Results from the
2009 NAQC Annual Survey
of Quitlines
Prepared by: ERDU, Mignonne Guy, Jessie Saul, and
the NAQC Annual Survey Workgroup
June 30, 2010
Background of Annual Survey
Conducted Annually 2004-2006, 2008, 2009
• Research Partners:
– 2008 and 2009 Evaluation, Research and Development
Unit, University of Arizona
– 2006 Center for Tobacco Research and Intervention,
University of Wisconsin
– 2005 University of California, San Diego
– 2004 Tobacco Technical Assistance Consortium
Informs research and practice
Is an iterative process
2009 Annual Survey Methods
2009 Survey completed in Two Waves
• Wave 1 email-based with telephone follow-up:
– Questions: 1) Quitline budgets, changes over time, impacts, 2)
Funding sources, 3) Promotion and utilization of services, and
4) Surges in call volume and impacts
• Wave 2 web-based with telephone follow-up:
– Questions: 1) General Information, hours, services offered, 2)
Materials used, 3) Counselling services and protocols, 4)
Utilization, and 5) Evaluation
63 quitline funders and their service providers were asked
to respond:
• 53 US and Territories quitlines (100% Wave 1, 98% Wave 2)
• 10 Canadian quitlines (100% Wave 1 and 2)
BUDGET
US Quitline Budgets FY09 (N=53)
N
Missing
Median
(Min – Max)
Sum
Total
50
3
$1,681,961
($77,218 – 17,869,238)
$122,887,769
Services
51
2
$787,978
($52,218 – 4,596,928)
$55,847,009
Medications
39
14
$225,000
($0 – 5,862,815)
$19,917,311
Evaluation
37
16
$75,000
($0 – 451,432)
$3,310,924
Media/promotions
45
8
$404,915
($0 – 9,000,000)
$39,433,161
Outreach
34
19
$49,592
($0 – 1,816,750)
$8,017,232
Other
21
32
$0
($0 – 380,000)
$1,470,311
Tobacco control
45
8
$9,500,000
($206,570 – 84,363,000)
$604,472,737
Budget Category
Canadian Quitline Budgets FY09 (N=10)
Budget Category
N
Missing
Median
Sum
Total
10
0
$218,200
$6,869,910
Services
10
0
$160,990
$3,488,181
Medications
1
9
$0
$12,000
Evaluation
6
4
$3,000
$391,000
Media/promotions
8
2
$55,750
$1,195,603
Outreach
8
2
$84,624
$4,087,156
Other
5
5
$40,000
$708,000
Tobacco control
5
5
$2,400,000
$93,510,000
US Quitline Budgets FY10 (N=53)
N
Missing
Median
(Min – Max)
Sum
Total
50
3
$1,336,680
($45,000 – 20,547,542)
$114,330,597
Services
50
3
$729,690
($40,000 – 4,685,335)
$52,637,682
Medications
42
11
$300,000
($0 – 4,500,000)
$22,468,547
Evaluation
36
17
$52,682
($0 – 451,433)
$3,236,845
Media/promotion
46
7
$264,500
($0 – 4,818,000)
$25,933,125
Outreach
31
22
$34,750
($0 – 720,000)
$3,916,105
Other
22
31
$0
($0 – 463,039)
$1,016,601
Tobacco control
44
9
$7,283,505
($206,570 – 68,002,700)
$503,835,153
Budget Category
Canadian Quitline Budgets FY10 (N=10)
Budget Category
N
Missing
Median
Sum
Total
10
0
$202,000
$7,531,403
Services
10
0
$161,550
$3,627,774
Medications
3
7
$0
$0
Evaluation
5
5
$3,000
$368,000
Media/
promotions
9
1
$60,000
$1,650,511
Outreach
8
2
$92,532
$4,315,718
Other
5
5
$15,000
$569,400
Tobacco control
5
5
$2,400,000
$73,899,000
Impact of change in budget from FY09 to FY10
US (N=52)
Canada (N=10)
No Impact
42%
50%
Eligibility criteria for counseling will change
6%
0%
Number of counseling sessions will change
4%
0%
Counseling protocol will change
6%
20%
Amount or type of NRT provided per caller will change
27%
0%
Eligibility criteria for NRT will change
15%
0%
Promotional budget will change
42%
40%
