Summer 2006

H e a l t h   P r o m o t i o n
Report confirms effectiveness of Smokers’ Helpline


Submitted Photo

CARE wins award The Physicians CARE referral program was recently honored with a Pinnacle award for community relations, presented by the provincial chapter of the International Association of Business Communicators. Accepting the award were NLMA communications director, Lynn Barter (right), and Niki Legge of the Smokers’ Helpline, from Pinnacle sponsor, Dennis Dillon, of Steele Communications.

The University of Waterloo recently released a report detailing the effectiveness of several Canadian smokers’ help lines. The report suggests that quit lines can double or triple an individual’s success in quitting.

By Mary Lynn Pender

The University of Waterloo recently released a report detailing the effectiveness of several Canadian smokers’ help lines, including the Newfoundland and Labrador Smokers’ Helpline.

The report suggests that quit lines can double or triple an individual’s success in quitting. At the six-month follow-up, 90 per cent of callers to the Newfoundland and Labrador Smokers’ Helpline had taken action in quitting — either quitting for at least 24 hours, setting a quit date, or cutting down.

Most callers are taking full advantage of services available from the quit lines and are very satisfied with the service they receive. Callers who receive proactive calls are more successful in quitting smoking than those who did not. At the six-month follow-up with service users, the quit rates were:

  • 18.9 per cent smoke-free for preceding seven days

  • 16.1 per cent smoke-free for preceding 30 days

  • 9.4 per cent smoke-free for preceding six months

Generally, the quit rate for individuals without additional support is less than five per cent.

A recent meta-analysis of quit-line studies confirmed that proactive telephone counseling is very effective in helping individuals quit smoking (Stead et al., 2004). As well, studies clearly show that multiple counseling sessions are more beneficial than a single counseling session.

Such evidence supports the NLMA’s recommendation that physicians refer patients who use tobacco to the Smokers’ Helpline. Research indicates that smokers are three times more likely to try to quit if their doctor recommends it, and are three times more likely to connect with supportive programs when recommended by a doctor.

The Smokers’ Helpline is a free, evidence-based service offering a variety of programs to help individuals take action in quitting. It offers a counseling services (telephone, group and internet-based), and self-help materials. When it was launched in 1999, its protocols and methods for helping smokers were developed in consultation with other successful quit lines internationally and from the identified needs of people in this province; the overall framework for helping smokers is based on Prochaska’s Model of Change.

The Smokers’ Helpline Physician CARE Fax Referral Program makes it easy to connect patients with tobacco cessation services, and ensures that patients will receive a proactive counseling call from the Helpline. The program is an evidence-based service that was developed based on the Arizona Smokers’ Helpline successful fax referral model. Since its launch in February 2004, the provincial program has been an outstanding success, resulting in a 200 per cent increase in caller volume. Currently, 67 per cent of smokers come from the CARE fax referral program. While a number of other health providers refer patients to the service, physicians are responsible for referring 2,199 of the 2,654 new clients from CARE.

Fax referral programs have a great impact on the reach and utilization of quit lines. Currently, the Newfoundland and Labrador Smokers’ Helpline is successful in reaching and providing services to approximately 1.5 per cent of the tobacco-using population in the province each year (the highest reach for any quit line in Canada). Research indicates that with promotion and fax referral programs, quit lines have the potential to reach up to 10 per cent of the tobacco-using population.

To date, 273 different physicians are participating in the Physicians CARE program to help smokers quit. To get involved in this quick, effective and evidence-based service, simply call the Smokers’ Helpline at (800) 363-5864 to receive a free referral kit.

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