Upload
davis-mildren
View
218
Download
2
Embed Size (px)
Citation preview
Jim McCord, Project DirectorTobacco Control Program
SD DOH615 E. 4th St.
Pierre, SD 57501
Phone: (605) 773-3737Fax: (605) 773-5942
Email: [email protected]
SD QuitLine Offers:Free written materials to assist tobacco users
who are ready to quit
Free telephonic cessation counseling delivered by trained health coaches
Access to free cessation medication
Referrals to other cessation services (if interested)
Eligibility Requirements
Must be a resident of the state of South Dakota
Must be a current tobacco user ready to quit
3 Opportunities
Those participants who have previously used the QuitLine but have relapsed may call up to a total of 3 times in their lifetime
Eligible 3 months after their last date of service with the QuitLine
QuitLine Medications
Up to 8 weeks of: Nicotine Replacement Patch Nicotine Replacement Gum
Up to 12 weeks of: Zyban Chantix
Medication DescriptionsZyban (Generic Name: Bupropion)
Non-nicotine containing prescription drug that reduces the symptoms of nicotine withdrawal by acting on the chemicals in the brain related to nicotine craving
Chantix (Generic Name: Varenicline)Non-nicotine containing prescription drug that
reduces the urge to smoke by preventing nicotine from reaching the key nicotine pleasure receptors in the brain
Over-the-Counter Medication: Patch, Gum
Individual must call the QuitLine to enroll in the program
Participant receives letter & member ID # with explanation of how to pick up at a local participating pharmacy
Pick up 2 weeks patch or gum at a time: coach approves in 2 week increments after 1st, 3rd, 4th, and 5th coaching sessions
Prescription Medication: Zyban, Chantix
Individual must call the QuitLine to enroll in program
Healthcare provider determines the medication is safe and appropriate for individual
Healthcare provider faxes a QuitLine prescription form to Central Pharmacy
QuitLine coach sends Central Pharmacy notification of completion of 1st, 3rd, and 5th coaching sessions
Medication is sent to participant’s home address
Must Enroll & Participate in Coaching
In Order To Receive Free Cessation Medication
Typically 5 coaching sessions centered around a Quit Date
Sessions scheduled by the participant at their convenience
QuitLine Coach calls the participant at scheduled time
Approximate Length of Coaching Sessions
Initial Call (1st call to QuitLine by a participant to enroll in program): 10-15 minutes
1st coaching session: 25-45 minutes
2nd-4th coaching sessions: 15-20 minutes
5th coaching session: 10-15 minutes
Coaching Sessions 1 & 2Preparation (Prior to Quit Date)
Develop a Personalized Quit Plan
Plan a Quit Date
Medication Information
Discuss: TriggersCoping MechanismsWithdrawal Symptoms
Coaching Session 3On Quit Date
Coach Provides Support and EncouragementAddition Information on Medication
Coaching Session 4After Quit Date
Follow-UpReview Quit StrategiesAddress Relapses
Coaching Session 5Graduation Session
Contact Information
Graduation Letter Issued
Leave with any Last Suggestions
Answer Questions
QuitLine Hours of Operation
Monday-Friday: 7:00 am – 11:00 pmSaturday: 8:00 am – 5:00 pmSunday: 10:00 am – 4:00 pm
Voicemail available 24 hours/day with a return call within 24 hours
Challenges with Chantix Reasons Chantix users stopped using the medication (n=
1,614)
Reasons Chantix users were not able to stay quit (n=838)
Reason Percent
n
Experienced unpleasant side effects 26% 413
Ran out of medication 12% 193
Medication didn’t work 2% 36
Reasons unrelated to medication 60%
Reason Percent
n
Medication didn’t help 10% 84
Ran out / Couldn’t afford / Couldn’t get medication
5% 43
Didn’t like / Couldn’t use medication 5% 40
Reasons unrelated to medication 80%
Challenges with ChantixThe provider sends the Rx to the pharmacy, but
client never calls the QL to initiate cessation coaching.
When the Rx does not reach the pharmacy, it results in a delay in med distribution.
Rx scripts are signed but incomplete, illegible or wrong medication amount prescribed.
Rx scripts are faxed to local pharmacy rather than central pharmacy.
Lack of follow through from provider (no fax sent).
Successes with ChantixRx mailed directly to participant’s home SD
address, no need to go to pharmacy which is critical in rural areas.
Central pharmacy tracks amount of Rx received by participant so as not to exceed 3-month supply.
Ease of QL client in receiving Rx through the mail and coaching over the phone (no travel).
Physician referrals increased to 44% of all QL callers.
Quit Rates have significantly improved.
Data from 7 month follow-up evaluations: January-August 2008
74% (n=1,614) of coaching participants used Chantix- 2% of these participants also used NRT (n=29)
89% of Chantix users reported that it was “very easy” to get the medication
Quit rates are significantly higher for 2008 than for previous years.
Medication RequestsIn 2008, 69% of callers who requested
coaching wanted to use the prescription medication, Chantix.
EnrollmentSD QuitLine use increased nearly three-fold
in 2008.
SD QuitLine Timeline
13mo quit rate (7dpp): 29% 26% 38% N/A
2005 2006 2007 2008