Types of promotion will change
29%
20%
Targets for promotion will change
17%
10%
Other
21%
10%
For the first time, the median and total US
quitline budgets decreased in FY10
Median quitline budgets in Canada have
stayed relatively constant from FY05 – FY10
Median budget for services and medications
US, 2005-2010
Median budget for services
Canada, 2005-2010
Funding Sources in FY09
Public sector/government
Local government funds
State/provincial general funds
State/provincial dedicated tobacco tax funds
State Medicaid program
MSA funds
Tobacco settlement funds (not MSA)
Federal
CDC
Health Canada
Other
Private sector/non-government
Third part reimbursement through healthcare institution
Third part reimbursement through insurance company
Charitable foundation
For-profit company
Non-governmental organization
Employer organization
Other
US (N=52)
Canada (N=10)
0%
23%
19%
6%
50%
6%
10%
90%
0%
0%
0%
0%
90%
0%
0%
0%
60%
0%
0%
6%
2%
0%
2%
0%
8%
0%
0%
20%
10%
30%
0%
0%
Funding Sources in FY10
Public sector/government
Local government funds
State/provincial general funds
State/provincial dedicated tobacco tax funds
State Medicaid program
MSA funds
Tobacco settlement funds (not MSA)
Federal
CDC
Health Canada
Other
Private sector/non-government
Third part reimbursement through healthcare institution
Third part reimbursement through insurance company
Charitable foundation
For-profit company
Non-governmental organization
Employer organization
Other
US (N=52)
Canada (N=10)
0%
29%
15%
4%
48%
6%
10%
80%
0%
0%
0%
0%
81%
0%
0%
0%
60%
0%
0%
8%
4%
0%
2%
0%
8%
0%
0%
20%
10%
30%
0%
0%
The majority of US quitlines report receiving
funds from CDC or MSA funds
For US quitlines, the highest proportion of funds
come from MSA, general funds, and dedicated
tobacco tax funds
The majority of Canadian quitlines report
receiving funds from provincial general funds
or Health Canada
For Canadian quitlines, the highest proportion
of funds come from Health Canada and
provincial general funds
DESCRIPTION OF SERVICES
General Service Description FY09
All quitlines responding reported having counseling
services available at least five days per week for a
minimum of eight hours per day
49 or 94% of US and 9 or 90% of Canadian quit lines also
offered counseling service on at least one day of the
weekend
13 quitlines (11 or 21% of US and 2 or 20% of Canadian)
reported having live pick-up of incoming calls (may or
may not have counseling services available) 24 hours a
day, 7 days a week
77% of US (n=41) and 80% of Canadian (n=8) quitlines
reported closing on holidays
All US and Canadian quitlines provide multiple
proactive counseling sessions FY09
US
N = 53
CAN
N = 10
%
(n)
%
(n)
Minimal/brief intervention—client-initiated —1-10 minutes
57%
(30)
100%
(10)
Single session counseling more than 10 minutes—client-initiated
72%
(38)
100%
(10)
Multiple sessions—client-initiated (i.e., reactive, client calls in for
each follow up)
45%
(24)
100%
(10)
Multiple sessions—counselor-initiated (i.e., proactive, cessation
specialist / counselor / coach calls client for follow up)
100%
(53)
100%
(10)
Phone counseling services
More Canadian than US quitlines provide
interactive web-based programs to help
tobacco users quit FY09
US
N = 53
CAN
N = 10
%
(n)
%
(n)
Information about the quitline
72%
(38)
80%
(8)
