Online Program

Does it help? one internet based tobacco cessation program's quit outcomes

Tuesday, November 5, 2013

Vanessa Kittelson, MPH, Professional Data Analysts, Inc., Minneapolis, MN
Julie Rainey, BA, Professional Data Analysts, Inc., Minneapolis, MN
Becky Lien, MPH, Professional Data Analysts, Inc., Minneapolis, MN
Background: Currently, there is insufficient evidence in the literature to determine the effectiveness of Internet-based tobacco cessation programs. This evaluation study examined quit outcomes of Tobacco Free Florida web-based cessation program participants with differing levels of website utilization and program-provided NRT. The findings of this evaluation are important to states as they increasingly adopt web interventions to address a myriad of population health behaviors. Methods: This observational evaluation surveyed 2,700 registrants in an internet cessation program 7-months post-registration using a mixed mode web, phone, and mail survey (response rate 43.9%, n=1,186) to produce 30-day point prevalence abstinence rates. Outcome measures were adapted from the North American Quitline Consortium tobacco quitline measures. Results: Program registrants were stratified into three study groups according to program utilization levels: no utilization, one or more website visits, and website visits plus NRT shipment. The highest utilization group which received NRT achieved quit rates surpassing the NAQC quitline quit rate benchmark of 30%. Additional factors that contributed to success were medication use, health status and social support. However, individuals who self-select into the three utilization study groups differ on key characteristics including education level, insurance status, and ethnicity. Conclusions: This internet-based cessation program, which offers NRT, produces tobacco cessation outcomes which are within an acceptable range and similar to those achieved by telephone quitlines. However, self-selection into the program is evident and satisfaction levels are lower than that of the phone program.

Learning Areas:

Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Discuss the effectiveness of internet–based tobacco cessation programs Describe the context and factors that affect program outcomes

Keyword(s): Tobacco, Internet Tools

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the coauthor of several state-funded tobacco cessation quitline evaluations as well as evaluations of programs addressing other population health topics such as breastfeeding programs and community health and wellness improvement programs.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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