The Spanish Quitline Network. The case study of the Catalonia Quitline Dolors Marin Tuyà...
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![Page 1: The Spanish Quitline Network. The case study of the Catalonia Quitline Dolors Marin Tuyà Psychologist specialist in Clinical Psychology Public Health Directorate.](https://reader036.fdocuments.net/reader036/viewer/2022062321/56649da25503460f94a8fb3f/html5/thumbnails/1.jpg)
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
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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).
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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.
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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.
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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
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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
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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)
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22 Specialized Units
3
2
2
4
1
1
3
6
More than 2.000 smokers visited in 2006
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During 2006 2350 freefree pharmacological treatments for:•hospitalized people, •role model professionals and •people living in deprived areas
(300,000 €)
Free Pharmacological treatment
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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
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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
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• 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
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• 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)
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Want to quit now66,8% Want to quit with
intensive help19,7%
Quit before call 11,5% Doubtful
2,0%
At the first call
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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
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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
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• 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 .
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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
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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)