Information about tobacco cessation
74%
(39)
80%
(8)
Self-directed web-based intervention to help tobacco users quit
42%
(22)
70%
(7)
Automated email messages
30%
(16)
50%
(5)
Chat rooms
28%
(15)
70%
(7)
Interactive counseling and/or email messaging to cessation
specialist/counselor/ coach to help tobacco users quit
28%
(15)
40%
(4)
Internet-based services
Nearly all US and Canadian quitlines refer to other services,
have fax referral programs, and mail information
to tobacco users FY09
US
(n = 53)
CAN
(n = 10)
%
(n)
%
(n)
Voice mail with call backs or mailed information or self-help resources
59%
(31)
70%
(7)
Recorded messages for help with quitting (e.g., phone tree)
59%
(31)
20%
(2)
Referral to other services
94%
(50)
90%
(9)
Fax referral for healthcare providers and other referral sources
94%
(50)
100%
(10)
Mailed information or self help resources (provided through the
quitline)
83%
(44)
90%
(9)
Text messaging to cell phones (integrated with telephone counseling)
2%
(1)
10%
(1)
IVR (Interactive Voice Response) (integrated with telephone
counseling)
2%
(1)
20%
(2)
Other
15%
(8)
0%
(0)
Other services
Quitline Services Provided in FY10
FY09 Web Based Cessation Services in
Your State Not Offered by the Quitline
US (N=53)
10
10
5
2
2
5
3
2
2
FY09 Other Cessation Services in Your State
Not Offered by the Quitline – US (N=53)
3
3
2
6
4
13
3
2
15
6
FY09 Web Based Provincial Cessation Services
Not Offered by the Quitline
Canada (N=10)
4
4
4
4
4
3
1
4
1
4
1
4
1
FY09 Other Provincial Cessation
Services Not Offered by the Quitline –
100%
Canada (N=10) No medications
offered
80%
Medications
offered
60%
2
2
40%
2
20%
4
2
0%
Individual
counselingsingle
session
1
1
2
Individual
counselingmultiple
session
3
4
Group
counselingsingle
session
1
Group
counselingmultiple
session
Workplace
cessationsingle
session
1
Workplace
cessationmultiple
sessions
Language of Counseling Service FY09
52 10
51
8
1
1
2
1
1
1
Hours Per Week of Counseling Service
Availability by Language FY09
N
Missing
Min
hrs/wk
Max
hrs/wk
Median
hrs/wk
English
39
14
40
240
126
Spanish
39
14
40
133
112
Cantonese
1
52
74
74
74
Mandarin
2
51
74
133
104
Korean
1
52
74
74
74
Vietnamese
1
52
74
74
74
English
5
5
72
78
78
French
5
5
72
78
78
US (N=53)
Canada (N=10)
US Primary Service Providers FY09
The figure below shows the organizations (n=17) that were the
primary service provider of counseling services for US quitlines
17
12
6
3
3
Canadian Service Providers FY09
The majority of Canadian quitlines (60%) had counseling services
provided by the Canadian Cancer Society, Ontario Division
6
1
1
1
1
1
1
1
1
Language of Cessation Materials FY09
52 10
51
9
1
1
1
1
1
1
1
Specialized Materials for Special Populations
FY09
51 US quitlines (96%) and 6 Canadian quitlines (60%)
send specialized materials to special populations. These include:
51
49
41
40
6
25
20
3
3
2
11 2
2
1
1
3
10
2
6 1
6
5 1
1
1
Promotions/Outreach for Priority/Specialized
Populations FY10
34
31
6
27
Specialized Materials for Racial/Ethnic
Populations FY09
76% of US and 10% of Canadian quitlines offers specialized materials
to callers of racial/ethnic populations. These include:
37
14
1
1
12
1
1
Specialized Counseling Protocols FY09
94% of US and 90% of Canadian quitlines use specialized
counseling protocols for special populations. These include:
50
9
46
