Results from the 2013 NAQC Annual Survey of Quitlines

Similar documents
Results from the NAQC annual survey of quitlines, FY17

Quitlines Today and in the Future

ALL QUITLINE FACTS: An Overview of the NAQC 2009 Annual Survey of Quitlines

MDS Intake Questions July 21, 2009

National Quitline Data Warehouse (NQDW): Changes to Data Collection in 2016

Linking Public Interests to Ensure Sustainable Statewide Quitlines

Innovative Approaches and Proven Strategies for Maximizing Reach: Case Studies to Highlight Promising and Best Practices

FREQUENTLY ASKED QUESTIONS MINIMAL DATA SET (MDS)

Kristin Harms Communications Manager June 18, 2015

Tobacco Control Highlights Wisconsin

Sample Managed Care Organization Survey Questions to Assess Smoking Prevalence and Available Cessation Benefits

Tobacco Control Highlights Alaska

Asthma Educator Sharing Day October 28, 2016

Quit Rates of New York State Smokers

NAQC Conference 2017 Lunch Plenary

RI Health Plan 2018 Annual Report Form on Tobacco Cessation Benefits

Moving An HHS Initiative Into Practice Prepared for the 2005 National Oral Health Conference May 2, 2005

A systems approach to treating tobacco use and dependence

Tobacco Dependence Treatment: A Resource Guide. Last Update: 06/2013

QUITLINES HELP SMOKERS QUIT

Anthem Colorado and the Colorado QuitLine

Slide 1. Slide 2. Slide 3. Reducing Tobacco Use and Nicotine Dependence in Clinical Settings. Goals for Today

Maryland Tobacco Quitline 10 th Anniversary: Past, Present, and Future

New Mexico Tobacco Cessation Services and Resources

What is Quitline Iowa?

DISCLAIMER: ECHO Nevada emphasizes patient privacy and asks participants to not share ANY Protected Health Information during ECHO clinics.

Cessation Resources in Minnesota: QUITPLAN Services & the Call it Quits Referral Program. January 25, 2017

A Framework for Improving Tobacco Quitline Quality in North America

How to Design a Tobacco Cessation Insurance Benefit

NRT in Combination with Quitline Counseling: What Delivery and Protocol Design Methods are Working Best?

HEALTHY BABIES: COLORADO COIIN Smoking Cessation Among Pregnant Women and other priorities

Creative Systems Change: Oklahoma Tobacco Helpline Integration with Crisis Helpline

Reducing Tobacco Use and Secondhand Smoke Exposure: Quitline Interventions

New Mexico Department of Health Tobacco Use Prevention and Control

You Can Make a Difference!

Tobacco cessation outcomes: The case for milestone-based services

Fast Facts. Morbidity and Mortality (Related to Tobacco Use)

NAQC Issue Paper. Quitline Service Offering Models: A Review of the Evidence and Recommendations for Practice in Times of Limited Resources

Providing Tobacco Cessation Support in a State Correctional Facility

QuitlineNC Evaluation July 2008 June 2009

Quitline Basics: Telephone-based cessation services

Quitlines: Tobacco Cessation Services

Ohio Comprehensive Tobacco Use Prevention Strategic Plan Achieving Parity through Tobacco Control for All Communities

Quitlines in the U.S.: An Exploration of the Past and Considerations for the Future

CT Quitline Annual Report July june 2015

Massachusetts Tobacco Cessation and Prevention Program, MDPH Updated 3/15/2012 Over-the-counter stop-smoking medicines covered: GIC Members

5. Expand access to proven, effective treatments for tobacco addiction

UMDNJ School of Public Health. Tobacco Dependence Clinic. Annual Report: 2003

State of Behavioral Health. The Arizona Initiative for Tobacco Free Living in Individuals with Behavioral Health Disorders

Evaluation of Quitline Nicotine Replacement Therapy Distribution Initiative

San Francisco Suicide Prevention (SFSP) Client Satisfaction Report July 1, 2011 to June 30, 2012 Key Findings and Implementation of Feedback

Utilizing Digital Media to Reach Behavioral Health Professionals. Kristin Harms Communications Manager June 20, 2013

Quitline NC Evaluation November June 2007

Florida s HIV Testing Efforts

RAISE Network Webinar Series. Asian Smokers Quitline (ASQ): Promoting Cessation in Our Communities. March 17, :00 pm 2:00 pm PT

USING APPS TO HELP SMOKERS QUIT

Organization, Financing, Promotion, and Cost of U.S. Quitlines, 2004

Certified Peer Specialist Training Application

Tobacco cessation quitlines in North America: a descriptive study. Sharon E Cummins, Linda Bailey, Sharon Campbell, Carrie Koon-Kirby, Shu-Hong Zhu...

