Ads for promoting quitlines – 2/1/06

Q: What are states (especially those with tight budgets) currently doing on a regular basis to promote their quit line? Does anyone have a script for a radio ad (specific to quit lines or tagged with the quit line number) that they have had success with? Has anyone tried cinema ads to advertise the quit line? Any advice, or lessons learned related to promotion?

A:

  1. California: Mass media promotion is handled by the CA Dept of Health Services, Tob. Control Section, but the Helpline itself also employs many grassroots-style promotional strategies. These efforts are overseen by our Outreach Coordinator. The types of activities we've tried over 13+ years are too numerous to describe them all, but here are the ones that we've used repeatedly and found to be especially successful. For more information, contact Kirsten Hansen, our current Outreach Coordinator, at k3hansen@ucsd.edu.
     
    • Thank you letters to referring physicians. When we were a new quitline, entirely reliant on media advertising, this was a good way to build a base of referring providers, especially in rural areas where there are few cessation resources and physicians tend to spend more time with their patients. It was a time-consuming activity however, since callers in general aren't very good at providing usable contact info for their physicians. We spent a long time looking up the info after calls and cleaning up the database of referring physicians. Over time this was replaced with the next activity.
    • Large mailings to members of a particular health care profession, eg. ObGyns. Some have included letters explaining the relevance of our services to their patient population, co-signed by the Helpline and the leader(s) of their professional association. They've generally included samples of promotional items that can be given to patients and a fax order form to obtain additional items at no cost, and sometimes a poster that can be hung up in the doctor's office.
    • On-the-spot info for providers, educators, and other professionals who call with questions about the Helpline before they feel comfortable making referrals. Most of these calls are handled by outreach specialists rather than counselors. After answering questions, they usually send out a packet of info about the Helpline with samples of promotional items and order forms to obtain more, and in some cases reprints of research articles or other materials.
    • Technical assistance to local organizations to support the inclusion of cessation messaging and the Helpline numbers in any materials, presentations, or other outreach efforts that they may be developing. No one organization "owns" Helpline promotion. All local organizations can (and are encouraged to) include the numbers in their materials. Helpline staff are available for TA on what we feel works well and what doesn't, but they don't need our approval. The result is a great diversity of materials appealing to many different segments of the tobacco using population. All local lead agencies receive semiannual reports with a demographic breakdown of calls from their county.
    • Gold Cards. These are plastic cards that look and feel like a credit card and have a "take charge" message that plays up the economic reasons for quitting, along with the Helpline's English numbers (one for smokers and another for chewers). They were developed for teens but turned out to have a much broader appeal. Health care providers like to hand them out. It seems to make it easier for them to address tobacco use in their patients. We also have a series of brochures (one for each of the languages we serve), but these don't seem to be as appropriate for lower-SES, lower-literacy smokers.
    • Partnership activities with other organizations, especially those addressing priority populations. E.g., we formed a Community Advisory Board to help inform our outreach and service delivery for AA/PI communities. Board members are well-connected in their respective communities and help to build trust and get the word out. With CA's leading Hispanic/Latino tobacco control organization we are jointly developing a Spanish version of the Gold Card. Their input was invaluable in determining that the controlling metaphor for this tool needed to be "gift card" rather than a credit card. We're also partnering with the CA Diabetes Program on a range of activities (updated treatment guidelines, joint presentations, partnered mailings, etc.) to get the word out to smokers with diabetes. These are just a few of the many active partnerships we engage it.
    • Presentations and exhibits at professional conferences.
    • Semi-annual newsletter to providers, other grantees of the tob. control program, etc.
    • Web site, www.nobutts.org, that includes information both for tobacco users and for referring providers.

    Note that in all of these promotional efforts, we reach out to tobacco users THROUGH the people who are in a position to refer them for treatment. On a very limited basis, we've experimented with direct mail campaigns to Asian-language speaking households and gotten some encouraging preliminary results.
     
    Re. radio ads, CDHS/TCS has developed many and I believe some of them are in CDC's media repository. Colleen Stevens (copied above) would be the one to talk to re. that.
     
    Re. cinema ads--we did try it,, but it wasn't effective. It seems there is too much time (and too much else to think about) between when they see the ad and when they actually have an opportunity to call.
     
    If you want to know more about our overall thinking about quitline promotion, pls check out ch. 9 in the CDC's resource guide, Tel. Quitlines: A Resource for Development, Implementation, and Eval. which can be found at http://www.cdc.gov/tobacco/quitlines.htm.

  2. Delaware: When we first started our quitline promotion we used the "Quitting take Practice" spot that CA originally did and is now part of the MCRC. I think many states used that spot. Since then we have developed our own spots, but they are somewhat specific to Delaware (names. locations, face-to-face counseling services provided). We don't have a problem if other states want to use them, but it may or may not be feasible. For more information, contact Fred Gatto at 302-739-4724. We have used the movie slides and it works OK.
     
