1. Results from the 2010 NAQC Annual Survey of Quitlines Prepared by: Westat, Jessie Saul, and the NAQC Annual Survey Workgroup July 13, 2011

2. Background of Annual Survey Conducted Annually 2004-2006, 2008-2010 Research Partners: –2010 Westat –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

3. 2010 Annual Survey Methods Completed from October to December 2010 Web-based survey with email and telephone follow-up: 1)General Information, hours, services offered 2)Quitline budgets 3)Funding sources 4)Materials used 5)Counselling services and protocols 6)Promotion 7)Utilization 8)Evaluation 65 quitline funders and their service providers were asked to respond; 52 of 53 US quitlines responded; 10 of 12 Canadian quitlines responded.

4. BUDGET

5. Budget Summary Budgets declined for the first time in FY10 The primary impacts of the decline were a decrease in media, promotions, and outreach; and a decrease in the number of tobacco users served. The level of services stayed relatively constant from FY09 to FY10 Median services budgets increased in the US but decreased in Canada from FY09 to FY10

6. US Quitline Budgets FY10 (N=52) Budget CategoryNMissing Median (Min – Max) Sum Total493 $1,350,000 ($175,700 – 15,019,979) $115,087,788 Services493 $831,674 ($81,000 – 6,478,285) $53,440,839 Medications4210 $304,103 ($0 – 5,964,809) $22,490,753 Evaluation3913 $55,000 ($0 – 451433) $3,507,851 Media/promotions448 $304,132 ($0 – 4,950,000) $28,899,387 Outreach3121 $33,125 ($0 – 1,872,000) $4,667,820 Other3022 $0 ($0 – 408,748) $1,367,392 Tobacco control457 $5,930,221 ($653,407 – 65,324,607) $537,610,325

7. Canadian Quitline Budgets FY10 (N=10) Budget CategoryNMissingMedianSum Total91$157,951$5,852,951 Services91$72,200$2,799,750 Medications55$0 Evaluation55$451$320,451 Media/promotions82$66,925$1,362,850 Outreach82$20,450$1,170,900 Other73$10,000$199,000 Tobacco control37$840,000$43,977,951

8. Impact of change in budget from FY09 to FY10 US (N=52)Canada (N=10) No Impact42%50% Decrease in media, promotions, or outreach13%30% Increase in media, promotions, or outreach4%0% Decrease in amount of NRT provided per caller, or eligibility for NRT restricted 6%0% Added web-based programs4%0% Increase reach or promotions to priority populations8%0% Counseling provided to more people or eligibility for counseling expanded 8%0% Other: Restricted eligibility for counseling (US 1), Evaluation (US 1), Client services software (US 1), Increased overall budget (US 1), Decreased overall budget (US 1, CA 1) 10%

9. For the first time, the median and total US quitline budgets decreased slightly in FY10 N=48 N=50 N=51

10. Median quitline budgets in Canada have decreased from FY09 – FY10 N=6 N=9 N=10N=9

11. Median budget for services and medications US, 2005-2010 N=44N=49 N=46 N=49 N=51

12. Median budget for services Canada, 2005-2010 N=6 N=10 N=9 N=10

13. US Spending per Smoker (services and medications), 2008-2010 N=45 N=49 N=50

14. Canada Spending per Smoker (services), 2008-2010 N=8 N=9

15. Funding Sources in FY10 and FY11 US FY10 (N=52) US FY11 (N=52) Canada FY10 (N=10) Canada FY11 (N=10) Public sector/government Local government funds 0% State/provincial general funds 25%26%100% State/provincial dedicated tobacco tax funds 21%24%0% State Medicaid program 4%6%0% MSA funds 46%45%0% Tobacco settlement funds (not MSA) 10%8%0% Federal CDC- ARRA/Stimulus funds 52%82%0% CDC - other (non-ARRA) funds 71%73%0% Health Canada 0% 60%30% Other 2% 0% Private sector/non-government Third part reimbursement through healthcare institution 0% Third part reimbursement through insurance company 8% 0% Charitable foundation 2% 10%30% For-profit company 0% 10% Non-governmental organization 2%0%20%10% Employer organization 0% Other2% 0%

16. More US quitlines report receiving funds from CDC or MSA funds than any other source

18. For US quitlines, the highest proportion of funds come from MSA, general funds, state tobacco taxes, and non-MSA tobacco settlement funds