TOBACCO-RELATED DISPARITIES IN WASHINGTON STATE

North Carolina Health and Wellness Trust Fund. Quitline NC. Quitline NC Evaluation July 2007 June Prepared for:

Conducting Quitline Evaluations A Workbook for Tobacco Control Professionals

WHO Recommendations and Activities for Promoting Tobacco Quit Line

Population-level Strategies to Prevent and Reduce Tobacco Use Success and Challenge

Demographics and Health Data

Enhancing ereferral Capacity: A Strategy for Increasing Cessation among Priority Populations and Encouraging Health System Change

Veterans Certified Peer Specialist Training

Demographics and Health Data

Community Benefit Strategic Implementation Plan. Better together.

Collaborating to help Oregon tobacco users quit

Shu-Hong Zhu, PhD University of California, San Diego INTRODUCING THE ASIAN SMOKERS QUITLINE (ASQ)

Reducing Tobacco Use and Secondhand Smoke Exposure: Quitline Interventions. Summary Evidence Table: Provider Referral to Promote Quitline Use

Readiness of Lung Cancer Screening Sites to Implement Smoking Cessation Treatment Services

Ways to Help Tobacco Users Quit. Four Programs Goals National, State and Local. Promoting Quitting Among Young People and Adults

UMDNJ School of Public Health. Tobacco Dependence Clinic. Annual Report 2004

Redesigning QUITPLAN Services: A Case Study from ClearWay Minnesota SM

Tobacco Use and Attitudes Survey. Montana Tech Students

Evaluation of Grief Support Services Survey. Elective Modules and Questions

[APPLICANT, PLEASE LEAVE THIS AREA

Staff Knowledge and Behaviors Survey

HTH Page 1

Making Your Business Tobacco Free

Let s Kick It! CO & IA Quitline Processes and Advice to Help Your Patients

Smoking Cessation Services Guidance

Reducing Tobacco Use and Secondhand Smoke Exposure: Quitline Interventions

MassHealth Tobacco Cessation Program Benefit

Drug Use Evaluation: Smoking Cessation

IOWA MEDICAID DRUG UTILIZATION REVIEW COMMISSION 100 Army Post Road Des Moines, IA (515) Fax

Evidence for Quitline Practices 2014 Update

Overview of the HHS National Network of Quitlines Initiative

Impact of UNC Health Care s Tobacco-Free Hospital Campus Policy on Hospital Employees

Tobacco Cessation and Behavioral Health

Best Practices in Tobacco Treatment IDN

Michigan Tobacco Quitline Partnership with MCC

Progress toward quitting. The cessation environment in New York

Quitline Activity in the Republic of Korea

Wellness Coaching for People with Prediabetes

Tobacco use assessment, brief counseling,, and quit line referral

PRENATAL/POSTPARTUM SURVEY FOR HEALTH DEPARTMENT STAFF

Welcome! 10/29/2015 1

Transcription:

Results from the 2013 NAQC Annual Survey of Quitlines Prepared by: Maria Rudie and Linda Bailey February 2015

Background of Annual Survey Conducted Annually 2004-2006, 2008-2013 Research Partners: 2013 Professional Data Analysts 2010 Westat 2008 and 2009 Evaluation, Research and Development Unit, University of Arizona 2006 Center for Tobacco Research and Intervention, University of Wisconsin 2005 University of California, San Diego 2004 Tobacco Technical Assistance Consortium

FY2013 Annual Survey Methods Survey fielded from February 27 to April 4, 2014 Web-based survey with email and telephone follow-up: General Information, services offered Quitline budgets Funding sources Impact of any budget changes Sustainability (Medicaid and Public-Private Partnerships) Utilization (including demographics of users) Evaluation Data Cleaning & Analysis occurred from August, 2014 January, 2015 Additional data from NAQC quitline profiles, CDC BRFSS and ACS 5 Year Population Estimates also included in analysis

FY2013 Annual Survey Response Rates 53 State Quitlines were asked to respond 51 responded Response Rate: 96.2% Note: The 12 Canadian quitlines were not included in the 2013 Annual Survey due to lack of Canadian funders.

