SRNT is the only international scientific society dedicated to fostering and disseminating research on tobacco and nicotine logo Society for the Study of Addiction
* see translation disclaimer below
Some key links

Offering free NRT through a tobacco quitline may increase quitline utilization and quit rates.

The combination of quitline counseling with NRT increases quit rates compared with medication alone.  Offering free NRT and multisession telephone support leads to higher quit rates with costs per incremental quit similar to less intensive protocols, also because telephone counseling teaches smokers the appropriate ways to use NRT. A trial evaluation of distributing free NRT through Ontario’s quitline saw that those who received free NRT through the mail had a 24.1% 6-month abstinence rate compared to smokers who did not receive free NRT, of whom only 11.6% were abstinent.

Offering free nicotine patches has a dramatic effect on increasing calls to quitlines. Call volume to Ohio’s state-run tobacco quitline in the US increased from 78 calls per day to 188 calls per day after free NRT was offered (p<0.0001). In addition, 7-day point prevalence abstinence at 6 months among all quitline callers increased from 10.3% (95% CI 9.7-10.9) to 14.9% (95% CI 14.3-15.5) following the availability of free NRT. After it began to offer free NRT in 2004, Oregon’s state-run quitline doubled its received calls and increased quitting four-fold.

Offering subsidized NRT products in addition to a standard quitline service to low-income smokers in Australia resulted in higher quit rates at 3 month and 6 month follow-ups, but a significant difference in quit rates was not found at 12 month follow-ups when compared with those not being offered subsidized NRT. However, the offer of subsidized NRT recruited more than twice as many low-income smokers than the offer of the cessation service alone.

Tinkelman D, Wilson SM, Willett J, Sweeney CT. Offering free NRT through a tobacco quitline: impact on utilization and quit rates. Tob Control. 2007; 16(Suppl 1): i42-i46.

Fellows, JL, Bush T, McAfee T, Dickerson J. Cost effectiveness of the Oregon quitline “free patch initiative”. Tob Control. 2007; 16(Suppl 1): i47-i52.

Cummings KM, Fix B, Celestino P, Carlin-Menter S, O'Connor R, Hyland A. Reach, efficacy, and cost-effectiveness of free nicotine medication giveaway programs. J Public Health Manag Pract. 2006; 12(1): 37-43.

Stead LF, Hartmann-Boyce J, Perera R, Lancaster T. Telephone counselling for smoking cessation. Cochrane Database Syst Rev. 2013 Aug 12;8:CD002850.pub3.

Zawertailo L, Dragonetti R, Bondy SJ, Victor JC, Selby P. Reach and effectiveness of mailed nicotine replacement therapy for smokers: 6-month outcomes in a naturalistic exploratory study. Tob Control. 2013; 22(3): e4.

Miller CL, Sedivy V. Using a quitline plus low-cost nicotine replacement therapy to help disadvantaged smokers to quit. Tob Control. 2009; 18: 144-149. logo
Home | Sitemap