EFFICACY AND COST OF STATE QUITLINE POLICIES

描述：(申请人描述) 国家赞助的反烟草运动正在激励着大量的吸烟者 寻求建议、帮助和支持，使他们的戒烟努力更多 成功。像许多州一样，俄勒冈州发起了一项 全州范围内提供信息、推荐和戒烟的电话 对呼叫者的支持。这项研究将回答有关如何 最有效地支持致电俄勒冈州Quitline寻求帮助的吸烟者。 具体目标是招募4500名来电者参加3x2 随机试验比较三个水平的成本和成本效益 行为干预。我们还将测试两种不同的政策 尼古丁贴片疗法的可用性。受试者将接受以下采访 在6个月和12个月时打电话评估吸烟状况，戒烟尝试和使用 健康计划ANC社区戒烟服务。费用将被评估 分别从患者、医疗计划、国家的角度 (即俄勒冈州Quitline)和社会。每次退出成本和每年成本 经质量调整后的挽救寿命年数将根据每一项计算 透视。

DESCRIPTION: (Applicant's Description) State-sponsored anti-tobacco campaigns are motivating large numbers of smokers to seek advice, assistance, and support to make their cessation efforts more successful. Like many states, Oregon has sponsored the implementation of a statewide telephone quitline to provide information, referrals, and cessation support for callers. This study will answer key policy questions about how to most effectively support smokers who call the Oregon Quitline for assistance. The specific aims are to recruit 4,500 callers to participate in a 3 x 2 randomized trial comparing the cost and cost effectiveness of three levels of behavioral intervention. We will also test two different policies on the availability of nicotine patch therapy. Subjects will be interviewed by telephone at 6 and 12 months to assess smoking status, quit attempts, and use of health plan anc community cessation services. Costs will be assessed separately from the perspectives of the patients, health plans, the State (i.e., Oregon Quitline), and society. Cost per quit and cost per year quality-adjusted years of life saved will be calculated from each of these perspectives.