NAQC Strategic Goals for 2015 GOAL 1: INCREASE THE USE OF QUITLINE SERVICES IN NORTH AMERICA Objective 1: By 2015, each quitline should achieve a reach of at least 6% of its total tobacco users. GOAL 2: INCREASE THE CAPACITY OF QUITLINE SERVICES IN NORTH AMERICA Objective 2: By 2015, on average $2.19 per capita ($10.53 per smoker) should be invested in quitline services. GOAL 3: INCREASE THE QUALITY AND CULTURAL APPROPRIATENESS OF QUITLINES IN NORTH AMERICA Objective 3a: By 2015, each quitline should have an overall quit rate of at least 30%. Objective 3b: By 2015, each quitline should achieve a reach of 6% in priority populations.

BUDGET

Budget Highlights from FY2013 47 quitlines provided data on their budgets for FY2013. The total sum of state quitline budgets was $125,468,946 (N=47). The median total quitline budget was $1,669,275 (N=47) Median budget for services & medications was $1,135,408 (N=42) Median Spending per Smoker was $1.69 (N=42)

State Quitline Budgets FY13 (N=47) Budget Category From Tobacco Control Programs Median (Min Max) N From Other Sources Median (Min Max) N Total Median (Min Max) N Total Quitline $1,149,749 ($0 - $22,518,556) 43 $221,356 ($0 - $9,619,014) 38 $1,669,275 ($173,432 - $23,845,988) 47 Services $704,755 ($0 8,888,096) 42 $96,380 ($0 - $1,504,996) 40 $887,335 ($23,883 - $8,888,096) 41 Medications $187,085 ($0 - $2,263,843) 41 $0 ($0 610,000) 38 $216,000 ($0 - $2,263,843) 41

Total Quitline Budget (sum) Median Quitline Budget Median and Total (sum) State Quitline Budgets $140,000,000 $120,000,000 $100,000,000 $80,000,000 $60,000,000 $40,000,000 $20,000,000 $1,800,000 $1,600,000 $1,400,000 $1,200,000 $1,000,000 $800,000 $600,000 $400,000 $200,000 $0 FY2007 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013 Total Quitline Budget (sum) Median Quitline Budget $0

Median Budget for Services and Medications: State Quitlines FY2005 FY2013 $1,200,000 $1,000,000 $890,075 $985,000 $1,118,090 $1,096,768 $995,353 $1,135,408 $800,000 $600,000 $400,000 $621,697 $515,000 N=51 N=49 N=50 N=44 N=42 N=44 N=49 N=46 $200,000 $- FY05 FY06 FY08 FY09 FY10 FY11 FY12 F13

Median State Quitline Spending* per Smoker FY2008-FY2013 *Medications & Services $20.00 $18.00 $16.00 $14.00 $12.00 $10.00 $10.53 $8.00 $6.00 $4.00 $2.00 $- $1.71 $1.78 $1.93 $1.73 $1.53 $1.69 N=45 N=50 N=49 N=50 N=43 N=42 FY08 FY09 FY10 FY11 FY12 FY13 NAQC Goal

State Quitline Funding Sources FY2013 Budget source FY2013 N =45 % of Quitlines Reporting Budget Source Budget Source Sum % of Total Budget CDC (any type) 38 84% $19,756,974 16.3% Local government funds 1 2% $ 600,000 0.5% State/provincial general funds 9 20% $10,391,716 8.6% State/provincial dedicated tobacco tax funds 8 18% $20,092,558 16.6% State Medicaid funds 0 0% $ - 0.0% Federal financial participation (FFP) for quitline administrative expenditures for Medicaid 5 11% $955,402 0.8% beneficiaries Tobacco settlement funds (MSA or non-msa) 19 42% $56,703,439 47% Federal Research grant 2 4% $5,371,795 4.4% Third party reimbursement through an employer 4 9% $551,554 0.5% Third party reimbursement through insurance company or health plan 3 7% $38,579 0% Charitable foundation 1 2% $6,000 0% Non-governmental organization 1 2% $335,220 0.3%