19. The majority of Canadian quitlines report receiving funds from provincial general funds

20. For Canadian quitlines, the highest proportion of funds come from provincial general funds and Health Canada

21. Proportion of Funds by State Government Sources FY10 and FY 11 – US (N=52) FY 2010FY 2011 NAverage % (Min, Max) N Local government funds 0 0% (0%, 0%) 0 State/provincial general funds 12 76% (40%, 100%) 13 63% (30%, 100%) State/provincial dedicated tobacco tax funds 10 55% (9%, 94%) 12 49% (6%, 83%) State Medicaid program 2 4% (0%, 7%) 3 3% (0%, 7%) MSA funds 23 77% (25%, 100%) 23 64% (4%, 100%) Tobacco settlement funds (not MSA) 569% (15%, 100%) 456% (6%, 99%)

22. Proportion of Funds by Federal Sources FY10 and FY11 – US (N=52) FY 2010FY 2011 NAverage % (Min, Max) N Federal – CDC - ARRA/Stimulus funds 26 19% (0%, 100%) 44 32% (1%, 100%) Federal -- CDC - other (non-ARRA) funds 36 23% (1%, 100%) 36 18% (1%, 100%) Federal -- Other funds 12% (2%, 2%) 12% (2%, 2%)

23. Proportion of Funds by Other Sources FY10 and FY11 – US (N=52) FY 2010FY 2011 NAverage % (Min, Max) N Private sector/non-government -- Third- party reimbursement through health care institution 00%0 Private sector/non-government -- Third- party reimbursement through insurance company 4 2% (0%, 6%) 4 4% (0%, 12%) Private sector/non-government -- Charitable foundation 1 76% (76%, 76%) 1 19% (19%, 19%) Private sector/non-government -- For- profit company 00%0 Private sector/non-government -- Non- governmental organization 1 75% (75%, 75%) 00% Private sector/non-government -- Employer organization 00%0 Other 118% (18%, 18%) 127% (27%, 27%)

24. Proportion of Funds by Provincial Sources FY10 and FY11– Canada (N=10) FY 2010FY 2011 NAverage % (Min, Max) N Local government funds 0000 State/provincial general funds 10 56% (15%, 100%) 8 80% (15%, 100%) State/provincial dedicated tobacco tax funds 0000 State Medicaid program 0000 MSA funds 0000 Tobacco settlement funds (not MSA) 0000

25. Proportion of Funds by Federal Sources FY10 and FY11 – Canada (N=10) FY 2010FY 2011 NAverage % (Min, Max) N Federal – Health Canada 6 69% (59%, 84%) 2 57% (36%, 77%) Federal – Other 0000

26. Proportion of Funds by Other Sources FY10 and FY11 – Canada (N=10) FY 2010FY 2011 NAverage % (Min, Max) N Private sector/non-government -- Third- party reimbursement through health care institution 0000 Private sector/non-government -- Third- party reimbursement through insurance company 0000 Private sector/non-government -- Charitable foundation 1 5% (5%, 5%) 3 14% (8%, 25%) Private sector/non-government -- For- profit company 1 1% (1%, 1%) 1 1% (1%, 1%) Private sector/non-government -- Non- governmental organization 2 8% (8%, 8%) 1(not reported) Private sector/non-government -- Employer organization 0000 Other0000

27. DESCRIPTION OF SERVICES

28. General Service Description FY10 61 or 98% of quitlines responding reported having counseling services available at least five days per week for a minimum of eight hours per day 48 or 92% of US and 8 or 80% of Canadian quit lines also offered counseling service on at least one day of the weekend 28 quitlines (26 or 50% 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 96% of US (n=50) and 80% of Canadian (n=8) quitlines reported closing on holidays

29. Most US and Canadian quitlines provide multiple proactive counseling sessions FY10 Phone counseling services US N = 52 CAN N = 10 % (n) % (n) Minimal/brief intervention—client-initiated —1-10 minutes 33% (17) 100% (10) Single session counseling more than 10 minutes—client-initiated 71% (37) 100% (10) Multiple sessions—client-initiated (i.e., reactive, client calls in for each follow up) 42% (22) 100% (10) Multiple sessions—counselor-initiated (i.e., proactive, cessation specialist / counselor / coach calls client for follow up) 92% (48) 100% (10)

30. US and Canadian quitlines provide interactive web-based programs to help tobacco users quit FY10 Internet-based services Part of the quitline Not part of the quitline Combined US N = 52 CAN N = 10 US N = 52 CAN N = 10 US N=52 CAN n=10 % (n) Information about the quitline60% (31)20% (2) 27% (14) 80% (7) 75% (39) 80% (8) Information about tobacco cessation 62% (32) 20% (2) 23% (12) 80% (8) 73% (38) 90% (9) Self-directed web-based intervention to help tobacco users quit 52% (27) 10% (1) 17% (9) 80% (8) 65% (34) 80% (8) Automated email messages 10% (5) 10% (1) 12% (6) 70% (7) 21% (11) 80% (8) Chat rooms 46% (24) 20% (2) 12% (6) 80% (8) 58% (30) 90% (9) Interactive counseling and/or email messaging to cessation specialist/counselor/ coach to help tobacco users quit 4% (2) 20% (2) 8% (4) 30% (3) 12% (6) 40% (4)

