The Spanish Quitline Network. The case study of the Catalonia Quitline Dolors Marin Tuyà Psychologist specialist in Clinical Psychology Public Health Directorate.

The Spanish Quitline Network.

The case study of the Catalonia Quitline

Dolors Marin TuyàPsychologist specialist in Clinical Psychology

Public Health Directorate. Health Department of Catalonia

European Network of QuitlinesRoma, 10-11 December 2007

The spanish Quitline Network

• Every Autonomous Community develops a specific Plan, the common main focus, the implementation of the law 28/2005. – Different levels of development and different

priorities.

• Annual Conference on Tobacco treatment and Prevention, October 2007– Quitlines were not a specific subject (only a poster

by the Catalan Quitline was presented and accepted).

3

The existing Spanish Quitlines, 2007

• Madrid – “Vida sin tabaco” (“Tobacco free life”). Based in Carlos III Hospital. Novartis. It

gives reactive and proactive advice and covers all Spain.– Web developed by the Municipality– Planning a Quitline by the Autonomous community

• Castilla-Leon– An small Quitline that gives reactive advice and information about the law

28/2005.

• Andalusia: – Operating a public Quitline, directed by psychologists.

• Catalonia Quitlines Working Group.

4

Evaluation of the 1st year of the Catalan working group.

• launched by the Catalan Health Department • Includes the two lines functioning in Catalonia:

– “Sanitat Respon” (“Health answers”) a general health information line with a specific group focussed on Mental health risk that provided advice in Catalonia in a reactive approach between 2004-6 and information about the law 28/2005 .

– “Respira sin humo” (“Smoke free breath”). Based in Bellvitge Hospital (BCN). Sponsored by Pfizer and some Public Institutions. It was launched at the end of 2005.

– And the Health services to help smokers quit (coordination meeting

• Aiming to develop a two level structure with “Sanitat respon” acting as gatekeeper and “Respira sin humo” providing more specialised advice and support.

Some Catalonia data on tobacco use

• 7,000,000 inhabitants

• 29.4% of adults smoke

• 48.4% (approx. 835,000) want to quit

• 73.3% are young (15-44 years old)

Want to quit48%

ESCA, 2006

Community Programs (as Quit&Win)

Smoke-free pregnancy Program

Network of Smoke-free Primary Care Centres

(225)

22 Specialized units

Network of Smoke-free Hospitals

(46, 15 with patient program)

Health services to help smokers quit

Helping smokers Services

Helping smokers Services

Private health services

Workplace Health Services / HMO

Pharmacies

71

35

3

3

18

9

1

5

1

9

4

13

12

4

7

3

1

1

4

2

1

1

3

2

11

1

Network of Smoke free Network of Smoke free Primary Care CentresPrimary Care Centres

1

5

3

225 Centres

37.757 smokers quit during 2006

(data based on 80% of centres; ICS)

22 Specialized Units

3

2

2

4

1

1

3

6

More than 2.000 smokers visited in 2006

During 2006 2350 freefree pharmacological treatments for:•hospitalized people, •role model professionals and •people living in deprived areas

(300,000 €)

Free Pharmacological treatment

Community Programs (as Quit&Win)

Smoke-free pregnancy Program

Network of Smoke-free Primary Care

Centres (225)

22 Specialized units

Network of Smoke-free Hospitals

(46, 15 with patient program)

Health services to help smokers quit

Helping smokers Services

Helping smokers Services

Private health

services

Workplace Health Services

Pharmacies

Quitline Characteristics

Catalonia Health Department launched on the second of June 2007 a proactive public quitline based on the service “Sanitat Respon”– 24 hours /365 days /year. – People do and pay the first contact call (approx 0,5€)– Trained nurses are responsible for the service provided, they

establish a therapeutic plan tailored to people characteristics and needs and based on a series of free calls.

– Can be used as an unique method and as a complementary resource.

– Phone number (SR): 902 111 444

• The service has an specific software to collect, to organize the information and to guide the intervention: • users characteristics,• motivation to quit,• tobacco use and dependence• Environment/support• skills

• Total calls 837 (received /made) • from / to 341 different users. • 50,6% male. • Median of Age 43 years

P25: 35

P75: 53

Range 19 to 81.  

Characteristics of people calling to the quitline

in the first 3 months (june-July and Augost 2007)

Want to quit now66,8% Want to quit with

intensive help19,7%

Quit before call 11,5% Doubtful

2,0%

At the first call

97,7

57,3

87,5

72,5

62,8

98,1

61,6

91,2

74,5

66,4

97,3

52,7

83,6

58,9

70,6

0 10 20 30 40 50 60 70 80 90 100

Importance

Confidence

Previous intents

Cig/day

Smoke at first 30

minutes

%

Total Male Female

23,3% > 25

37,8% > 25

30,8 > 25

30,2 > 332,7 >

327,6% > 3

P=0,038

Tobacco use, dependence and motivation to quit

Environment

49,7

52,6

81,4

47,6

46,2

63,2

81,3

51,6

53,8

41,6

81,5

43,6

0 10 20 30 40 50 60 70 80 90 100

Family

Workplace

Friend

Partner will help to

quit

%

Total Male Female

• The main concerns of quitline users were– anxiety – weight increase (more frequent in women). – and not being capable to quit

• 15,9% set a quit date at the first call .

Concluding remarks

The users profile of our quitline is:

• Young adults • Moderate-high dependence• Environment against

quiting smoking • High Motivation to quit• Medium Confidence to quit

Further steps

In the context of the Health services to help smokers quit 1. To develop a second level of treatment

• More specialised• conducted by psychologist • working together with a private quitline that can be

contracted by our Department

2. To develop a specific website 3. To give publicity of the quitline (media

campaign)