Learning Objectives: Describe advantages and limitations of using internet and hand-held computers to deliver and increase reach of smoking cessation treatment. Explain how mass media campaigns aimed at low social and economic pregnant women can impact reach of phone support programs. Describe benefits and limitations of using access to coverage for medications to stimulate demand and increase reach of proactive phone counseling.
Abstract: Audience: Public health officers, researchers, healthplan administrators and clinicians interested in increasing cessation services impact by extending reach..
Key Points: · To continue decreasing tobacco use, innovative approaches to increasing the reach of effective services must be developed, studied and aggressively implemented.
· Provision of cessation support via the internet is a promising way to increase reach. During one quarter in 2002, QuitNet.com was visited 700,000 times by approximately 180,000 people. Web-based support can be dynamically tailored based on demographic and smoking behavior data.
· Miniature computers may soon be as inexpensive and widely owned as wristwatches. Study results on acceptability, usefulness, and efficacy from two studies will be reviewed - involving a self-help smoking intervention and a relapse prevention program.
· To reach low socio-economic young pregnant smokers targeted messaging is key. For the first 3 months of the Legacy Foundation’s Great Start campaign, 6,220 pregnant women smokers called. Of this number, 5,821(94%) requested counseling services>
· Medication use to quit smoking is often separated from receiving counseling. Providing covered medication with detailed screening and counseling entirely via phone with mail-order fulfillment can be done safely with high participation (10% of all smokers) in a research setting, healthcare system, and state-level quit line.
Educational Experience: Lively panel discussion with brief presentations, audience participation, and panel interaction.
Benefits: Only a small fraction of tobacco users attempting to quit use any assistance. Attendees learn ways to overcome this deficit through different approaches that are of immediate and future applicability.
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