Utilization and effectiveness of telephone counseling for African-Americans

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Utilization and effectiveness of telephone
counseling for African-Americans
Empirical and experimental research
Prepared for the NAQC Seminar, Ensuring Quality
Quitline Services to Priority Populations
Challenges and Opportunities Vance Rabius,
PhD October 9, 2009
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Quitline and Disparities
Is Quitline relevant in our efforts to alleviate
disparities in health care for African-Americans?
Do African-Americans use Quitline? Quitline
use is a function of promotion. Do
African-Americans benefit from Quitline?



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Empirical Research Partners



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Quitline Utilization
African-Americans tend to use Quitline services
in proportions greater than their representation
in the smoking community Texas - 2001-2008 -
28,559 Quitline callers 18 of Quitline callers
and 9 of Texas smokers and 12 of Texas
population are African-American Louisiana -
2005-2008 - 13,861 Quitline callers 33 of
Quitline callers and 26 of Louisiana smokers
and 33 of Louisiana population are
African-American Washington DC - 2006-2008 -
3,050 Quitline callers 89 of Quitline callers
and 63 of Washington DC smokers and 57 of
Washington DC population are African-American



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Clinical Trial I - 2000-2001
Design 2-group treatment/control Self-help
materials vs. self-help materials and access to
up to 5 telephone counseling sessions Phase I
II 3522 clients Results Counseling benefits
young adult smokers Health Psychology Article


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Quitline Benefits
African-Americans tend to benefit from Quitline
services at rates comparable to European-Americans
Quit Rates as a Function of Treatment and
Race/Ethnicity



African-American
European-American
N 3523, 15 African-American - Clinical Trial I
- Presented at the 23rd Annual Meeting of the
Society for Behavioral Medicine, Washington, DC (
April 2002)
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Clinical Trial II - 2002-2004
Effects of number and duration of counseling
sessions talk time boosters 6,322
participants 3 x 2 plus control 3 counseling
protocols w/ or w/out access to
boosters Tobacco Control Article


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Quitline Benefits by Race/Ethnicity
African-American Quitline callers tend to display
comparable rates of current depressive mood and
comparable quit rates as European-American
callers African-American - 45.2 Sad or
Blue European-American 45.5 Sad or Blue
Quit Rates as a Function of Treatment and
Race/Ethnicity



African-American
European-American
N 6,322, 17 African-American - Clinical Trial
II - Presented at the 2007 Cancer Disparities
Conference, New Orleans, Louisiana ( April 2007)
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Citations Rabius, V, McAlister, AL, Geiger, A,
Huang, P, Todd, R. (2004). Telephone Counseling
Increases Cessation Rates among Young Smokers.
Health Psychology, 23, 539-541. Rabius, V, Pike,
KJ, Hunter, J, Wiatrek, D, McAlister, AL.
(2007). Effectiveness of Frequency and Duration
in Telephone Counseling for Smoking Cessation.
Tobacco Control. 16, Suppl 1, i71-i74. Contact
information Vance Rabius, PhD Senior
Scientist American Cancer Society National Cancer
Information Center 11701 Stonehollow
Drive Austin, TX 78758 512-997-3920 -
phone [phone] - fax vrabius_at_cancer.org -
email