31. A higher proportion of Canadian than US quitlines provide interactive web-based programs to help tobacco users quit FY10

32. Nearly all US and Canadian quitlines have fax referral programs, voice mail with call backs and mail information to tobacco users FY10 Other services US (n = 52) CAN (n = 10) % (n) % (n) Voice mail with call backs or mailed information or self-help resources 87% (45) 90% (9) Recorded messages for help with quitting (e.g., phone tree) 69% (36) 20% (2) Referral to any other cessation services 77% (40) 30% (3) Referral to any other non-cessation services 62% (32) 10% (1) Fax referral for healthcare providers and other referral sources 90% (47) 90% (9) Mailed information or self help resources (provided through the quitline) 92% (48) 90% (9) Text messaging to cell phones (integrated with telephone counseling) 4% (2) 10% (1) IVR (Interactive Voice Response) (integrated with telephone counseling) 2% (1) 20% (2)

33. FY10 Other Cessation Services in Your State Not Offered by the Quitline – US (N=52) 22 4

34. FY10 Other Provincial Cessation Services Not Offered by the Quitline – Canada (N=10) 22 4

35. Methods Offered to Providers to Refer Patients to Quitlines in FY10

36. Languages Available for the FY10 Fax/Electronic-Referral Form

37. FY10 Indication of Primary Language on Referral Form

38. Who could make a referral to the quitline using the fax- or electronic-referral process? US N = 52 CAN N = 10 % (n) % (n) Only those certified or trained as a fax referral provider 6% (3) 100% (10) Clinicians / non-clinicians in any healthcare setting 88% (46) 100% (10) Clinicians / non-clinicians in community-based organizations and public health agencies 81% (42) 90% (9) Others who can make a referral 17% (9) 50% (5) Who could make referrals to the quitline using the fax- or electronic-referral process in FY10

39. Who could be referred to the quitline using the referral process in FY10

40. How long after the referral was received did the patient receive a call from the quitline FY10

41. How many call attempts were made to make first contact with a fax- or electronically-referred patient NMissingMinMaxMean US (N=52) 502353.4 Canada (N=10) 100353.9 Quitlines made between 3 and 4 attempts to reach fax- or e-referred patients in FY10

42. Services Referring Providers Received from Quitlines FY10 Services received US N = 50 CAN N = 10 % (n) Brochures that explain the fax-referral process and provide information 22% (11)50% (5) Customized referral/consent forms78% (39)50% (5) Training for staff on:74% (37)60% (6) Use of the fax referral program (among those who offer training)100% (37)100% (6) Brief patient motivational interviewing (among those who offer training)92% (34)67% (4) Pharmacotherapy dosing guidelines(among those who offer training)89.2% (33)17% (1) Systems-based approaches to treating tobacco use dependence (among those who offer training) 21.6% (8)33% (2) Other (among those who offer training)100% (37)0% (0)

43. Services Referring Providers Received from Quitlines FY10 (continued) Services received US N = 52 CAN N = 10 % (n) Routine provider feedback reports:85% (44)30% (3) Patient contact/enrollment report81% (42)20% (2) Information on the services the patient selected75% (39)20% (2) The patient’s quit status:12% (6)30% (3) At 3 months4% (2)0% (0) At 6 months8% (4)0% (0) At one year2% (1)0% (0) Other2% (1)0% (0) Other patient progress reports12% (6)10% (1)

44. Services Referring Providers Received from Quitlines FY10 (continued) Services received US N = 52 CAN N = 10 % (n) % (n) Customized feedback reports to satisfy various reporting and research needs: 54% (28) 20% (2) Aggregate only 54% (28) 20% (2) Client-level de-identified 4% (2) 20% (2) Client-level identified 0% (0) 20% (2) Regular newsletter/updates on the fax referral program and/or the quitline 4% (2) 30% (3) Other services to referring providers 2% (1) 20% (2)

45. Website/page provides specific information on the fax-referral program FY10

46. Used a translation service for hearing clients FY10

47. How many times was the translation service used to provide counseling to hearing clients NMissingMinMax Mean MedianSum US (N=52) 2923099961.7931792 Canada (N=10) 19999.099 Number of times translation service used for counseling hearing clients FY10