34
24
18
16
2
1
1
16
2
14
14
1
14
12 2
1
11 2
Eligibility Criteria for Counseling FY09
94% of US and 80% of Canadian quitlines
have eligibility criteria for callers to receive counseling. These include:
46
8
31
27
5
5
3
2
1
1
1
Eligibility Criteria for Counseling FY10
98% of US and 100% of Canadian quitlines have ‘resident of state or province’ as an
eligibility criterion for callers to receive counseling. Other criteria include:
51 10
8
34
20
14
1
13
11
9
9
7
6
Eligibility Criteria for Different
Levels of Service FY09
20 US quitlines (38%) and 7 Canadian quitlines (70%)
have different eligibility criteria for different levels of
service
Open-ended responses described eligibility criteria for
differing level of service including:
• Increased sessions depending on readiness to quit (n=12,
US and n=6, Canada)
• Increased sessions for pregnant women (n=7, US)
• Increased sessions for youth (n=4, US)
• Increased sessions for uninsured or
Medicaid/Medicare/VA/IHS insured (n=8, US)
• Employee or dependent of the public service (n=1, Canada)
MEDICATIONS
Provision of Quitting Medication FY09
Patch
Gum
Lozenge
Zyban
Chantix
Nasal
Spray
Inhaler
ANY
Meds
Provide free
medication
76%
60%
42%
4%
2%
2%
4%
70%
Provided
discounted meds
8%
8%
8%
4%
6%
4%
4%
8%
Provided
voucher to
redeem meds
9%
8%
8%
6%
8%
6%
6%
9%
Provide free
medication
-
-
-
-
-
-
-
Provided
discounted meds
-
-
-
-
-
-
-
Provided voucher
to redeem meds
-
-
-
-
-
-
-
US (N=53)
Canada (N=10)
Provision of Information about Quitting Medication FY09
Patch
Gum
Lozenge
Zyban
Chantix
Nasal Spray
Inhaler
Provided info about
using meds
96%
94%
91%
87%
83%
49%
49%
Referred to
organization that
provides meds
45%
42%
38%
32%
36%
17%
17%
Provided info about
accessing meds
36%
34%
28%
30%
38%
23%
21%
Provided info about
using meds
100%
100%
100%
100%
100%
20%
100%
Referred to
organization that
provides meds
20%
20%
20%
10%
20%
10%
20%
Provided info about
accessing meds
50%
50%
10%
20%
10%
-
20%
US (N=53)
Canada (N=10)
Free Medication Provision – US Quitlines – FY09
Free Meds
Type
# Providing
Type of Free
Meds
Patch
40
Gum
N
Median # of
Weeks
Provided
Minimum #
of Weeks
Maximum #
of Weeks
39
4
2
10
32
31
4
2
8
Lozenge
22
22
6
2
12
Zyban
2
2
10
8
12
Inhaler
2
2
5
2
8
Chantix
1
1
12
12
12
Nasal
Spray
1
1
8
8
8
(Providing
weeks data)
Eligibility Criteria for Free Medications FY09,
US (N=53)
39
38
30
30
28
14
10
3
9
7
7
7
3
3
Provision of Quitting Medication FY10
Patch
Gum
Lozenge
Zyban
Chantix
Nasal
Spray
Inhaler
ANY
Meds
Provide free
medication
79%
60%
42%
6%
4%
2%
2%
--
Provided
discounted meds
4%
4%
4%
2%
4%
2%
2%
--
Referred to
organization that
provide
free/discounted
products
21%
--
17%
--
15%
--
6%
--
Provided voucher
to redeem meds
4%
2%
2%
4%
6%
2%
2%
--
Provided info to use
medication
75%
--
67%
--
60%
--
52%
--
Provided info about
accessing
free/reduced-cost
meds
29%
--
23%
--
23%
--
15%
--
US (N=52)
Provision of Quitting Medication FY10
Patch
Gum
Lozenge
Zyban
Chantix
Nasal
Spray
Inhaler
ANY
Meds
Provide free
medication
--
--
--
--
--
--
--
--
Provided
discounted meds
--
--
--
--
--
--
--
--
Referred to
organization that
provide
free/discounted
products
20%
--
10%
--
10%
--
10%
--
Provided voucher
to redeem meds
100%
--
100%
--
90%
--
90%
--
Provided info to use
medication
--
--
--
--
--
--
--
--