100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% State Quitlines Claiming or Intending to Claim FFP 40% N=21 N=25 N=21 FY2012 FY2013 60% 52% 48% N=31 N=23 N=31 Yes No

30 State Quitlines that Intent to Explore Other Funding* FY2012 vs. FY2013 *Not related to Medicaid 27 27 25 24 20 21 15 FY2012 FY2013 10 5 0 Yes No

Percent of State Quitlines Restricting/Considering Restrictions on Services for Insured Callers FY2013 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 71% 54% FY2013 29% FY2012 27% N=34 N=28 N=14 N=14 12% N=6 Yes No Don't Know/Unsure

DESCRIPTION OF QUITLINE SERVICES Data from: Annual Survey NAQC Quitline Profiles

Description of NAQC Quitline Profile Data NAQC Quitline Profile Website: http://map.naquitline.org/ Quitline Operations Profile Data Reported: Hours of Operation Languages supported Types of phone counseling Web-based services Medications Eligibility criteria Specialized materials offered Providers referral program Contacts for NAQC staff that can assist states with updates to state quitline profiles: Natalia Gromov ngromov@naquitline.org Maria Rudie mrudie@naquitline.org

Phone Counseling Services Offered by State Quitlines: 2013 & 2014* Phone counseling services 2013 2014 US N = 53 % (n) US N=53 % (n) Minimal/brief intervention client-initiated 1-10 minutes Single session counseling more than 10 minutes client-initiated Multiple sessions client-initiated (i.e., reactive, client calls in for each follow up) Multiple sessions counselor-initiated (i.e., proactive, cessation specialist / counselor / coach calls client for follow up) 32% (17) 64% (34) 81% (43) 94% (50) 34% (18) 66% (35) 81% (43) 92.5% (49) *Data Source: NAQC Quitline Profile Data

Web-based Programs Offered by State Quitlines: Comparison FY2012 to FY2013* FY2012 FY2013 Internet-based services US N=52 US N=51 % (n) % (n) Information about the quitline 96% (50) 98%(49) Information about tobacco cessation 94% (49) 94% (47) Self-directed web-based intervention to help tobacco users quit 62% (32) 76%(38) Text messaging 25% (13) 48%(24) *Data Source: FY12 and FY13 Annual Surveys

Interactive Features of Self-Directed Web-Based Programs: FY2012 to FY2013* Interactive Features Automated email messages Chat rooms Interactive counseling and/or email messaging to cessation specialist/counselor/ coach to help tobacco users quit FY2012 N = 52 % (n) 56% (29) 60% (31) 58% (30) FY2013 N=51 % (n) 67% (34) 63% (32) 61% (31) *Data Source: FY2012 & FY2013 Annual Surveys

Use of Interactive Voice Response (IVR)* How IVR was Used Triage only Handle provision of some requested services only Both triage and handle some provision of requested services Other FY2013 US (n=37) 95% (n=35) 0% (n=0) 5% (n=2) 0% (n=0) *Data Source: FY2013 Annual Survey

120% Referral Methods Offered to Providers by State Quitlines: Comparison 2013 to 2014* 100% 100% 100% 80% 60% 40% 20% 0% N=53 N=53 43% 36% N=19 N=22 28% 21% N=11 N=14 Faxed Form Email or online EMR with electronic submission *Data Source: NAQC Quitline Profile 2013 2014

State Quitline Services Available to Referring Providers: 2013 & 2014* 2013 2014 Services received Quitline and/or referral brochures Customized referral/consent forms Patient progress reports Customized provider feedback reports Staff training Quitline/referral program newsletter US N = 49 % (n) 92% (45) 74% (36) 49% (24) 59% (29) 63% (31) 10% (5) *Data Source: NAQC Quitline Profile 2013 & 2014 US N = 49 % (n) 92% (45) 75% (37) 47% (23) 63% (31) 65% (32) 10% (5)

Provision of In-language Counseling for Languages Other than English: FY2013* 98% of state quitlines offer counseling in languages other than English. The vast majority (78%) of state quitlines offer inlanguage menu prompt for callers to indicated language preference. Top 5 languages offered by state quitlines based on # of people served in those languages. English Spanish Korean Vietnamese Mandarin *Date Source: FY2013 Annual Survey

