Outcomes and Cost-Effectiveness of Two Nicotine Replacement Treatment Delivery Models for a Tobacco Quitline

Jessie E. Saul, Rebecca Lien, Barbara Schillo, Annette Kavanaugh, Ann Wendling, Michael Luxenberg, Lija Greenseid and Lawrence C. An
Additional contact information
Jessie E. Saul: North American Research & Analysis, Inc., 1016 11th Ave. NE, Faribault, MN 55021, USA
Rebecca Lien: Professional Data Analysts, Inc., Minneapolis, MN 55414, USA
Barbara Schillo: ClearWay MinnesotaSM, Minneapolis, MN 55425, USA
Annette Kavanaugh: Professional Data Analysts, Inc., Minneapolis, MN 55414, USA
Ann Wendling: ClearWay MinnesotaSM, Minneapolis, MN 55425, USA
Michael Luxenberg: Professional Data Analysts, Inc., Minneapolis, MN 55414, USA
Lija Greenseid: Professional Data Analysts, Inc., Minneapolis, MN 55414, USA
Lawrence C. An: General Medicine, University of Michigan, Ann Arbor, MI 48109, USA

IJERPH, 2011, vol. 8, issue 5, 1-13

Abstract: Many tobacco cessation quitlines provide nicotine replacement therapy (NRT) in the U.S. but consensus is lacking regarding the best shipping protocol or NRT amounts. We evaluated the impact of the Minnesota QUITPLAN ® Helpline’s shift from distributing NRT using a single eight-week shipment to a two-shipment protocol. For this observational study, the eight week single-shipment cohort (n = 247) received eight weeks of NRT (patches or gum) at once, while the split-shipment cohort (n = 160) received five weeks of NRT (n = 94), followed by an additional three weeks of NRT if callers continued with counseling (n = 66). Patient satisfaction, retention, quit rates, and cost associated with the three groups were compared. A higher proportion of those receiving eight weeks of NRT, whether in one or two shipments, reported that the helpline was “very helpful” (77.2% of the single-shipment group; 81.1% of the two-shipment group) than those receiving five weeks of NRT (57.8% of the one-shipment group) (p = 0.004). Callers in the eight week two-shipment group completed significantly more calls (3.0) than callers in the five week one-shipment group (2.4) or eight week single-shipment group (1.7) (p vs. $326) due to the savings associated with not sending a second shipment to some participants. Assuming no difference in abstinence rates resulting from the protocol change, cost-per-quit was lowest for the five week one-shipment group ($1,155), and lower for the combined split-shipment cohort ($1,242) than for the single-shipment cohort ($1,350). Results of this evaluation indicate that while satisfaction rates increase among those receiving more counseling and NRT, quit rates do not, even when controlling for demographic and tobacco use characteristics.

Keywords: tobacco cessation; program evaluation; cost effectiveness; cessation medications; NRT; nicotine replacement therapy (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2011
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