Provided info about
accessing
free/reduced-cost
meds
50%
--
20%
--
30%
--
20%
--
Canada (N=10)
Free NRT Eligibility Criteria
US (N=52), FY10
Of the 52 US quitlines providing some form of free meds, the eligibility criteria included:
38
33
7
Reduced-Cost NRT Eligibility Criteria
US (N=6), FY10
Of the 6 US quitlines providing some form of reduced-cost NRT, the eligibility criteria included:
PROMOTION AND OUTREACH
Promotions and Referral Networks to
Increase Reach to Tobacco Users FY09
Types of Media/Promotions and Outreach
Activities FY09&10, US Quitlines
FY09 (N=52)
FY10 (N=52)
TV
73%
58%
Radio
62%
65%
Newspaper ads
40%
35%
Billboards
35%
25%
Online advertising
40%
52%
73%
73%
Information display at health fairs,
meetings, workshops, conferences
88%
85%
Building healthcare referral networks
79%
88%
Building other referral networks
75%
77%
25%
31%
Paid Media/Promotions
Earned media
Outreach
Other
Types of Media/Promotions and Outreach
Activities FY09&10, Canadian quitlines
FY09 (N=10)
FY10 (N=10)
TV
70%
80%
Radio
60%
50%
Newspaper ads
70%
60%
Billboards
10%
10%
Online advertising
70%
80%
90%
100%
Information display at health fairs,
meetings, workshops, conferences
100%
90%
Building healthcare referral networks
100%
100%
Building other referral networks
80%
100%
30%
60%
Paid Media/Promotions
Earned media
Outreach
Other
UTILIZATION
Number of referrals received by the
quitline in FY09
Total Calls
N
Missing
Min
Max
Median
Sum
% of
total
Fax referrals
50
3
0
8630
492.5
69185
65%
Other referrals
43
10
0
8966
153
36777
35%
Total
51
2
8
9099
868
105922
100%
Fax referrals
10
0
11
2580
304
6401
81%
Other referrals
5
5
0
914
205
1399
19%
Total
10
0
11
2960
304
7900
100%
US (N=53)
Canada (N=10)
Other includes web referrals, “click to call”, online ads
Utilization – Calls FY09
N
Missing
Min
Max
Median
Sum
% of
total
Answered live
43
10
298
158393
10433
835245
80%
Went to voicemail
36
17
11
56839
288.5
84978
8%
Hung up or abandoned
38
15
0
9702
1240
78927
8%
Total
47
6
309
222334
11543
1038174
100%
Answered live
10
0
225
8874
1154
28825
96%
Went to voicemail
3
7
0
212
37
249
1%
Hung up or abandoned
9
1
3
468
49
1043
3%
Total
10
0
228
9342
1237
30140
100%
Total Calls
US (N=53)
Canada (N=10)
Number of unique
tobacco users FY09
US (N=53)
Canada (N=10)
N
Missing
Min
Max
Median
Sum
39
14
1009
34912
5936
343996
10
0
128
8294
506
18844
U.S. Quitlines Utilization –
Received Service FY09
Tobacco Users Who
Received Service
N
Missing
Median (Min,Max)
Sum
Self-help Materials
44
9
142.5 (0,12087)
50602
Any amount of
counseling
33
20
4804 (65,26992)
226654
Medication received
41
12
1766 (0,9378)
109055
Total served with
evidence-based
services (counseling or
meds)
46
7
4768 (81,159635)
485225
US (N=53)
Canadian Quitlines Utilization –
Received Service FY09
Tobacco Users Who
Received Service
N
Missing
Median
(Min,Max)
Sum
Self-help Materials
2
8
186 (71,301)
372
Any amount of
counseling
3
7
1445 (1347,1612)
4404
Medication received
3
7
0
0
Total served with
evidence-based
services (counseling or
meds)
3
7
1445 (1347,1612)
4404
Canada (N=10)
US Promotional Reach
FY 2005-2009
Canada Promotional Reach
FY 2005-2009
Where are we now?
FY09 Reach
Promotional reach (#
of tobacco users
completing an
intake)
Median (N)
Treatment reach
(# receiving
evidence based
services)
Median (N)
U.S.