  3. Florida: We have four radio ads that we have developed two are for adults, one in English and one in Spanish and two youth ads both in English. Our ads have our Florida Quitline number in them. We have used the adult ads with a significant increase in calls to the quitline with both the English and Spanish. W we have not been able to use the youth ads yet.
     
    The tobacco program collaborated with the Florida Dept. of Health’s Infant, Maternal and Reproductive Health unit to air radio and television ads promoting prenatal tobacco cessation in conjunction with Florida’s Quit for Life Line. The campaign targeted messages to mothers and spouses on the health consequences of prenatal tobacco use. In addition, local county health department staff and Healthy Start coalition staff partnered with radio stations to air the ads at no cost for the remaining month of November.
     
    A 15 second quitline PSA was developed and aired in the northern part of the state during Christmas and New Year’s.
     
    We have quitline posters, brochures, calling cards and prescription pads along with letter openers, pens, stress balls, toothpicks and lip balms with the quitline logo and number on them. Over 5,000 quitline promotional items printed in English and Spanish were disseminated to: colleges, churches, county health departments, hospitals, Healthy Start Coalitions, Florida Dental Assoc., schools, doctors’ offices, Hispanic, African American, Cuban, and Native American Associations.
     
    We have partnered with the Florida Medical Association, Florida Dental Association and the Florida Hospital Association to promote the quitline to their clients and members through their newsletters and journals.
     
    The Healthy Start Coalitions are promoting the quitline to their clients through our partnership with the Maternal and Child Health program.
     
    The Women, Infant and Children program (WIC) promote the quitline by disseminating materials to their clients during visits and they have added the quitline number to several of the pamphlets and brochures.
     
    Capital Health Plan is promoting the quitline in their newsletter, to their clients and with their out reach programs.
     
    The program staff has established a dynamic relationship with the Florida Association of Health Plans, Inc. (FAHP) that works to develop cooperative relationships between health plans, providers, government partners, and employer groups. The FAHP is promoting the quitline to major insurance companies and has taken lead in setting up individual meetings for us to meet with several of those companies.
     
    Chronic Disease Health Promotion & Education Program (CDHPE) representatives from the county health departments serve as worksite wellness contacts to facilitate the importance of healthy behavior activities within the county health department and local businesses with an established Worksite Wellness program. Worksite Wellness contacts at the county health departments are promoting the quitline through meetings and field staff sharing promotional items with their workers through our partnership with the CDHPE Program.
     
    The diabetes program promotes the quitline through the Diabetes Advisory Council (DAC) and Florida Alliance for Diabetes Prevention and Care Partnership. The tobacco program is working with the Comprehensive Cancer, and the Cardiovascular programs to promote the quitline.
     
    The quitline fax referral form is being used to promote the quitline by County Health Departments, Healthy Start Coalitions and several private doctors through out the state.
     
    Contact Karen Goodson at Karen_Goodson@doh.state.fl.us for more information.
     
  4. Iowa: We just started our first Quitline ad campaign on January 3 of this year (television only) so I have no data on their effectiveness yet. However, we would be glad to share the ads with anyone who wants to see them.
     
  5. Missouri: Missouri ran a two-week radio campaign and placed bus ads in two urban areas for a month to target lower income tobacco users. Call volume increase minimally from these efforts. TV PSAs were produced using the radio spots for the voice over and were released in November prior to GASO. Our greatest increase in call volume occurred in the first week the quitline was announced with a news release that was picked up by most media markets, and during November when GASO, the PSAs and ABC News generated free media. We are relying on physician and health care provider referrals as well.
     
  6. North Carolina: The NC Health and Wellness Trust has funded research that currently is being conducted by the UNC School of Public Health (Kurt Ribisl) and the UNC School of Business (Kevin Leibel) to determine how to communicate with the 18-24 age group on quit lines. We hope to have some results this spring, and will be happy to share that when it is available. For more information, contact Jim Davis at jim.davis@ncmail.net.
     
  7. North Dakota: We also have a very tight budget for promotion. We use MCRC TV ads and have recorded our own radio ads and developed our own print ads. We placed the radio and print ads on CDs and sent them to all our local agencies and partners so they can also purchase and place radio and print ads. Not only do they purchase additional time or placement, but they may use the print ads in their professional newsletters and journals, church bulletins, etc. This has worked well and allowed us to expand our promotion efforts.
     
    Lessons learned about promotion: We developed a health care provider education and outreach component through our school of medicine and in our first year of operation over 1/3 of our referrals came from health care providers. This was a great way to engage our health care providers early.
     
    We have used some special NRT promotions and these have dramatically increased the number of calls to our quitline. Our first promotion of free NRT was one month in length as we were preparing for the implementation of our new smoke-free law. This amount of time was too long--it overhwelmed our quitline. We are now trying shorter promotions of one-day or one-week linked to special events.
     