48. Quitline used a third party translation service for deaf and hard-of-hearing clients FY10

49. How many times was a third party translation service used to provide counseling to Deaf and Hard-of-hearing clients NMissingMinMax Mean MedianSum US (N=52) 2428010.1704 Canada (N=10) 1900000 Number of times translation service used for counseling deaf and hard-of-hearing clients FY10

50. Language of Counseling Service FY10

51. Number of Calls of Counseling Service by Language FY10 NMissingMinMaxMeanMedianSum US (N=52) English3913040,2818,2104,750320,180 Spanish48402,5822154610,329 Asian Languages 151392 Canada (N=10) ) English731905,8991,2734398,911 French82016,8832,129317,029

52. Hours Per Week of Counseling Service Availability by Language FY10 NMissingMin hrs/wk Max hrs/wk Mean hrs/wk US (N=52) English391372133121 Spanish484013393 Asian Languages 15174 Canada (N=10) English7357868 French825916887

53. The figure below shows the organizations (n=15) that were the primary service provider of counseling services for US quitlines US Primary Service Providers FY10

54. Canadian Service Providers FY10 The majority of Canadian quitlines (60%) had counseling services provided by the Canadian Cancer Society, Ontario Division 1111

55. Language of Cessation Materials FY10

56. Specialized Materials for Special Populations FY10 48 US quitlines (92%) and 5 Canadian quitlines (50%) send specialized materials to special populations. These include:

57. Specialized Materials for Racial/Ethnic Populations FY10 76% of US and 0% of Canadian quitlines offers specialized materials to callers of racial/ethnic populations. These include: 1

58. Materials sent to callers who are not tobacco users or recent quitters FY10

59. Specialized Counseling Protocols FY10 89% of US and 100% of Canadian quitlines use specialized counseling protocols for special populations. These include:

60. Specialized Counseling Protocols for Racial/Ethnic Populations FY10 1

61. Specialized Counselor Training for Special Populations FY10 49 US quitlines (94%) and 8 Canadian quitlines (80%) send specialized materials to special populations. These include:

62. Specialized Counselor Training for Racial/Ethnic Populations FY10 1

63. Eligibility Criteria for Counseling FY10 94% of US and 80% of Canadian quitlines have eligibility criteria for callers to receive counseling. These include: 8

64. Eligibility Criteria for Different Levels of Service FY10 20 US quitlines (39%) and 1 Canadian quitline (10%) 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=8, US) Increased sessions for pregnant women (n=7, US) Increased sessions for union members (n=1, US) Increased sessions for youth (n=1, US) Increased sessions for study participants (n=1, US) Increased sessions for uninsured or Medicaid/Medicare/VA/IHS insured (n=7, US) Employee or dependent of the public service (n=1, Canada)

65. MEDICATIONS

66. Provision of Quitting Medication FY10 PatchGumLozengeZybanChantixNasal Spray InhalerANY Meds US (N=52) Provide free medication 75%65%38%4% 2% 75% Provided discounted meds 2% 6% 2% 6% Provided voucher to redeem meds 0% 2%10%0% 10% Canada (N=10) Provide free medication ------- Provided discounted meds ------- Provided voucher to redeem meds -------

67. Provision of Information about Quitting Medication FY10 PatchGumLozengeZybanChantixNasal SprayInhaler US (N=52) Provided info about using meds 87%85%81%63%65%50% Provided info about accessing meds 31%29%27%25% 19%21% Canada (N=10) Provided info about using meds 100% 10%100% Provided info about accessing meds 60% 50%60% -50%

68. Free Medication Provision – US Quitlines – FY10 Free Meds Type # Providing Type of Free Meds N (Providing weeks data) Median # of Weeks Provided Minimum # of Weeks Maximum # of Weeks Patch39 4212 Gum34 4212 Lozenge20 8212 Zyban2210812 Inhaler11888 Chantix2210812 Nasal Spray 11888

69. The number of US quitlines providing free medications has increased over time

70. Eligibility Criteria for Free Medications FY10, US (N=52) 3 Note: many quitlines reported varying eligibility criteria for different populations or circumstances.