30 25 Primary Service Providers to State Quitline in 2013* 27 20 15 10 10 5 0 3 2 2 2 1 1 1 1 1 1 1 1 *NAQC Quitline Profile 2013

Specialized Materials for Special Populations 2013 vs. 2014* 120% 100% 80% 60% 40% 20% 0% 2013 2014 *Data Source: NAQC Quitline Profile

Specialized Training for State Quitline Staff FY12 vs. FY2013* 100% 80% 60% 40% 20% 0% FY2012 FY2013 *Data Source: FY2012 & FY2013 Annual Surveys

MEDICATIONS

Provision of Cessation Medication 2013 vs. 2014* Patch Gum Lozenge Zyban Chantix Nasal Spray 2013: US (n=53) Inhaler ANY Meds Free 46 (87%) 34 (64%) 26 (49%) 3 (6%) 3 (6%) 2 (4%) 2 (4%) 46 (87%) Discounted 1 (2%) 1 (2%) 1 (2%) 2 (4%) 3 (6%) 1 (2%) 1 (2%) 3 (6%) Voucher 1 (2%) 1 (2%) 1 (2%) 1 (2%) 3 (6%) 1 (2%) 1 (2%) 3 (6%) Free 44 (83%) Discounted 4 (8%) 35 (66%) 4 (8%) 24 (45%) 4 (8%) 2014: US (n=53) 3 (6%) 5 (9%) 3 (6%) 4 (8%) 2 (4%) 2 (4%) 2 (4%) 2 (4%) 44 (83%) 5 (9%) Voucher 5 (9%) *Data Source: NAQC Quitline Profile

Percent of State Quitlines Providing Free Cessation Medication* *Data Sources NAQC Profile Data 100% 90% 80% 70% 70% 70% 75% 83% 87% 83% 60% 50% 46% 40% 30% 20% 10% 0% 2006 2008 2009 2010 2011 2012 2013

UTILIZATION

Utilization: Total Direct Calls FY2012 vs. FY2013 Total Direct Calls N Missing Min Max Median Mean Sum FY12 US (N=53) 52 1 340 185,546 15,356 26,208 1,336,602 FY13 US (N=51) 46 5 431 215,128 16,520 28,879 1,328,478

Total & Median Calls to State Quitlines: FY2005 FY2013 1600000 18000 1400000 1200000 1000000 800000 600000 400000 200000 0 FY2005 FY2006 FY2008 FY2009 FY2010 FY2011 FY2012 FY2013 Total Calls Median # of Calls 16000 14000 12000 10000 8000 6000 4000 2000 0

Average number of minutes of counseling and number of counseling calls completed FY2012 vs. FY2013 Total Calls N Missing Min Max Average FY12: US (N=52) Average # of minutes of counseling Average # of completed counseling calls FY13: US (N=51) Average # of minutes of counseling Average # of completed counseling calls 38 14 0 50 29.6 40 12 1 4 2.2 41 10 0 54 26.88 42 9 1 4 2.3

600000 Promotional Reach of State Quitlines FY 2005-2013 1.40% 500000 1.20% 400000 300000 200000 1.00% 0.80% 0.60% 0.40% 100000 0.20% 0 FY05 FY06 FY08 FY09 FY10 FY11 FY12 FY13 Number of unique tobacco users (sum) 0.00% Reach (unique tobacco users calling divided by estimated number of smokers in the state or territory 2005-2013 BRFSS

Referrals Received by State Quitlines in FY2013 Referrals N N reporting 1 or more Median (min, max) Sum Basic fax-referral 46 34 67 (0, 5295) 20,524 Fax-referral with feedback 45 41 1198 (0,10793) 93,908 Email and/or online referral 35 12 0 (0, 2257) 3,857 Fully automated, bi-directional electronic referral 38 6 0 (0, 695) 1,033 Community organization networks 33 5 0 (0, 476) 584 Online advertising (paid) 34 1 0 (0, 423) 423 Web referrals (links, not paid ads) 42 27 5 (0, 2065) 8,131 Online Registration 39 14 0 (0, 26364) 31,252 Central call center 34 1 0 (0, 2) 2 Other referral sources 37 3 0 (0, 13772) 24,829 Total 47 47 1956 (8, 33196) 184,358

