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Colorado Tobacco
QuitLine
David Tinkelman, MD
Tobacco’s Toll In Colorado
17.9% of the state’s adult population smoke cigarettes
This is approximately 626,000 residents
85% report they want to quit
53% reported attempting to quit
Only 3% reported being successful in their quit
attempt
Population Impact
Maximize resources to reach a larger population using evidence based
strategies to achieve broader Impact
Reach x Efficacy = Effect
The Telephonic Program
A seven day per week bilingual Intake Call CenterA comprehensive smoking history completed with a tobacco cessation quit coach Proactive, positive coaching sessions including information on pharmacotherapy, second hand smoke, establishing a smoke free environment at home and work Relapse prevention strategiesNRT provided to those medically eligible
Program Age for Registration
The Colorado QuitLine can provide services to anyone age of 15 and over, however if someone under the age of 18 is referred through the Fax form, their parent/guardian must sign the form for them.
NRT Program
Participant must be: Enrolled in Coaching 18 years or older Medically eligible
8-Weeks free Nicotine Patches and Gum 21 mg, 14 mg, or 7 mg patches 2 mg or 4 mg Gum 4-weeks at time of enrollment (TQ) Additional 4-weeks if they smoke more than
20 cigarettes and remain in the coaching program
Medical Precautions
Uncontrolled high blood pressure Heart disease Pregnancy or breastfeeding.
Prior to recommending NRT,
Coaches ask about:
Effect of NRT on Intake Volume
Intake Volume 2005 Average 366 per Month
Intake Volume 2007 Average 3200 per Month
How I Heard About Quitline
How Heard About Quitline: Pre-NRT
40%
4%19%
6%
6%
19%
6%
TV Ad
Radio Ad
Doctor
Billboard
Word of Mouth
Other
How Heard About Quitline: Post-NRT
28%
3%
20%1%
8%
5%
35%
How I Heard About Quitline
How Heard About Quitline: Pre-NRT
40%
4%19%
6%
6%
19%
6%
TV Ad
Radio Ad
Doctor
Billboard
Word of Mouth
Other
How Heard About Quitline: Post-NRT
28%
3%
20%1%
8%
5%
35%
Fax Referral Program
At this time, we accept Faxes only - The form only needs to be signed if the MD wants to
approve NRT – if the MD just wants the patient in Coaching, we just need the participant signature. A healthcare provider is one who has prescribing authority and is responsible for this patient receiving NRT
This MD consent form indicates that the provider understands this person has a medical problem listed in the Package Insert and is giving medical clearance for the individual to participate.
Outcomes One Year Post NRT
Intake Volumes
Quit Rates
Post Launch Call Volumes
214192
134116
106 98 99113
104115
162176
123
176157
140
0
50
100
150
200
250
Dec 0
5
Jan
06
Feb 0
6
Mar
06
Apr 0
6
May
06
Jun
06
Jul 0
6
Aug 0
6
Sep-0
6
Oct-0
6
Nov-0
6
Dec-0
6
Jan-
07
Feb-0
7
Mar
-07
Per Day Averages
NRT Utilization
As of March 31, 2007 Total 4-week Orders = 68,280
Total TQ’s (Tobacco Questionnaires – 1st Coaching Session)
49,508 – Total TQ’s 45,000 NRT Orders 1st 4-weeks
(91%) 23,280 NRT Orders 2nd 4-weeks (47%)
Tobacco Cessation Data
These data include the first 12 month quit rates from our independent research partner.
Colorado QuitLineFOLLOW-UP QUIT RATES Post-NRT(December 15, 2005 – January 31, 2007)
Call Number Number Attempted
Number Reached
Number Quit
Responder Quit Rate
ITT Rate
ALL CALLERS (Regardless of Coaching or NRT status)
6 Months 10,130 4,133 1,414 34.2% 14.0%
12 Months 1,115 421 139 33.0% 12.5%
SELF-GUIDED PARTICIPANTS
6 Months 1,488 373 89 23.9% 6.0%
12 Months 280 61 17 28% 6.1%
Colorado QuitLineFOLLOW-UP QUIT RATES Post-NRT(December 15, 2005 – January 31, 2007)
Call Number Number Attempted
Number Reached
Number Quit
Responder Quit Rate
ITT Rate
COACHING PARTICIPANTS RECEIVING NRT
6 Months 8,050 3,533 1,262 35.7% 15.7%
12 Months 782 346 118 34.1% 15.1%
COACHING PARTICIPANTS NOT RECEIVING NRT
6 Months 592 227 63 27.8% 10.6%
12 Months 53 14 4 28.6% 7.6%
QuitLine’s Continued Growth
As of January 31, 2008:The Colorado Tobacco QuitLine has reached:Over 116,000 Coloradoans-
Barriers to QuitLine
Reach to varied populations Those in underserved populations Those who would rather not use the
telephone as their means of smoking cessation support
To receive NRT, the participant has to have a phone # so that they can receive coaching and an address to send the NRT product to
Approaches to Barriers
Increased marketing efforts in underserved populations Coordination with physician communications Varied marketing efforts to underserved
populations that are language and culture specific
Broader cessation support products Face to face programs New interactive Internet program
Program Offered in English and Spanish
Approximately 25% of the National Jewish Quitline staff bilingual.
For other languages, the National Jewish Quitline utilizes Tele-Interpreters, a service to provide Phone Interpreters. Within seconds, the Quitline Coach, an interpreter, and the non-English speaker are connected for real-time telephone interpretations. This service is available in more than 150 foreign languages, during all hours of Quitline operation.
In addition, a TDD line (1-888-229-2182) is in place for the deaf and hard of hearing.
Colorado QuitLine Website
www.COQuitLine.org An integrated web-based program available
to all Coloradoans Offers 24/7 support Interactive programs Interface to QuitLine NRT not available to those in the web-only
program
COLORADO QUITLINE WEBSITE
HOMEPAGE
SUPPORT TEAM PAGE
MY QUIT TOOLS PAGE
SMOKING CALCULATOR PAGE
FAQ’S PAGE
National Jewish is both proud and pleased to provide the QuitLine telephonic and web-based services to the residents of Colorado.
The QuitLine program has reached and helped a significant proportion of smokers in Colorado and has played a role in the overall reduction of smoking prevalence within the State.
Summary