71. PROMOTION AND OUTREACH

72. Promotions and Referral Networks to Increase Reach to Tobacco Users FY10

73. Types of Media/Promotions and Outreach Activities FY10&11, US Quitlines FY10 (N=52)FY11 (N=52) Paid Media/Promotions TV71%85% Radio63%83% Newspaper ads35%44% Billboards35%48% Online advertising48%65% Earned media85%83% Outreach Information display at health fairs, meetings, workshops, conferences88%87% Building healthcare referral networks87%96% Building other referral networks77%75%

74. Types of Media/Promotions and Outreach Activities FY10&11, US Quitlines (cont.) FY10 (N=52)FY11 (N=52) Social Media Facebook37%62% Myspace8%14% Twitter14%25% Other8% Other10%12%

75. Types of Media/Promotions and Outreach Activities FY10&11, Canadian quitlines FY10 (N=10)FY11 (N=10) Paid Media/Promotions TV70%50% Radio60%40% Newspaper ads60%50% Billboards0%10% Online advertising40%70% Earned media70%80% Outreach Information display at health fairs, meetings, workshops, conferences100%90% Building healthcare referral networks80%100% Building other referral networks90%

76. Types of Media/Promotions and Outreach Activities FY10&11, Canadian quitlines (cont.) FY10 (N=10)FY11 (N=10) Social Media Facebook60%70% Myspace10%0% Twitter30% Other10% Other20%

77. UTILIZATION

78. Utilization – Calls FY10 Total Calls NMissingMinMaxMedianMeanSum% of total US (N=52) Answered live 493236104,5738,86815,704769,49783% Went to voicemail 475713,65713177436,3854% Pre-recorded message 331902,79701284,2370.5% Hung up or abandoned 484 27,2949652,222106,64111.5% Total 502316121,37110,05418,563928,146100% Canada (N=10) Answered live 9122111,4397462,72724,54493% Went to voicemail 2867147107 2141% Pre-recorded message 7304790684792% Hung up or abandoned 914388451049324% Total 9145311,5777842,93526,421100%

79. Number of unique tobacco users FY10 NMissingMinMaxMedianMeanSum US (N=52) Total unique users 48412572,8375,6109,150439,185 Smokers calling for self 47514180,2964,7118,701408,947 Other users calling for self 46652,78027245821,067 Canada (N=10) Total unique users 821394,8523221,27310,180 Smokers calling for self 821374,5433201,2309,842 Other users calling for self 730121431

80. Number of referrals received by the quitline in FY10 Total CallsNMissingMinMaxMedianSum US (N=52) Fax referrals 493010,03669275,887 EMR referrals 41110000 Other referrals 4480687411025,629 Total 4754116,91089996,485 Canada (N=10) Fax referrals 73231,5552983,931 EMR referrals 820000 Other referrals 8208,8121,2079,656 Total 912310,6031,74015,656

81. US quitlines receive 3.5 times as many direct calls from tobacco users as referrals; Canadian quitlines receive 1.5 times as many referrals as direct calls from tobacco users

82. Number of referrals reached by the quitline in FY10 Total CallsNMissingMinMaxMedianSum US (N=52) Fax referrals 448174,18738337,274 EMR referrals 37150000 Other referrals 401206,8748018,218 Total 4391711,06154655,257 Canada (N=10) Fax referrals 282391,0646791,357 EMR referrals 730000 Other referrals 7305460 Total 288391,0649521,903

83. Number of referrals registered for services/agreed to receive services in FY10 Total ReferralsNMissingMinMaxMedianMeanSum US (N=52) Fax referrals 448143,68028361026,849 EMR referrals 371500000 Other referrals 401206,6774450420,141 Total 439148,3433811,13848,950 Canada (N=10) Fax referrals 64151,0081142611,567 EMR referrals 9100000 Other referrals 9101,05501661,493 Total 82152,0171625224,173

84. Number of referrals received counseling or medications in FY10 Total ReferralsNMissingMinMaxMedianMeanSum US (N=52) Fax referrals 4111103,68023249420,271 EMR referrals 341800000 Other referrals 381406,6773936413,815 Total 439107,4333011,01443,620 Canada (N=10) Fax referrals 64129861042541,521 EMR referrals 9100000 Other referrals 91080801381,246 Total 82121,6641284653,720

85. 33% of US fax referrals received counseling or medications (N=40) 57% 72% 82% 33%

86. 42% of US total referrals received counseling or medications (N=41) 64% 74% 89% 42%

87. Number of tobacco users who completed an intake or registration process in FY10 NumberNMissingMinMaxMedianMeanSum US (N=52) 520117104,6794,73510,078513,999 Canada (N=10) 371,1486,1211,6642,9788,933

88. US Quitlines Utilization – Received Service FY10 Tobacco Users Who Received Service NMissingMedian (Min,Max)Sum US (N=52) Self-help Materials 46683 (0,95986)124,981 Any amount of counseling 5024860 (130,80613)426,780 Medication received 4482713 (0,85827)296,012 Total served with evidence-based services (counseling or meds) 5024129 (86,104679)424,548

89. Canadian Quitlines Utilization – Received Service FY10 Tobacco Users Who Received Service NMissingMedian (Min,Max) Sum Canada (N=10) Self-help Materials 3737 (0,502)539 Any amount of counseling 91376 (156,4252)12,959 Medication received 1000 (0, 187)187 Total served with evidence-based services (counseling or meds) 91376 (156,4252)12,959