3,070 3,857 1,539 1,033 8,131 22,375 20,524 10,913 31,252 24,829 45,288 84,795 93,908 171,379 184,358 Sum of Referrals Received FY2012 vs. FY2013 200,000 180,000 160,000 140,000 120,000 100,000 80,000 60,000 40,000 20,000 0 Basic Fax Fax Referral w/feedback Email/Online Referral Bi-Directional E-Referral Web Referral (not paid) Online Registration Other Total FY2012 FY2013

State Quitline Referrals that Received Medications/Counseling FY2012 vs. FY2013 N Total referrals Total referrals receiving counseling or medication Proportion of referrals receiving counseling or medication FY2012 44 110,974 38,599 35% FY2013 41 120,648 42,224 35% N = number of quitlines reporting both total number of referrals and total referrals receiving counseling or medications.

State Quitlines Utilization Received Service FY2013 Tobacco Users Who Received Service N Missing Median (Min,Max) Sum US (N=51) Self-help Materials 46 5 66 (0, 6561) 31,363 Any amount of counseling by phone Any amount of counseling by web 48 3 4456 (116, 51212) 388,501 37 14 0 (0, 2337) 4,429 Medication received 46 5 3324 (0, 62177) 320,042 Total served with either counseling or medications 50 1 4712 (179, 66854) 446,373

State Quitlines: Ratio of Direct calls from Unique Tobacco Users to Referrals of Unique Tobacco Users FY2012 to FY2013 5 4.5 4 3.5 3 2.5 2 1.5 1 0.5 0 4.4 3.5 1 1 FY2012 FY2013 Total unique tobacco users calling the quitline Total unique tobacco users referred

Completed Intake/Registrations for State Quitlines: FY2012 vs. FY2013 580,000 568,706 560,000 540,000 520,000 500,000 N=49 493,157 480,000 460,000 N=47 440,000 FY2012 FY2013

Registration Reach for State Quitlines: FY 2009-2013 US N Min Max Mean Actual 2009 49 0.16% 9.84% 1.89% 1.22% 2010 52 0.12% 7.26% 1.71% 1.30% 2011 50 0.17% 5.37% 1.54% 1.17% 2012 48 0.19% 4.79% 1.59% 1.29% 2013 47 0.01% 5.33% 1.52% 1.22%

Treatment Reach FY09-FY13 US N Min Max Mean Actual 2009 46 0.05% 7.25% 1.57% 1.19% 2010 50 0.05% 6.66% 1.45% 1.09% 2011 50 0.13% 4.30% 1.28% 0.98% 2012 48 0.16% 4.41% 1.32% 1.04% 2013 50 0.12% 4.70% 1.34% 1.08%

500000 450000 400000 350000 300000 250000 200000 150000 100000 50000 0 Treatment Reach of State Quitlines FY2011- FY2013 N=50 N=48 N=50 FY2011 FY2012 FY2013 Number served (sum) Treatment reach 1.20% 1.00% 0.80% 0.60% 0.40% 0.20% 0.00%

Where are State Quitlines with Reach? Reach Promotional reach (# of unique tobacco users calling) Reach (N) Registration reach (# of unique tobacco users completing an intake) Reach (N) Treatment reach (# of unique tobacco users receiving evidence based services) Reach (N) FY2012 1.16% (43) 1.29% (48) 1.04% (48) FY2013 1.07% (47) 1.22% (47) 1.08% (50)

Treatment reach and Spending per Smoker for State Quitlines: FY13 5.00% $18.00 4.50% 4.00% 3.50% 3.00% 2.50% 2.00% 1.50% 1.00% 0.50% 0.00% 1 2 3 4 5 6 7 8 9 101112151920212224252627282930313233343536383940414243444546484950 2013 Treatment Reach (smokers) 2013 Spending per Smoker $16.00 $14.00 $12.00 $10.00 $8.00 $6.00 $4.00 $2.00 $-

$18.00 FY2013: State Quitline Treatment Reach by Spending per Smoker $16.00 $14.00 $12.00 Best Fit Line: y = 245.61x + 0.2943 $10.00 $8.00 Reach by Spending Linear (Reach by Spending) $6.00 $4.00 Goal of 6% Tx Reach = $15.57/smoker $2.00 $- 0.00% 1.00% 2.00% 3.00% 4.00% 5.00%

DEMOGRAPHICS OF CALLERS Note: Our original intention was to ask quitlines to report demographics on ONLY those tobacco users who received counseling or medications. Six state quitlines were only able to report on the population of tobacco users completing an intake questionnaire. Similar to FY2012, for FY2013 this inconsistency in the numbers reported in this section may be slightly larger than the population who received counseling or medications.

