Use and Reach of NRT through the Maine Tobacco HelpLine Susan Swartz, MD Tim Cowan, MSPH Ken Lewis Joan Klayman, LCSW Center for Tobacco Independence.

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Presentation transcript:

Use and Reach of NRT through the Maine Tobacco HelpLine Susan Swartz, MD Tim Cowan, MSPH Ken Lewis Joan Klayman, LCSW Center for Tobacco Independence

FUND for Healthy Maine Master Settlement Revenue 90% Health-related programs –home services, substance abuse, oral health, Rx for Elderly, school health Surviving budget deficits

Partnership for Tobacco Free Maine Treatment Initiative Maine Tobacco HelpLine NRT Voucher Program Professional Education and Training

HelpLine Callers 90% of callers are tobacco users 90% speak to a Specialist 30.4% have no insurance 21.6% are Medicaid recipients

Medication Voucher Program Uninsured or no medication benefit Willing to have proactive calls NRT patch & gum - 8 wks (4 wks ea.) Access through HelpLine Expanded to community clinics

Paperless Medication Delivery Caller chooses any pharmacy Electronically submitted to pharmacy benefit management company 95% pick up the medication 47% obtain a second month of Rx

HelpLine Callers & Services Provided August 22, December 31, 2004 NRT > 3% of smokers

Reach of Maine Tobacco HelpLine Reach of Maine Tobacco HelpLine Callers vs. Maine Smokers

Reach of Maine Tobacco HelpLine Reach of Maine Tobacco HelpLine Callers vs. Maine Smokers ( ) Smokers in Maine* HelpLine Callers years20%11% years42%43% years29%40% 65 + years 9% 6% Women46%58% Less than High School15%13% High School45%47% More than High School40%39% * Maine Adult Tobacco Survey

Utilization of Free Nicotine Therapy Smokers Eligible for Free NRT Smokers Given NRT

NRT Use Among Voucher-Eligible Callers Provided Counseling, by Age & Gender Age Group

NRT Use Among Voucher-Eligible Callers Provided Counseling, by Insurance

Six-month Quit Rates by HelpLine Services Delivered

Direct Services Cost-Benefit Counseling $114 NRT “quit episode” $125 Counseling plus NRT$230 Cost per Quitter$626 - $1,091 * * Higher number uses intent-to-treat quit rates at 6 months