Colorado Tobacco QuitLine David Tinkelman, MD

Tobaccos Toll In Colorado 17.9% of the states adult population smoke cigarettes This is approximately 626,000 residents 85% report they want to quit 53% reported attempting to quit Only 3% reported being successful in their quit attempt

Population Impact Maximize resources to reach a larger population using evidence based strategies to achieve broader Impact Reach x Efficacy = Effect

The Telephonic Program A seven day per week bilingual Intake Call Center A comprehensive smoking history completed with a tobacco cessation quit coach Proactive, positive coaching sessions including information on pharmacotherapy, second hand smoke, establishing a smoke free environment at home and work Relapse prevention strategies NRT provided to those medically eligible

Program Age for Registration The Colorado QuitLine can provide services to anyone age of 15 and over, however if someone under the age of 18 is referred through the Fax form, their parent/guardian must sign the form for them.

NRT Program Participant must be: Enrolled in Coaching 18 years or older Medically eligible 8-Weeks free Nicotine Patches and Gum 21 mg, 14 mg, or 7 mg patches 2 mg or 4 mg Gum 4-weeks at time of enrollment (TQ) Additional 4-weeks if they smoke more than 20 cigarettes and remain in the coaching program

Medical Precautions Uncontrolled high blood pressure Heart disease Pregnancy or breastfeeding. Prior to recommending NRT, Coaches ask about:

Effect of NRT on Intake Volume Intake Volume 2005 Average 366 per Month Intake Volume 2007 Average 3200 per Month

How I Heard About Quitline

Fax Referral Program At this time, we accept Faxes only - The form only needs to be signed if the MD wants to approve NRT – if the MD just wants the patient in Coaching, we just need the participant signature. A healthcare provider is one who has prescribing authority and is responsible for this patient receiving NRT This MD consent form indicates that the provider understands this person has a medical problem listed in the Package Insert and is giving medical clearance for the individual to participate.

Outcomes One Year Post NRT Intake Volumes Quit Rates

Post Launch Call Volumes Per Day Averages

NRT Utilization As of March 31, 2007 Total 4-week Orders = 68,280 Total TQs (Tobacco Questionnaires – 1 st Coaching Session) 49,508 – Total TQs 45,000 NRT Orders 1 st 4-weeks (91%) 23,280 NRT Orders 2 nd 4-weeks (47%)

Tobacco Cessation Data These data include the first 12 month quit rates from our independent research partner.

Colorado QuitLine FOLLOW-UP QUIT RATES Post-NRT (December 15, 2005 – January 31, 2007) Call NumberNumber Attempted Number Reached Number Quit Responder Quit Rate ITT Rate ALL CALLERS (Regardless of Coaching or NRT status) 6 Months10,1304,1331, %14.0% 12 Months1, %12.5% SELF-GUIDED PARTICIPANTS 6 Months1, %6.0% 12 Months %6.1%

Colorado QuitLine FOLLOW-UP QUIT RATES Post-NRT (December 15, 2005 – January 31, 2007) Call NumberNumber Attempted Number Reached Number Quit Responder Quit Rate ITT Rate COACHING PARTICIPANTS RECEIVING NRT 6 Months8,0503,5331, %15.7% 12 Months %15.1% COACHING PARTICIPANTS NOT RECEIVING NRT 6 Months %10.6% 12 Months %7.6%

QuitLines Continued Growth As of January 31, 2008: The Colorado Tobacco QuitLine has reached: Over 116,000 Coloradoans-

Barriers to QuitLine Reach to varied populations Those in underserved populations Those who would rather not use the telephone as their means of smoking cessation support To receive NRT, the participant has to have a phone # so that they can receive coaching and an address to send the NRT product to

Approaches to Barriers Increased marketing efforts in underserved populations Coordination with physician communications Varied marketing efforts to underserved populations that are language and culture specific Broader cessation support products Face to face programs New interactive Internet program

Program Offered in English and Spanish Approximately 25% of the National Jewish Quitline staff bilingual. For other languages, the National Jewish Quitline utilizes Tele-Interpreters, a service to provide Phone Interpreters. Within seconds, the Quitline Coach, an interpreter, and the non-English speaker are connected for real-time telephone interpretations. This service is available in more than 150 foreign languages, during all hours of Quitline operation. In addition, a TDD line ( ) is in place for the deaf and hard of hearing.

Colorado QuitLine Website An integrated web-based program available to all Coloradoans Offers 24/7 support Interactive programs Interface to QuitLine NRT not available to those in the web-only program

COLORADO QUITLINE WEBSITE HOMEPAGEHOMEPAGE

SUPPORT TEAM PAGE

MY QUIT TOOLS PAGE

SMOKING CALCULATOR PAGE

FAQS PAGE

National Jewish is both proud and pleased to provide the QuitLine telephonic and web-based services to the residents of Colorado. The QuitLine program has reached and helped a significant proportion of smokers in Colorado and has played a role in the overall reduction of smoking prevalence within the State. Summary