State Quitline Utilization: Gender FY2012 vs. FY2013 FY2012 (N=52) Quitline Number of Callers N Missing Min Max Mean Sum Male 49 3 57 39,018 4,021 197,024 Female 49 3 80 41,502 5,603 274,525 FY2013 (N=51) Male 47 4 49 32,964 3,970 186,608 Female 47 4 70 36,471 5,610 263,692

State Quitline Utilization: Age FY2012 vs. FY2013 Quitline Age of Callers N Missing Min* Max** Mean*** FY2012 (N=52) 44 8 13 112 44.2 FY2013 (N=51) 42 9 12 113 44.9 *Min = the least of the minimum ages reported **Max = the greatest of the maximum ages reported ***Mean = the average of the mean ages reported

State Quitline Utilization: Level of Education US FY2012 vs. FY2013 FY2012 (N=52) Quitline Number of Callers N Missing Min Max Mean Sum < Grade 9 50 2 4 1,940 338 16,893 Grade 9-11, no degree 49 3 27 7,393 1,274 62,440 GED/HS degree 50 2 56 19,401 3,050 152,492 Some college or university 50 2 26 17,090 2,357 117,862 College or university degree 50 2 23 12,938 1,388 69,392 FY2013 (N=51) < Grade 9 44 7 4 2,178 347 15,251 Grade 9-11, no degree 46 5 32 8,000 1,302 59,889 GED/HS degree 46 5 43 20,569 3,178 146,186 Some college or university 46 5 27 17,156 2,370 109,002 College or university degree 46 5 11 13,377 1,423 65,456

FY2013 (N=51) State Quitline Utilization: Race & Ethnicity FY2013 Quitline Number of Callers N Missing Min Max Mean Sum Hispanic or Latino 44 7 0 9,974 919 40,421 White 45 6 6 47,572 6,651 299,290 Black or African American 45 6 1 9,624 1,541 69,367 Asian 45 6 0 3,432 158 7,119 Native Hawaiian or Pacific Islander American Indian or Alaskan Native 43 8 0 1,061 39 1,687 44 7 0 3,427 238 10,483 Other 45 6 6 6,146 517 23,279

State Quitline Utilization: Ethnicity FY2012 vs. FY2013 FY2012 10% FY2013 10% Hispanic/ Latino Not Hispanic/ Latino Hispanic/Latino Not Hispanic/Latino 90% 90%

State Quitline Utilization: Race FY2012 vs. FY2013 FY2012 FY2013 0.5% 1.4% 2.7% 4.8% White Black or African American 2.7% 1.9% 0.4% 6.1% White Black or African American [VALUE] American Indian or Alaskan Native [VALUE] American Indian or Alaskan Native Asian Asian Native Hawaiian or Pacific Islander Native Hawaiian or Pacific Islander 73% Other 79% Other

State Quitlines Utilization: Sexual Orientation FY2013 Quitline Number of Callers N Missing Min Max Mean Sum Straight 34 17 0 32,466 6,426 218,501 Gay or lesbian 34 17 0 2,087 242 8,236 Bisexual 33 18 0 1,022 160 5,294 Transgender 31 20 0 57 7 216 Other 32 19 0 274 52 1,653 Refused 32 19 0 1,910 208 6,651 Missing 32 19 0 30,936 1,861 59,546

State Quitlines: Insurance Status of Callers FY2013 Quitline Number of Callers Insurance Type N Missing Min Max Mean Sum FY2013 None 43 8 28 28,607 3,404 146,391 Medicaid 44 7 41 17,602 2,518 110,779 Other Gov tprovided insurance (e.g., Medicare, Military) 44 7 3 8,307 1,188 49,875 Private 43 8 45 19,998 2,214 95,217