  8. Ohio: (response from the state foundation) the Ohio Tobacco Quit Line (1-800-QUIT-NOW) is funded by the Ohio Tobacco Use Prevention and Control Foundation.
     
    While we do have an adequate Quit Line marketing budget, we have determined some more less expensive ways to drive calls. Here are some of the things we've done:
     
    1. We've purchased :60 radio spots using a DJ-endorsed script below, but perhaps a Quit Line can find some well-loved radio personalities who are passionate about quitting who would be willing to read these as PSAs? Radio has consistently been a good driver of calls to our Quit Line.
       
    2. We've also sponsored weather and traffic portions of radio shows...relatively inexpensive, but memorable because many people smoke in their cars during am and pm drive time!
       
    3. Cinema advertising might be good...but, as you know, it is really expensive. If you have rollingstock theaters, PERHAPS you can talk a chain theater manager to run a TV ad as a PSA. More likely, though, perhaps a theater will put up a slide as a PSA for you.
       
    4. We are working with all of our community grantees providing cessation services to have them promote the Quit Line to their patients and healthcare provider contacts. They put their grant number on the fax referral forms so that they get credit for the referral.
       
    5. We are doing a great deal of outreach to healthcare providers across the state. We have a QUIT KIT for docs and nurses, and we would be happy to send you samples. We have an Expert Panel of prominent physicians and nurses across the state to advise us on these activities.
       
    6. Certainly, media relations is a great way to drive calls. Can you connect a recent quitter to a local reporter to talk about their experiencet? Do you have some new quit rate data from your Quit Line that you can announce? Have you reached your blank-thousandth caller? It's time consuming, but it's free and a great endorsement of your campaign.
       
    7. We also have created a Call It Quits Coalition of people of all backgrounds and professions who have agreed to promote and refer people to the Quit Line. Docs, nurses, employers, March of Dimes, health associations, etc., etc.
       
    8. We haven't yet done this, but even sending a mailing to the top employers in the state with some info about the Quit Line and template newsletter articles, etc., would be really effective, I think.

    Contact Beth Scheiber at bschieber@standohio.org or 614-728-2887.

    Ohio Tobacco Quit Line
    Radio :60
    DJ Endorsed Script
    2.9.05

     
    DJ:
    Everybody knows that tobacco is bad for you, right? Of course—we hear it all the time. So now the question is…what do you do when you want to quit tobacco?
     
    Not so easy, is it?
     
    Well, this is __________ from ___________ and I’m here to tell ya, if you want to quit smoking or smokeless tobacco, the Ohio Tobacco Quit Line can help.
     
    The Quit Line is a free telephone service that connects you with a trained Quitting Specialist who guides and supports you through the quitting process. You don’t have to do this on your own. But with a personalized plan from your Quitting Specialist, you’re 5 times more likely to succeed. FIVE times.
     
    Sure, it’ll be tough, but this is the right way to do it. Call 1-800-QUIT-NOW and start quitting. I’ve told all the smokers I know about the Quit Line and I’m telling you now—these people understand what you’re going through. They want to help. And they will help.
     
    So make the call. And make a difference in your life by getting tobacco out of it.
     
    Call 1-800-QUIT-NOW and call it quits.

  9. Texas: We have had tremendous success with the "Quitting Takes Practice" ad available from CDC. Every time we run it, there is a spike in Quitline calls for the area where it is running. They should check out the CDC's media resource Web page about advertising on a tight budget at http://www.cdc.gov/tobacco/mcrc/tbudget.htm.
     
  10. West Virginia: Most of West Virginia's efforts for quit line media have bee larger media campaigns and statewide billboard and ad campaigns. We do advertise the quitline through gasoline, grocery and store register tapes and receipts. We have a program called "We Ask Because We Care" that places quit info and quit line info into clinics and provider offices, waiting areas.
     
  11. Washington: The best suggestion is for you to visit www.quitline.com, our cessation-specific Web site. All of our statewide and grassroots advertising and promotion sends interested individuals to this site. There you will also find our latest TV and Radio ads.
     
    The combination of promotions we've been using has been so successful that we had to greatly increase the budget for the quit line to handle all of the calls and inquiries. Therefore we cut out a new statewide cessation ad campaign - the money went to the quit line, and to a more grassroots localized attack, so to speak.
     
    Cinema ads? We tried them for the first time last year, but it was for our Youth Tobacco Prevention ad campaign, not cessation. I understand from my contractor that they are VERY expensive.
     
    Contact Scott Schoengarth, Public Awareness and Marketing Coordinator, for more information at Scott.Schoengarth@DOH.WA.GOV.
     
  12. Wyoming: We promote via newspaper ads throughout the state weekly. See below.
     

    Research in Wyoming has shown that almost no one remembers the cinema ads or billboards. Radio and TV are the best venues in Wyoming. We also partner with many statewide agencies and work with local partners to promote in local health and social service agencies.

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