90. Average number of minutes of counseling and number of counseling calls completed FY10 Total CallsNMissingMinMaxMedianMean US (N=52) Minutes 381486029.528.0 Calls 4111152.12.2 Canada (N=10) Minutes 3752015.013.2 Calls 37343.73.6

91. US Promotional Reach FY 2005-2010

92. Canada Promotional Reach FY 2005-2010 N=3 N=8 N=10N=9 N=8

93. Where are we now? FY10 Reach Promotional reach (# of unique tobacco users calling) Reach (N) Registration reach (# of tobacco users completing an intake) Reach (N) Treatment reach (# receiving evidence based services) Reach (N) U.S.1.15% (48)1.30% (52)1.09% (51) Canada0.21% (9)0.51% (3)0.31% (9)

94. Registration reach FY 2009-2010 CanadaNMinMaxMeanActual 200990.14%1.37%0.43%0.35% 201030.36%1.45%0.77%0.51% USNMinMaxMeanActual 2009490.16%9.84%1.89%1.22% 2010520.12%7.26%1.71%1.30%

95. Treatment Reach FY09-FY10 CanadaNMinMaxMeanActual 200930.24%1.90%0.80%0.37% 201090.17%1.79%0.49%0.31% USNMinMaxMeanActual 2009460.05%7.25%1.57%1.19% 2010500.05%6.66%1.45%1.09%

96. Treatment reach and spending benchmarking – US FY10

97. Treatment Reach and spending benchmarking – Canada FY10

98. US Quitlines Treatment Reach and Spending Per Smoker (svcs + meds) FY10 CDC recommendation: 6% reach, $10.53 per smoker

99. Canada Quitlines Treatment Reach and Spending Per Smoker (svcs + meds) FY10 CDC recommendation: 6% reach, $10.53 per smoker

100. Number of Unique Tobacco Users Receiving Services by Type of Tobacco Use FY10, US QuitlineNumber of Tobacco Users Receiving Evidence-based Services NMissingMinMaxMeanMedian US (N=53) Cigarette2132123104,06511,7524511 Cigar203331,52026165 Pipe20330138259 Smokeless203301047252140 Other15380320358

101. The majority of tobacco users receiving evidence-based services are cigarette users FY10 US (median) N=21

102. Utilization FY10 – Amount of Tobacco Used Cigarettes per Day QuitlinePerson Served Cigarettes per Day NMissingMinMaxMeanMedian US* (N=52) Mean153718272120 Minimum15371311 Maximum1537216010494100 Canada** (N=10) Mean2816 Minimum281111 Maximum2880 * For the US, the number of smokers on which the mean, minimum and maximum were based ranged from a low of 123 to a high of 92,356. **For Canada, the number of smokers on which the mean, minimum and maximum were based ranged from a low of 1,082 to a high of 13,305.

103. Utilization FY10 – Amount of Tobacco Used Cigars per week QuitlineCaller Cigars per Week NMissingMinMaxMeanMedian US* (N=52) Mean10421762014 Minimum11411111 Maximum1141635010580 Canada** (N=10) Mean1910 Minimum191111 Maximum1970 * For the US, the number of cigar smokers on which the mean, minimum and maximum were based ranged from a low of 50 to a high of 1,185. **For Canada, the number of cigar smokers on which the mean, minimum and maximum were based ranged from a low of 35 to a high of 35.

104. Utilization FY10 – Amount of Tobacco Used Pipes per Week QuitlineCaller Pipes per Week NMissingMinMaxMeanMedian US* (N=52) Mean74513411 Minimum8441721 Maximum84441004135 Canada** (N=10) Mean191111 Minimum191111 Maximum191111 * For the US, the number of pipe smokers on which the mean, minimum and maximum were based ranged from a low of 2 to a high of 57. **For Canada, the number of pipe smokers on which the mean, minimum and maximum were based ranged from a low of 1 to a high of 1.

105. Utilization FY10 – Amount of Tobacco Used Tins per Week (Smokeless) QuitlineCaller Tins per Week NMissingMinMaxMeanMedian US* (N=52) Mean8440533 Minimum8441111 Maximum8441552621 Canada** (N=10) Mean191111 Minimum191111 Maximum191111 * For the US, the number of smokeless users on which the mean, minimum and maximum were based ranged from a low of 30 to a high of 369. **For Canada, the number of smokeless users on which the mean, minimum and maximum were based ranged from a low of 1 to a high of 1.

