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Briefings | ActionToQuit – Advancing Tobacco Control Policy

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(Access to Coverage of Tobacco Treatment In Our Nation)

Partnership for Prevention

Shaping Policies | Improving Health


Decline in Wisconsin Smoking Rates Linked with Cessation Outreach Program

(Full monthly briefing)

July 1, 2010

Smoking rates in Wisconsin have fallen by almost 20 percent since 2000. In 2000, the University of Wisconsin Center for Tobacco Research and Intervention (UW-CTRI) launched the Wisconsin Cessation Outreach Program – a population-wide effort to increase the availability and use of evidence-based clinical treatment for tobacco dependence. The Outreach program is funded by the Wisconsin Department of Health Services.

The program was intended to change the standard of health care in the state so that tobacco users were universally identified and received intervention.  The program has succeeded in implementing five program strategies that have been associated with important tobacco cessation outcomes:
• training and technical assistance for clinicians,
• technical assistance to help health systems change to routinely provide tobacco-dependence treatment,
• include evidence-based cessation treatment as a covered insurance benefit and reduce barriers to treatment,
• provide quit line services to all state residents and integrate it with routine medical services, and
• reduce tobacco-related disparities by increasing treatment availability for priority populations.

About 24 percent of all adults in Wisconsin smoked in 2000 – when the program began –compared with less than 20 percent today. Progress has been achieved in several other areas as well, including:
• smokers who made a serious quit attempt have increased from 46 percent in 2003 to 59 percent in 2008,
• insured Wisconsin residents with a health plan that covered tobacco cessation medications increased from 68 percent in 2002 to 88 percent in 2006,
• more than 10,000 clinicians have received training in evidence-based tobacco dependence clinical interventions, and
• the Wisconsin Tobacco Quit Line has fielded more than 150,000 calls.

The full article on this study is at http://viewer.zmags.com/publication/b00fa6ae#/b00fa6ae/16.

Evaluation of Fax to Quit Referrals to Wisconsin Tobacco Quit Line

Fax to Quit is a strategy to increase the reach and use of quit lines through provider-initiated fax referrals from health care settings.  In Wisconsin, the fax referral program has been set up at more than 500 clinic sites across the state and has generated over 17,000 referrals since 2003.  Under the program, tobacco users identified by a health care professional as interested in quitting in the next 30 days and willing to accept calls from the quit line sign a consent form.  The form is faxed to the quit line and the tobacco user is called within 3 days by a quit coach.

A telephone survey of quit line callers was conducted three months after they received quit line services.  A sample of callers who were referred by health professionals either through the Fax to Quit program or by advice were compared to determine their satisfaction with the quit line as well as their quit attempts and tobacco abstinence. Fax to Quit-referred users of the Wisconsin Tobacco Quit Line reported higher short-term (30-day) abstinence than other users of the quit line (46.8% vs. 32.7%).  Both groups had high levels of satisfaction with the services.

The full study is at http://viewer.zmags.com/publication/b00fa6ae#/b00fa6ae/24.


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