Wednesday, 20 November 2002
Hilton San Francisco Exhibit Hall (0)
CESS-186-38

This presentation is part of CESS-186. Ideas on Cessation

Effects of Subsidizing Nicotine Replacement Therapy on Quitline Participation and Quit Rates

Shelley MacAllister, MSW, American Cancer Society, National Cancer Information Center, Quitline, smacalli@cancer.org, Vance Rabius, ABD, vrabius@cancer.org, Angela Geiger, MBA, ageiger@cancer.org, K. Joanne Pike, LPC MA, jpike@cancer.org, Kim Hollister, BA, khollist@cancer.org.

Learning Objectives: Compare how subsidizing nicotine replacement therapies at different levels effects 3-month quit rates, program participation, and satistifaction for telephone-based tobacco cessation programs.

Abstract: Quitlines offer a cost-effective, convenient delivery method for tobacco cessation programs. Some state departments of health have begun to subsidize cessation medications in conjunction with Quitline programs to help their constituents remain tobacco free. The American Cancer Society’s Quitline has contracted with several state departments of health to provide a choice of services to their constituents attempting to quit. Constituents from the contracted states are offered a choice of services including telephone counseling, self-help materials, and/or community referrals. Individual departments of health have supplemented the treatment services with a medication offer for free or reduced cost nicotine replacement products. This poster will present 3-month outcomes for January through March of 2002, comparing three states’ levels of subsidized medication and resulting 3-month quit rates, program participation, and satisfaction with Quitline service. State A provides callers who are personally quitting tobacco $40-$60 in discount coupons for nicotine replacement products or free medications (NRT patch or gum) to a predefined group. State B offers free medication (NRT patch) to uninsured callers. State C does not currently have a medication program. In January and February of 2002, State A had 1298 calls, State B had 267 calls, and State C had 1327 calls. In February alone, .217% of smokers from State A contacted our Quitline versus .061% of smokers from State B and .045% of smokers in State C. Prior research showed callers who were enrolled in telephone counseling and used medication to have a quit rate of 21%, while those in telephone counseling who did not use medication had a quit rate of 12%.

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