Online cessation programs – 6/23/05

Q:

My state is interested in the possibility of an online cessation program such as QuitNet. Right now, we are just contemplating it and wanted to get as much information and feedback from other states as we could before moving forward. We were wondering which states are using an online/web-based cessation program? Have you had positive feedback and results? Is it cost-effective, time-intensive? Does it require a lot of media/promotion in order to get enrollees? Approximately how many individuals enroll, complete the program, and are successful at quitting smoking? Does the online program coordinate with the quit line? If so, how? Would you recommend an online cessation program?

A:

  1. Colorado: we use the Quitnet and have for several years. We have always been extremely pleased with the provider - Boston University – and consider this a "low maintenance/high satisfaction" contract.
     
    Working closely with QuitNet, we have implemented several on-line promotional efforts with very good results and very, very inexpensively especially compared to TV ads. Some of this on-line promotion information was just presented at the national conference and on the last CDC media call. We coordinate our quitline and the QuitNet extensively. The QuitNet is listed as a primary resource in the self-help materials provided through the quitline. We often present both options in our paid media placement and on our internet splash pages. Each program "makes referrals" to the other program. Our QuitNet users are some of the most grateful people you will ever meet and many have become active advocates for the tobacco control program overall, especially vocal during difficult fiscal times.
     
    Outcome data has been limited to self reports (and shows very good results). There are several research projects and more formal evaluation either underway or recently completed and I am sure QuitNet would provide to interested parties.
     
    Because of the ability to "track" users, click through, etc. on the internet, one can get an amazing amount of information on where folks are seeing the ads, what ads attract what users, what users are more likely to enroll, etc. This helps in lots of ways and is not nearly as possible with other forms of advertising or cessation services.
     
  2. Massachusetts: Vendors interested in online cessation programs are welcome to take a look at www.trytostop.org, an interactive website for smokers developed in 1999-2002 by the Massachusetts Tobacco Control Program. The website receives substantial activity even without promotion.. We have a lot of historical information on the utilzation of this website. The website is not just a website; there is a database application attached which stores information/retreival for the self-directed QuitWizard quitting tool. This is a stage-based interactive quitting tool with individualized quit planning.
     
  3. South Carolina: SC plans to get our state-based quitline fully operational with a new vendor before we pursue promoting an online quit program. However, we would be interested in someone producing a synopsis review of all online cessation programs with the type of data that are being sought by this state's question. Has anyone already compiled this??
     
  4. NAQC: We don’t have anything like that compiled, although there is a section on Colorado’s QuitNet experience in our recently published resource guide (www.naquitline.org). I know that the evidence base for online cessation programs is very, very limited, although some results are appearing. However, it is important to note that many of the evaluations are being conducted by the vendors at this point…I don’t believe we have any peer-reviewed evidence to speak of.

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