State Quitlines: Insurance Status of Callers FY2012 vs. FY2013 FY2012 FY2013 Uninsured Uninsured 25% 24% 40% Medicaid 36% Medicaid 11% Other Gov't 12% Other Gov't 24% Private Insurance 28% Private Insurance

State Quitlines: Treatment Reach for Priority Populations FY2011 FY2013 FY Overall Treatment Reach Afr Am AI/AN Asian Latino <HS Ed FY2011 0.98% 1.09% (1>6%; 9>3%) 1.45% (1>6%; 6>3%) 0.39% (1>6%; 2>3%) 0.78% (1>6%; 1>3%) 0.72% (0>6%; 4>3%) FY2012 1.04% 1.33% (2>6%; 9>3%) 1.63% (2>6%; 9>3%) 0.63% (1>6%; 1>3%) 0.85% (0>6%; 0>3%) 0.77% (0>6%; 1>3%) FY2013 1.08% 0.96 (0>6%; 1>3%) 0.80% (0>6%; 0>3%) 0.47% (0>6%; 0>3%) 0.60% (0>6%; 0>3%) 0.90% (0>6%; 2>3%)

Screening for Chronic Health or Behavioral Health Conditions: State Quitlines FY2012 vs. FY2013 Number of state quitlines that screen for. chronic health or behavioral health conditions N (%) FY2012 (n=50) 41 (79%) FY2013 (n=48) 40 (83.3%)

EVALUATION

Evaluation FY13 36 state quitlines (68%) reported evaluation data. 30 state quitlines (83%) conducted evaluation activities during calendar year 2013. 22 state quitlines (61%) surveyed tobacco users who registered for services beginning in 2012. 15 state quitlines (42%) extended registration into 2013.

NAQC Standard Quit Rate Methodology 30-day point-prevalence-abstinence measured at 7 months after registration Quit rate should be calculated on all tobacco users seeking treatment who register for services and consent to the evaluation and receive at least minimal evidence-based treatment. Source: NAQC. (2009). Measuring Quit Rates. Quality Improvement Initiative (L. An, MD, A. Betzner, PhD, M.L. Luxenberg, PhD, J. Rainey, BA, T. Capesius, MPH, & E. Subialka, BA). Phoenix, AZ.. Available at http://www.naquitline.org/resource/resmgr/docs/naqc_issuepaper_measurin gqui.pdf

Quit Rate Context: FY2013 Consent rates averaged 93.7%, ranging from 68.8% to 100% (n=31) Response rates averaged 41.4%, ranging from 13.2% to 58.8% (n=30) 6 state quitlines reported a response rate of 50% or greater, as recommended in the Measuring Quit Rates NAQC Issue Paper. Down from 11 state quitlines in FY2012.

NAQC Standard Quit Rates FY2010-FY2013 29.2% 29.7% 28.7% 31.6% N=30 N=43 N=37 N=31 US Quitlines FY2010 FY2011 FY2012 FY2013

Quit Rates for State Quitlines FY 2010 FY 2011 FY 2012 FY2013 # quitlines > 30% quit rate 12/29 (41%) 16/42 (38%) 18/37 (49%) 16/31 (51%) # quitlines > 20% quit rate 27/29 (93%) 40/42 (95%) 34/37 (92%) 29/31 (100%)

Resources Final powerpoint presentation posted on the 2013 survey page FY2013 benchmarking data have been sent to individual quitlines Quitline Profiles will be updated (metrics section) Deadline Extended to Thursday, April 30 th to opt out of Benchmarking data update to NAQC Quitline Profiles.

Funding Sources for the FY 2013 NAQC Annual Survey of Quitlines Centers for Disease Control and Prevention, Office on Smoking and Health NAQC Membership Dues

Recommended Citation: North American Quitline Consortium. 2013. Results from the 2013 NAQC Annual Survey of Quitlines. Available at http://www.naquitline.org/?page=2013survey

For more information on the survey or on NAQC s data request and review process, please contact: Maria Rudie, MPH Research Manager North American Quitline Consortium 3219 E. Camelback Road, #416 Phoenix, AZ 85018 Ph: 800-398-5489 x702 Email: mrudie@naquitline.org