106. Utilization FY10 – Cigarette Users Only Frequency of Smoking QuitlineNumber of Callers NMissingMinMaxMeanMedian US (N=52) Everyday/daily163612397,58712,0703,596 Someday/Occasional1636074313028 Not at all163601,27525567 Of not at all, # quit <30 days114101,00121020 Canada (N=10) Everyday/daily281,0711,6411,356 Someday/Occasional28204030 Not at all28124247186 Of not at all, # quit <30 days28109203156

107. The majority of tobacco users receiving evidence-based treatment are everyday/daily smokers FY10 US (n=16) Canada (n=2)

108. Utilization FY10 – Cigar Users Only Frequency of Smoking QuitlineNumber of Callers NMissin g MinMaxMeanMedian US (N=52) Everyday/daily54726659228126 Someday/Occasional448044012836 Not at all54701163310 Canada (N=10) Everyday/daily197777 Someday/Occasional1928 Not at all190000

109. Utilization FY10 – Pipe Users Only Frequency of Smoking QuitlineNumber of Callers NMissin g MinMaxMeanMedia n US (N=52) Everyday/daily4482211213 Someday/Occasional448027106 Not at all54701851 Canada (N=10) Everyday/daily190000 Someday/Occasional191111 Not at all190000

110. Utilization FY10 – Smokeless Tobacco Users Only Frequency of Smoking QuitlineNumber of Callers NMissingMinMaxMeanMedian US (N=52) Everyday/daily7452256516358 Someday/Occasional74501966239 Not at all745062156 Canada (N=10) Everyday/daily190000 Someday/Occasional191111 Not at all190000

111. Utilization FY10 – Other Tobacco Users Only Frequency of Smoking Most quitlines were unable to report the number of other tobacco users that were Daily, Occasional, or Not at All users of other tobacco products.

112. Utilization FY10 – Time to First Cigarette QuitlineNumber of Callers NMissingMinMaxMeanMedian US (N=52) Within 5 minutes20325126,5474,6152,450 6-30 minutes20325417,3333,0291,542 31-60 minutes203244,382881492 >60 minutes2032114,015746251 Canada (N=10) Within 5 minutes28281385333 6-30 minutes28218325272 31-60 minutes2894122108 >60 minutes2878156117

113. Utilization FY10 – Time to First Use of Tobacco QuitlineNumber of Callers NMissingMinMaxMeanMedian US (N=52) Within 5 minutes5473234511159 6-30 minutes547123469430 31-60 minutes54721474630 >60 minutes54701604829 Canada (N=10) Within 5 minutes1919 6-30 minutes1917 31-60 minutes287744 >60 minutes197777

114. Utilization FY10– Gender QuitlineNumber of Callers NMissingMinMaxMeanMedian US (N=52) Male 24286449,4325,2162,461 Female 24286654,8626,6853,206 Canada (N=10) Male 373221,640861620 Female 374972,9031,398795

115. Most tobacco users served with evidence- based services are female FY10 US (n=24)Canada (n=2)

116. Utilization FY10 – Age QuitlineCallers NMissingMinMaxMeanMedian US* (N=52) Mean1438 5445 Minimum1537102315 Maximum1537701018889 Canada** (N=10) Mean28464746 Minimum281415 Maximum28848685 * For the US, the number of callers on which the mean, minimum and maximum age were based ranged from a low of 123 to a high of 98,350. **For Canada, the number of callers on which the mean, minimum and maximum age were based ranged from a low of 1,189 to a high of 1,189.

117. Utilization FY10 – Level of Education US QuitlineNumber of Callers NMissingMinMaxMeanMedian US (N=52) < Grade 9223051,845357122 Grade 9-11, no degree2329189,3241,454558 GED/HS degree23294933,7594,2032,039 Some college or university23293727,2393,5111,545 College or university degree23292318,1301,794486

118. Utilization FY10 – Level of Education US

119. Utilization FY10 – Level of Education Canada QuitlineNumber of Callers NMissingMinMaxMeanMedian Canada (N=10) < HS28171328250 HS diploma28201332267 Some post-secondary education without degree 28014271 Registered Apprenticeship 28218795 College, CEGEP 280268134 University degree 19337

120. Level of Education – Canada FY10

121. Utilization FY10– Ethnicity and Race US QuitlineNumber of Callers NMissingMinMaxMeanMedian US (N=52) Hispanic or Latino242835,1151,033178 White232912164,8018,6385,457 Black or African American 2329211,1501,142251 Asian232901,77814921 Native Hawaiian or Pacific Islander 2230066145 American Indian or Alaskan Native 2329088117276 Other242814,053594123