1.2% (49)
0.7% (46)
Canada
0.3% (9)
0.3% (3)
Promotional reach 2005-2009
Canada
2005
N
3
Min
0.45%
Max
1.97%
Mean
1.16%
Median
1.06%
2006
2008
2009
8
9
9
0.1%
0.28%
0.14%
2.7%
0.94%
1.37%
0.75%
0.52%
0.38%
0.49%
0.54%
0.27%
US
2005
2006
N
40
45
Min
0.01%
0.01%
Max
4.28%
5.8%
Mean
0.99%
1.10%
Median
0.50%
0.68%
2008
2009
46
49
0.13%
0.16%
5.92%
9.84%
1.66%
1.89%
0.89%
1.18%
Treatment Reach FY09
Canada
2009
N
3
Min
0.24%
Max
1.90%
Mean
0.80%
Median
0.27%
US
2009
N
46
Min
0.05%
Max
7.25%
Mean
1.57%
Median
0.68%
Promotional Reach and spending
benchmarking – US FY09
Treatment reach and spending
benchmarking – US FY09
Promotional Reach and spending
benchmarking – Canada FY09
US Quitlines Promotional Reach and
Spending per Smoker FY09
CDC recommendation: 8% reach, $10.53 per smoker
US Quitlines Treatment Reach and
Spending Per Smoker FY09
CDC recommendation: 6% reach, $10.53 per smoker
Canada Quitlines Promotional Reach and
Spending Per Smoker FY09
CDC recommendation: 8% reach, $10.53 per smoker
Demand Greater Than Capacity
for Service Delivery FY09
18
1
#78 Surge in Call Volume in FY09
30
14
10
5
Impact of Surge in Call Volume FY09
US (N=36)
Canada (N=2)
No Impact
31%
100%
Eligibility criteria for counseling changed
8%
--
Number of counseling sessions changed
8%
--
Counseling protocol changed
25%
--
Amount or type of NRT provided per
caller changed
17%
--
Eligibility criteria for NRT changed
Promotional budget changed
3%
--
6%
--
Types of promotion changed
17%
--
Targets for promotion changed
6%
--
Other
31%
--
Utilization FY09 – Callers by Type of Tobacco Use
Quitline
Number of Callers
N
Missing
Min
Max
Mean
Median
Cigarette
49
4
178
151670
11414
5324
Cigar
39
14
0
1322
203
80
Pipe
38
15
0
201
28
11
Smokeless
49
4
3
1571
229
130
Other
29
24
0
141
26
9
Cigarette
9
1
95
2706
861
330
Cigar
4
6
2
50
21
17
Pipe
4
6
0
6
3
2
Smokeless
4
6
2
10
5
3
US (N=53)
Canada (N=10)
The majority of quitline callers are
cigarette users FY09
US (median)
Canada (median)
Utilization FY09 – Amount of Tobacco Used
Cigarettes per Day
Quitline
Caller Cigarettes per Day
N
Missing
Min
Max
Mean
Median
Mean
43
10
15
23
20
20
Minimum
41
12
0
21
2
0
Maximum
40
13
20
300
98
100
Mean
4
6
17
19
18
17
Minimum
4
6
1
1
1
1
Maximum
4
6
80
100
85
80
US* (N=53)
Canada** (N=10)
* For the US, the number of smokers on which the mean, minimum and maximum were based ranged from a low of 20 to a high of 140,140.
**For Canada, the number of smokers on which the mean, minimum and maximum were based ranged from a low of 596 to a high of 2,561.
Utilization FY09 – Amount of Tobacco Used
Cigars per week
Quitline
Caller Cigars per Week
N
Missing
Min
Max
Mean
Median
Mean
24
29
0
21
11
11
Minimum
24
29
0
3
1
1
Maximum
24
29
0
280
54
41
Mean
3
7
2
105
44
25
Minimum
3
7
0
70
25
5
Maximum
3
7
42
140
76
45
US* (N=53)
Canada** (N=10)
* For the US, the number of cigar smokers on which the mean, minimum and maximum were based ranged from a low of 0 to a high of 997.
**For Canada, the number of cigar smokers on which the mean, minimum and maximum were based ranged from a low of 2 to a high of 26.
Utilization FY09 – Amount of Tobacco Used
Pipes per Week
Quitline
Caller Pipes per Week
N
Missing
Min
Max
Mean
Median
Mean
23
30
0
23
10
10
Minimum
23
30
0
2
1
1
Maximum
23
30
0
84
41
50
Mean
3
7
0
1
0
0
Minimum
3
7
0
1
0
0
Maximum
3
7
0
1
0
0
US* (N=53)
Canada** (N=10)
* For the US, the number of pipe smokers on which the mean, minimum and maximum were based ranged from a low of 0 to a high of 140.
**For Canada, the number of pipe smokers on which the mean, minimum and maximum were based ranged from a low of 0 to a high of 3.
Utilization FY09 – Amount of Tobacco Used
Tins per Week (Smokeless)
Quitline
Caller Tins per Week
N
Missing
Min
Max
Mean
Median
Mean
24
29
0
6
2
1
Minimum
23
30
0
1
1
1
Maximum
21
32
0
73
8
3
Mean
3
7
0
35
13
3
Minimum
3
7
0
1
0
0
Maximum
3
7
0
70
25
5
US* (N=53)
Canada** (N=10)
* For the US, the number of smokeless users on which the mean, minimum and maximum were based ranged from a low of 0 to a high of 1535.
