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

Print

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

Print

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