develop practical skills in cessation counseling.
  • Motivational Interviewing and Tobacco Cessation – Two-day specialty course held October 22-23. This course is designed to facilitate and enhance practitioners’ application of motivational interviewing skills within the context of intensive tobacco cessation interventions.
Participants who fulfill all course requirements will receive a Certificate of Completion in Continuing Education in Intensive Tobacco Cessation Interventions from the University of Toronto. The application period is August 17 through September 8. Applications will be submitted electronically via the TEACH Web site at

15th Annual Rural Multiracial & Multicultural Health Conference: Blueprints for Success: Ideas for Change
December 9-11, 2009, Memphis, TN
For more information, visit

Second Menthol Conference
On October 19 and 20, 2009, Washington, DC
More information will be available this summer.

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, visit

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

6th National Conference on Tobacco or Health – Canada
November 1-4, 2009, Montréal, Canada
Early Bird Registration Now Open
For more information, visit

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, visit

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, visit

National Break Free Alliance Conference
April 27-28, 2010, New Orleans, LA
For more information, visit

Position Announcements
National LGBT Tobacco Control Network Now Hiring for Program Manager
The National Lesbian, Gay, Bisexual, Transgender Tobacco Control Network is seeking a Program Manager. The Project Manager will work with offsite Network Director, in-house support staff and wide variety of stakeholders across the country to execute all core Network activities and recommend and enable strategic enhancements. Typical duties include: assuming responsibility for successful compliance with and completion of multiple project action plans and funder guidelines and goals; successfully managing multiple project budgets; supervising team activities; managing day-to-day network operations; responding to diverse requests from Network stakeholders; and monitoring Web and social networking activities. For more information on the position and how to apply, please visit

Director, Office of Behavioral and Social Sciences Research, NIH
The National Institutes of Health (NIH) invites applications for the currently vacant position of Director of the Office of Behavioral and Social Sciences Research (OBSSR). Candidates should submit their applications not later than August 31, 2009. Review the official announcement at

Funding Opportunities
Economic Studies of Health Insurance Coverage on Drug Abuse Treatment Availability, Access, Costs and Quality (R01)
This FOA, issued by the National Institute on Drug Abuse, National Institutes of Health, solicits research project grant (R01) applications from institutions/organizations that propose to conduct rigorous, theory-driven research on the effects of recent legislative and regulatory changes affecting insurance coverage for drug abuse treatment services. Learn more at
Exploratory Grants for Behavioral Research in Cancer Control (R21)
This Funding Opportunity Announcement (FOA), issued by the National Cancer Institute (NCI) and the National Center for Complementary and Alternative Medicine (NCCAM), invites the submission of applications in developmental and formative behavioral research in cancer prevention and control. Learn more at
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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