| The impact of a free nicotine patch starter kit on quit rates in a state quit line. | |
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MedLine Citation:
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PMID: 19023843 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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All states offer telephone quit lines but they are under-used in part because of the costs associated with promotion. Offering nicotine replacement therapy (NRT) as well as behavioral counseling can increase treatment participation and abstinence rates, but is expensive. Offering less than a full NRT 8-week course can also generate calls to the quit line but less is known about its impact on program outcomes. In October 2004, Oregon--a state with over 3 million people, 500,000 smokers, and a state-funded quit line--introduced the Free Patch Initiative: a free 2-week introductory supply of NRT with phone counseling offered to all callers. We examined the impact of this intervention among insured callers. Most (97.2%) requested free patches, 86.2% used them, and 47.2% obtained additional patches on their own. Six-month outcome data were obtained from insured quit line participants before (n = 268) and after (n = 614) the Initiative launched. Compared with pre-Initiative controls, Free Patch participants were more satisfied with the quit line (84.8% vs. 89.8%; p = .04) and had higher 7-day quit rates using the assumption that eligible nonrespondents are smokers (9.3% vs. 17.0%, OR = 2.0; 95% CI 1.4-2.8) and using respondent only analysis (19% vs. 33.6%, OR = 2.15; 95% CI 1.52-3.04). Offering a free direct mail starter pack of NRT along with telephone counseling is an effective, cost-sharing method for promoting quit line use, enhancing participant satisfaction, and increasing the reach and effectiveness of quit lines among quit line callers with health insurance. |
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Authors:
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Terry M Bush; Tim McAfee; Mona Deprey; Lisa Mahoney; Jeffrey L Fellows; Jennifer McClure; Cathryn Cushing |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco Volume: 10 ISSN: 1462-2203 ISO Abbreviation: Nicotine Tob. Res. Publication Date: 2008 Sep |
Date Detail:
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Created Date: 2008-11-21 Completed Date: 2009-01-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9815751 Medline TA: Nicotine Tob Res Country: England |
Other Details:
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Languages: eng Pagination: 1511-6 Citation Subset: IM |
Affiliation:
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Free & Clear, Seattle, WA 98104, USA. terry.bush@freeclear.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Administration, Cutaneous Adult Combined Modality Therapy Confidence Intervals Counseling / economics, methods* Female Humans Male Middle Aged Nicotine / administration & dosage*, economics Nicotinic Agonists / administration & dosage* Odds Ratio Oregon / epidemiology Smoking Cessation / economics, methods* Telephone Tobacco Use Disorder / economics*, therapy* Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Nicotinic Agonists; 54-11-5/Nicotine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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