**For Canada, the number of smokeless users on which the mean, minimum and maximum were based ranged from a low of 2 to a high of 10.
Utilization FY09 – Cigarette Users Only
Frequency of Smoking
Quitline
Number of Callers
N
Missing
Min
Max
Mean
Median
Everyday/daily
39
14
169
69547
8694
4502
Someday/Occasional
39
14
3
729
185
111
Not at all
38
15
0
1741
263
138
Of not at all, # quit <30 days
25
28
0
1421
250
166
Everyday/daily
9
1
95
2680
760
330
Someday/Occasional
3
7
20
33
26
26
Not at all
8
2
27
1229
263
91
Of not at all, # quit <30 days
2
8
124
232
178
178
US (N=53)
Canada (N=10)
The majority of quitline callers are
everyday/daily smokers FY09
US (median)
Canada (median)
Utilization FY09 – Time to First Cigarette
Quitline
Number of Callers
N
Missing
Min
Max
Mean
Median
Within 5 minutes
30
23
94
63069
6077
2456
6-30 minutes
30
23
43
52968
4078
1480
31-60 minutes
30
23
12
16160
1275
495
>60 minutes
30
23
16
8697
1008
430
Within 5 minutes
4
6
258
1039
594
540
6-30 minutes
4
6
183
744
418
372
31-60 minutes
4
6
78
268
159
144
>60 minutes
4
6
77
297
174
161
US (N=53)
Canada (N=10)
Utilization FY09– Gender
Quitline
Number of Callers
N
Missing
Min
Max
Mean
Median
Male
52
1
85
67571
4814
2289
Female
52
1
102
74992
6482
3135
Male
9
1
49
1958
481
212
Female
9
1
106
2868
731
303
US (N=53)
Canada (N=10)
Most quitline callers are female FY09
US (median)
Canada (median)
Utilization FY09 – Age
Quitline
Callers
N
Missing
Min
Max
Mean
Median
Mean
41
12
33
55
42
42
Minimum
42
11
10
18
14
14
Maximum
42
11
65
104
87
86
Mean
4
6
45
49
47
46
Minimum
4
6
12
15
14
14
Maximum
4
6
83
90
86
86
US* (N=53)
Canada** (N=10)
* For the US, the number of callers on which the mean, minimum and maximum age were based ranged from a low of 178 to a high of 142,541.
**For Canada, the number of callers on which the mean, minimum and maximum age were based ranged from a low of 622 to a high of 3,714.
Utilization FY09 – Level of Education US
Quitline
Number of Callers
N
Missing
Min
Max
Mean
Median
< grade 9
49
4
2
2471
369
199
Grade 9-11, no degree
49
4
1
14027
1526
809
GED/HS degree
51
2
85
51145
4059
1787
Some college or
university
51
2
26
44021
3192
1324
College or university
degree
51
2
19
29154
1686
613
US (N=53)
Utilization FY09 – Level of Education US
Utilization FY09 – Level of Education
Canada
Quitline
Number of Callers
N
Missing
Min
Max
Mean
Median
< HS
3
7
264
704
471
445
HS diploma
3
7
347
1091
647
504
Technical or trade
school (including some college)
3
7
57
198
121
109
College or university
degree (includes technical or
3
7
296
1217
742
714
Canada (N=10)
trade school certificate)
Utilization FY09– Ethnicity and Race US
Quitline
Number of Callers
N
Missing
Min
Max
Mean
Median
Hispanic or Latino
51
2
7
12783
802
207
White
52
1
8
109358
8093
3721
Black or African
American
52
1
1
15117
1191
460
Asian
51
2
1
2988
138
22
Native Hawaiian
or Pacific Islander
49
4
0
806
36
9
American Indian
or Alaskan Native
51
2
0
3410
265
95
Other
51
2
4
9933
521
176
US (N=53)
Utilization FY09– Ethnicity and Race US
Utilization FY09 – Race Canada
Quitline
Number of Callers
N
Missing
Min
Max
Mean
Median
Canadian (English or
French Canadian)
3
7
197
1428
951
1227
Aboriginal (Native
Indian, Métis, Inuit)
3
7
35
243
126
100
British (English, Irish,
Scottish, Welsh)
3
7
73
855
571
785
European
3
7
72
774
312
91
Asian
3
7
3
111
46
24
Other
3
7
14
79
56
76
Canada (N=10)
Utilization FY09 – Sexual Orientation
Quitline
Number of Callers
N
Missing
Min
Max
Mean
Median
Straight
19
