Comparing the New York State Smokers’ Quitline Reach, Services Offered, and Quit Outcomes to 44 Other State Quitlines, 2010 to 2015

Mann, Nathan; Nonnemaker, James; Chapman, LeTonya; Shaikh, Asma; Thompson, Jesse; Juster, Harlan R.

doi:10.1177/0890117117724898

Cited by 13 publications

(17 citation statements)

References 10 publications

(14 reference statements)

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“…This campaign complemented a broad public health strategy that included local NYSDOH contractors directed to engage with health system administrators in their catchment area to encourage adoption of system strategies from clinical guidelines (3) (eg, tobacco use screening in the electronic health record), and paid media directed at smokers to encourage quit attempts by engaging with providers. This broad set of strategies has the potential for reaching a large proportion of smokers with an evidence-based intervention, because 70% of smokers express a desire to quit (6) and 80% see a provider annually (4).…”

Section: Purpose and Objectivesmentioning

confidence: 99%

“…The results of this study are promising and suggest that a media campaign directed at health care providers with key messages focusing on a clear set of recommended treatment procedures could benefit the nearly 80% of smokers who see a provider annually. This approach for reaching a large proportion of smokers with effective provider interventions has far more potential than current public health standards (4).…”

Section: Implications For Public Healthmentioning

confidence: 99%

“…About 80% of cigarette smokers see a health care provider annually, making the potential reach of provider-based assistance greater than other recommended public health interventions (eg, telephone quitlines reach about 1% of smokers annually) (4). Although 90% of smokers report that their provider asked about tobacco use at their last visit (5), only 45% to 72% of patients who used tobacco were advised to quit, depending on patient demographics (6).…”

Section: Introductionmentioning

confidence: 99%

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A Media Campaign to Increase Health Care Provider Assistance for Patients Who Smoke Cigarettes

et al. 2019

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Although most smokers visit a health care provider annually, only half report being provided evidence-based assistance with quitting, defined as brief counseling and an offer of medication. The New York State Department of Health designed a provider-targeted media campaign to increase provider-assisted quitting, which was implemented in 2016. Messaging focused on the addictive nature of tobacco products and evidence-based interventions. Online surveys of 400 New York State health care providers measured advertising awareness, associations between awareness and assistance with quit attempts, and perceptions that patients expect providers to assist with quitting. Forty-three percent of providers were aware of at least 1 advertisement, and providers who had seen an advertisement were more likely to provide evidence-based assistance (AOR = 2.55, P = .01), which includes recommending or prescribing cessation medications. Provider-targeted media is a promising approach to reach health care providers and encourage evidence-based smoking cessation treatment.

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Section: Purpose and Objectivesmentioning

confidence: 99%

Section: Implications For Public Healthmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Media Campaign to Increase Health Care Provider Assistance for Patients Who Smoke Cigarettes

et al. 2019

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“…In 2009, the North American Quitline Consortium (NAQC) estimated that, with promotions and sufficient funding, quitlines could potentially reach 16% of smokers annually [7]. From the early 2000s through to 2015, the annual reach for state quitlines in the United States averaged between 1% and 2% of all smokers, nationally [2,3,6,8,9,10,11,12,13,14,15]. Data from previous studies and from CDC’s National Quitline Data Warehouse (NQDW) indicate that the annual state-level quitline reach ranges from less than 0.1% to around 4.0% [14,15].…”

Section: Introductionmentioning

confidence: 99%

The Potential Impact of the New York State Smokers’ Quitline on Population-Level Smoking Rates in New York