122. Utilization FY10–Ethnicity US

123. Utilization FY10–Race US

124. Utilization FY10 – Race Canada QuitlineNumber of Callers NMissingMinMaxMeanMedian Canada (N=10) White19592 Aboriginal (Native Indian, Métis, Inuit) 1921 Asian1913 Other1930

125. Utilization FY10 – Sexual Orientation QuitlineNumber of Callers NMissingMinMaxMeanMedian US (N=52) Straight1042126421,8078,3547,616 Gay or lesbian1042 39679234209 Bisexual1042 21473161113 Transgender 745217911 Other 745077142 Refused 745054511719 Missing 7452011,9801939142

126. Utilization FY10 – Sexual Orientation QuitlineNumber of Callers NMissingMinMaxMeanMedian Canada (N=10) Straight19733 Gay or lesbian 1912 Bisexual 198888 Transgender 010.... Other 010.... Refused 199999 Missing 1945

127. Insurance Status of Callers FY10 QuitlineNumber of Callers Insurance TypeNMissingMinMaxMeanMedian US (N=52) None 21311627,4654,1191,650 Gov’t Provided (Medicare, Medicaid, etc.) 20322724,3333,7961,276 Private 20326747,5714,357835 50 US quitlines (96%) reported that they collect information on the insurance status of callers who receive services. 20 were able to report on insurance status for the population of tobacco users receiving evidence-based services. The types of insurance quitlines collect information about include:

128. Insurance Status of Callers FY10

129. Utilization FY10–Registrants for Web-based Services NMissingMinMaxMeanSum US (N=52) Registrants for web-based cessation services integrated with the quitline 2329143,9075818133,819 Registrants for web-based cessation services NOT integrated with the quitline 9432096,883238821,496 Canada (N=10) Registrants for web-based cessation services integrated with the quitline 010---- Registrants for web-based cessation services NOT integrated with the quitline 7339,5411,54310,801

130. Canadian quitlines received proportionally more registrants for web-based cessation services than US quitlines

131. EVALUATION

132. Evaluation FY10 38 US quitlines (73%) and 2 Canadian quitlines (20%) conducted follow-up evaluations in FY10 Most quitlines had follow-up evaluation conducted by: staff other than quitline staff (e.g., internal evaluation unit) (US n=20; Canada n=0), an outside evaluation firm (US n=15; Canada n=1) Next most commonly cited was evaluation conducted by: quitline staff (US n=5; Canada n=1) the funding agency (US n=1) an other source (US n=1)

133. Evaluation FY10 The types of evaluation data collected by those quitlines that conduct follow-up evaluations include: Customer satisfaction: US (71%, 37), Canada (20%, 2) Quitting outcome: US (73%, 38), Canada (20%, 2) Staff performance: US (25%, 13), Canada (10%, 1) Other: US (2+%, 10), Canada (10%, 1)

134. Evaluation – Sampling Strategy FY10 The sampling strategy used by Quitlines for follow-up evaluations include: Random sampling: US (42%, 22), Canada (0%, 0) Census Sampling (all callers): US (23%, 12), Canada (10%, 1) Continuous sampling (year-round): US (17%, 9), Canada (10%, 1) Cohort sampling (time-limited): US (21%, 11), Canada (20%, 2) Periodic sampling (within one year or across multiple years): US (2%, 1), Canada (0%, 0) Other sampling: US (8%, 4), Canada (20%, 2)

135. Evaluation – Sampling Time Points FY10 N% US (N=52) 3 months after registration/first contact1019 4 months after registration/first contact815 6 months after registration/first contact1121 7 months after registration/first contact2752 12 months after registration/first contact1019 13 months after registration/first contact917 Canada (N=10) 3 months after registration/first contact110 7 months after registration/first contact220 12 months after registration/first contact110 Other110

136. Evaluation – Sampling Criteria FY10 US (N=38) Canada (N=2) Sample all those who… N%N% Call (regardless of reason)411%-- Are current tobacco users at first call1026%150% Are former tobacco users at first call38%150% Are 18 years and older1745%150% Register for counseling1539%-- Receive counseling (begin first call)1539%150% Receive medications13%-- Consent to follow-up2976%150% Set a quit date38%150% Complete all counseling session25%-- Other1334%150%

137. Funding Sources for the FY 2010 NAQC Annual Survey of Quitlines Centers for Disease Control and Prevention, Office on Smoking and Health American Legacy Foundation NAQC Membership Dues

138. Recommended Citation: North American Quitline Consortium. 2011. Results from the 2010 NAQC Annual Survey of Quitlines. Available at http://www.naquitline.org/?page=survey2010.

139. 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 1300 Clay Street, Ste. 600 Oakland, CA 94612 Ph: 800-398-5489 x702 Email: jsaul@naquitline.orgjsaul@naquitline.org