34
500
34903
7485
4862
Gay or lesbian
19
34
15
1036
194
137
Bisexual
19
34
13
583
134
73
Transgender
8
45
0
16
5
5
Other
15
38
2
99
24
13
US (N=53)
Utilization FY09–Registrants for Web-based Services
N
Missing
Min
Max
Mean
Median
Registrants for web-based
cessation services
integrated with the quitline
23
30
0
13791
2480
935
Registrants for web-based
cessation services NOT
integrated with the quitline
18
35
0
13810
1325
0
Registrants for web-based
cessation services
integrated with the quitline
1
9
31
31
31
31
Registrants for web-based
cessation services NOT
integrated with the quitline
7
3
114
5678
1601
227
US (N=53)
Canada (N=10)
Insurance Status of Callers FY09
49 US quitlines (93%) reported that they collect information on the
insurance status of callers who receive services. The types of insurance
quitlines collect information about include:
Quitline
Insurance Type
Number of Callers
N
Missing
Min
Max
Mean
Median
None
44
9
3
42147
3689
1875
Gov’t Provided
45
8
45
30971
3093
1358
43
10
65
64636
4145
1319
US (N=53)
(Medicare, Medicaid, etc.)
Private
Insurance Status of Callers FY09
EVALUATION
Evaluation FY09
50 US quitlines (94%) and 4 Canadian quitlines (40%)
conduct follow-up evaluations
Most quitlines have follow-up evaluation conducted by:
• staff other than quitline staff (e.g., internal evaluation unit)
(US n=24; Canada n=1),
• an outside evaluation firm (US n=18; Canada n=2)
Next most commonly cited was evaluation conducted
by:
• quitline staff (US n=13; Canada n=1)
• the funding agency (US n=4)
• an other source (US n=2)
Evaluation FY09
The types of evaluation data collected by those
quitlines that conduct follow-up evaluations
include:
• Customer satisfaction:
US (94%, 50), Canada (40%, 4)
• Quitting outcome:
US (94%, 50), Canada (30%, 3)
• Staff performance:
US (70%, 37), Canada (10%, 1)
Evaluation – Sampling Strategy FY09
The sampling strategy used by Quitlines for follow-up
evaluations include;
• Random sampling:
US (53%, 28), Canada (10%, 1)
• Census Sampling (all callers):
US (45%, 24), Canada (10%, 1)
• Continuous sampling (year-round):
US (26%, 14), Canada (10%, 1)
• Cohort sampling (time-limited): US (8%, 4), Canada (10%, 1)
• Periodic sampling (within one year or across multiple
years): US (6%, 3), Canada (10%, 1)
Evaluation – Sampling Time Points FY09
N
%
3 months after registration/first contact
15
28
4 months after registration/first contact
11
21
6 months after registration/first contact
12
23
7 months after registration/first contact
34
62
12 months after registration/first contact
13
25
13 months after registration/first contact
13
25
Other
2
4
7 months after registration/first contact
1
10
Other
2
20
US (N=53)
Canada (N=10)
Evaluation – Sampling Criteria FY09
US (N=53)
Canada (N=10)
Sample all those who…
N
%
N
%
Call (regardless of reason)
6
11
-
-
Are current tobacco users at first call
29
55
2
20
Are former tobacco users at first call
19
36
1
10
Are 18 years and older
24
45
1
10
Register for counseling
20
38
-
-
Receive counseling (begin first call)
16
30
1
10
Receive medications
7
13
-
-
Consent to follow-up
31
59
2
20
Set a quit date
3
6
1
10
Complete all counseling session
3
6
-
-
For more information on the survey or on
NAQC’s data request and review process,
please contact;
Jessie Saul, Ph.D.
Director of Research
North American Quitline Consortium
3030 N. Central Ave, Ste 602
Phoenix, AZ 85012
Ph: 602.279-2719
Email: [email protected]
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