Efficacy and Cost of State Quitline Policies

Summary

State-sponsored anti-tobacco campaigns are motivating large numbers of smokers to seek advice, assistance, and support to make their cessation efforts more successful. Like many states, Oregon has sponsored the implementation of a statewide telephone quitline to provide information, referrals, and cessation support for callers. This study will answer key policy questions about how to most effectively support smokers who call the Oregon Quitline for assistance. The specific aims are to recruit 4,500 callers to participate in a 3 x 2 randomized trial comparing the cost and cost effectiveness of three levels of behavioral intervention. We will also test two different policies on the availability of nicotine patch therapy. Subjects will be interviewed by telephone at 6 and 12 months to assess smoking status, quit attempts, and use of health plan anc community cessation services. Costs will be assessed separately from the perspectives of the patients, health plans, the State (i.e., Oregon Quitline), and society. Cost per quit and cost per year quality-adjusted years of life saved will be calculated from each of these perspectives.

Conditions

• Smoking Cessation
• Tobacco Use Cessation
• Cost-effectiveness

Interventions

BEHAVIORAL

Multi-session telephone counseling

DRUG

NRT patches

Sponsors & Collaborators

• National Cancer Institute (NCI)

  collaborator NIH

• Department of Human Services, Oregon

  collaborator OTHER_GOV

• Kaiser Permanente

  lead OTHER

Principal Investigators

• Jack F. Hollis, PhD · Kaiser Permanente Foundation Hospitals/Center for Health Research

• Timothy A McAfee, MD · Group Health Center for Health Promotion

• Michael J Stark, PhD · Oregon Health Division/Center for Disease Prevention Epidemiology

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Model

FACTORIAL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2000-06-30

Primary Completion

2005-01-31

Completion

2005-01-31

Countries

• United States

Study Locations