Mann

Nonnemaker

Davis

et al. 2019

IJERPH

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Receiving smoking cessation services from telephone quitlines significantly increases quit success compared with no intervention or other quitting methods. To affect population-level smoking, quitlines must provide a sufficient proportion of smokers with effective interventions. Nationally, quitlines reach around 1% of adult smokers annually. From 2011 through 2016, the average annual reach of the New York State Smokers’ Quitline (NYSSQL) was 2.9%. We used data on the reach and cessation outcomes of NYSSQL to estimate its current impact on population-level smoking prevalence and to estimate how much reach would have to increase to achieve population-level smoking prevalence reductions. We estimate NYSSQL is associated with a 0.02 to 0.04 percentage point reduction in smoking prevalence in New York annually. If NYSSQL achieved the recommended annual reach of 8% (CDC Best Practices) and 16% (NAQC), state-level prevalence would decrease by an estimated 0.07–0.12 and 0.13–0.24 percentage points per year, respectively. To achieve those recommended levels of reach, NYSSQL would need to provide services to approximately 3.5 to 6.9 times more smokers annually. Given their reach, quitlines are limited in their ability to affect population-level smoking. Increasing quitline reach may not be feasible and would likely be cost-prohibitive. It may be necessary to re-think the role of quitlines in tobacco control efforts. In New York, the quitline is being integrated into larger efforts to promote cessation through health systems change.

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“…Using a guided imagery approach may be a method for increasing quitline use among underserved tobacco users 17 and promoting cessation among men, who are less likely to use smoking cessation services, 18 and among racial/ethnic minorities, who are less likely to quit smoking than non-Hispanic/Latino Whites. 19 Although they are available in all 50 states, quitlines reach a small percentage of the smoking population, 20 – 22 making them an effective but underutilized method for disseminating cessation programs. Most employer-based and insurance-based cessation programs are contracted to the same quitline providers that deliver state-contracted quitline services, and utilization of these programs is low, with most participants using nicotine replacement therapy (NRT) alone.…”

Section: Background and Purposementioning

confidence: 99%

Developing a Guided Imagery Telephone-Based Tobacco Cessation Program for a Randomized Controlled Trial

et al. 2020

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Background/Aims: Guided imagery is an evidence-based, multi-sensory, cognitive process that can be used to increase motivation and achieve a desired behavior. Quitlines are effective, standard care approaches for tobacco cessation; however, utilization of quitlines is low. Using guided imagery-based interventions for smoking cessation may appeal to smokers who do not utilize traditional quitline services. This paper reports the development of program materials for a randomized controlled feasibility trial of a guided imagery-based smoking cessation intervention. The objective of the formative work was to ensure that program materials are inclusive of groups that are less likely to use quitlines, including men and racial/ethnic minority tobacco users. Methods: A three-phase process was used to complete formative assessment: (1) integration of evidence-based cessation practices into program development; (2) iterative small group interviews (N = 46) to modify the program; and (3) pilot-testing the coaching protocol and study process among a small sample of smokers (N = 5). Results: The Community Advisory Board and project consultants offered input on program content and study recruitment based on their knowledge of minority communities with whom they conduct outreach. Small group interview participants included members of underserved quitline populations (52.37% non-white; 55.56% men). Only 28.26% of participants had prior experience with guided imagery, but others described the use of similar mindfulness and meditation practices. Participant feedback was incorporated into program materials and protocols. Discussion: Iteratively collected feedback and pilot testing influenced program content and delivery and informed study processes for a randomized controlled feasibility trial of a telephone-delivered, guided imagery-based intervention.

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Comparing the New York State Smokers’ Quitline Reach, Services Offered, and Quit Outcomes to 44 Other State Quitlines, 2010 to 2015

Abstract: Although the New York Quitline was open fewer hours per week and offered fewer counseling sessions and a smaller amount of free NRT than most of the other 44 state quitlines, the New York Quitline had similar quit rates to most of those state quitlines.

Cited by 13 publications

References 10 publications

A Media Campaign to Increase Health Care Provider Assistance for Patients Who Smoke Cigarettes

A Media Campaign to Increase Health Care Provider Assistance for Patients Who Smoke Cigarettes

The Potential Impact of the New York State Smokers’ Quitline on Population-Level Smoking Rates in New York

Developing a Guided Imagery Telephone-Based Tobacco Cessation Program for a Randomized Controlled Trial

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