Canadian Network of Smokers Helplines CNSH

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Canadian Network of Smokers Helplines (CNSH)

• Cross-Sectoral Collaboration to Improve Smoking
  Cessation Services

Diana Dampier, CNSH Co-Manager CDPAC National
Conference November 6, 2006
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CNSH Presentation Overview

• Link to Conference Theme
• Building Partnerships
• Building and Sharing Knowledge

• What are smokers helplines and their benefits?
• Intersectoral collaboration to improve cessation
  services- forming the CNSH and results to date
• What weve learned so far
• Link to chronic disease prevention

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What are smokers helplines (SHL)?

• A population health approach to smoking cessation
  involving free, telephone-assisted counselling
  and referral to community services and resources.

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Smokers Helplines in Canada

• Call Centre Role
• Counselling and referral by trained counsellors
• Provincial Linkages Role
• Maintain database of local cessation programs and
  resources for referral of callers
• Responsible for promotion, community outreach and
  networking for referral to quitlines

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Smokers Helplines
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Benefits of Smokers Helplines

• Effective and Cost-effective program
• 8.9 30 Day Quit rate at 6 month follow-up
• High levels of satisfaction
• Almost 90 of callers take some action
• Ripple effect warrants more research
  (preliminary data show 11 of callers in Ontario
  report someone else quitting as a result of their
  call). Also some evidence of spontaneous quitting
  from promotion only
• Accessible (no travel or childcare arrangements,
  no geographic, economic or physical barriers,
  confidential, anonymous)
• Can serve as a triage service for a range of
  cessation programs and resources customized to
  the needs of the caller.
• Can be an integral component within a
  comprehensive tobacco control strategy

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Smokers Helplines in Canada

• Very new all started between 1999 and 2003
• Reactive and proactive calls
• Serve smokers and proxy callers
• Territories provide telephone referral
• Different models of funding, operation and
  promotion for each province
• Common evaluation framework with the development
  of the Minimal Dataset for North America (Sharon
  Campbell, CBPRE lead this with the North American
  Quitline Consortium (NAQC)

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Process for Collaboration

• 2003 - Partnership of Canadian Council for
  Tobacco Control and the Canadian Cancer Society,
  funded by Health Canada.
• Extensive research and consultation with variety
  of stakeholders
• Composite report of recommendations for forming a
  Canadian Network presented to stakeholders for
  input and agreement
• Network launched informally in March 2004

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CNSH Mission

• The Canadian Network of Smokers Helplines
• strives to improve public health and reduce
• tobacco use by maximizing quitline
• effectiveness.

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Mission Objectives

• Foster collaborative leadership
• Provide a forum to share, collaborate and develop
  knowledge and best practices
• Increase access to evaluation and research
• Increase support for SHL sustainability
• Increase acceptance of SHL as important to
  cessation among public and intermediaries
• Leverage resources and create cost savings

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CNSH Members
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Network ModelDiverse inter-sectoral stakeholders
working together for a common purpose
CNSH Members
CNSH Secretariat hosted by the CCS National
05-07 Provides coordination, communication,
collaborative strategic planning and undertakes
much of the day-to-day work, although members can
also take the lead on projects
Coordinating Committee- Fosters Collaborative
Leadership Working Groups as needed
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CNSH Results first 2 years( in brackets refer
to the related mission objective)

• National Promotion Project (1, 2, 3,5)
• Funding discussion paper (4)
• Professional development opportunities(3,6)
• NRT discussion paper (3, 6)
• Business Case for Promotion (3,4,5,6)
• Support Canadian Evaluation Framework (3,2)
• Internal Communications -e-Bulletin, topic
  specific teleconferences (2,3)
• Contribute to the North American Quitline
  Consortium (NAQC) (2,3)

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Promotion Project Example

• Knowledge synthesis of SHL promotion best
  practices
• Meeting of stakeholders to identify priority
  target markets for promotion project based on
  market research
• Development and focus testing of key messages for
  smokers 35-55 and family physicians
• Production of print radio ads, PowerPoint
  presentations, VNR, B-Roll, customized for use by
  provincial SHL based on focus test findings
• Development physician kits and journal ads and
  disseminated them in 2 leading journals

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Customized Print Ad - PEI
Newspaper print ad
TV Guide Ad
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Ontario Newspaper Print
Saskatchewan Jumbotron
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What weve learned

• Respect provincial differences and be flexible to
  accommodate individual needs.
• Consult widely, learn from each other, learn from
  research and best practices and prioritize
• Evaluation of the network has highlighted what
  the CNSH is doing well and areas for improvement

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CNSH Link to Chronic Disease Prevention

• Tobacco is an important risk factor
• CNSH model may be transferable to other areas of
  chronic disease prevention
• Explore idea of minimal telephone intervention
  and referral for other areas of chronic disease
  prevention
• Forming a consortium with the US and other
  countries can be beneficial.
• Common evaluation indicators across provinces and
  countries helpful to allow for comparability and
  best practice development

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Call to Action

• If you can see the benefit of linking with a SHL
• Contact provincial smokers helpline coordinator
• Inquire about the fax referral system
• Inquire about promoting the quitline to your
  members / patients
• Include SHL information in your communication
  channels e.g. canned article for association
  newsletters and listserves
• Link your website to provincial SHL website
• Include quitline number in related mass media
• Contact CNSH if you are a national organization

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Thank-You!
Contact Diana.Dampier_at_rogers.com www.smokershelp
lineworks.ca