Smoking Cessation in Minnesota
Around 260,000 adult smokers attempted quitting tobacco in the past 12 months in 2018. Over 15,000 of these smokers enrolled in ClearWay Minnesota's QUITPLAN Services. Studies suggest that the use of both medication and counseling results in 83% increased chances of quitting tobacco successfully, compared to abruptly quitting, medication alone, or counseling only.
Minnesota Adult Tobacco Survey (MATS) 2018 Insights
- According to the MATS 2018, around 260,000 adult smokers, or 45.7% of the respondents, attempted quitting tobacco in the past 12 months. Compared to 2014 data, there is a significant decline from 53.4%.
- Only 11.6% of past-year smokers quit the habit successfully, down from 15.6% in 2014.
- More than 45% of the smokers who made quit attempts used medications, including nicotine patches, gum, or prescription medications, and only 15.4% went to counseling. Almost 38% tried e-cigarettes as an alternative to tobacco, a little less than 2014's 45.4%.
- In 2018, almost 92% of all adult Minnesotans had voluntary smoke-free home rules, an increase from 89.3% in 2014, while 80.2% reported having smoke-free rules for their cars.
- Specifically, 66.3% of smokers reported having smoke-free home rules, almost 5% higher than the 2014 figure, but not statistically significant.
ClearWay Minnesota 2019 Report Insights
- ClearWay Minnesota, through QUITPLAN Services, provides adult Minnesotans services for tobacco cessation. Since 2001, the organization has been providing Minnesotan smokers free tools to quit smoking, along with its science-supported programs.
- In the 2018 fiscal year, over 15,000 tobacco users enrolled for QUITPLAN Services, while 1,459 tobacco users enrolled in the multi-call counseling program of QUITPLAN Helpline, 1,253 of whom received nicotine replacement therapy (NRT) patches, lozenges or gum.
- Over 13,000 tobacco users enrolled for QUITPLAN Individual Services. Of these tobacco users, 11,026 received an NRT starter kit, 6,396 received a quit guide, 3,820 signed up for email messages, and 3,141 signed up for text messages.
- Some 681 tobacco users either called ClearWay Minnesota for inquiries only, or "were transferred to their health plans’ quitlines."
- In the 2018 fiscal year, ClearWay Minnesota's overall cost per quit for QUITPLAN Services was $576.56, while the Helpline and Individual Services cost per quit was $1,235.58 and $468.41, respectively.
- The organization's reported tobacco cessation expenditure in total was $11,138,492 for the 2018 fiscal year or 73.3% of ClearWay Minnesota's overall expenses.
Tips From The Field Insights
- In the American Lung Association and Leadership Academy Collaborative's How to Address Tobacco Use in Minnesota’s Mental Health and Substance Use Disorder Services, the recommendation of the Clinical Practice Guideline, Treating Tobacco Use and Dependence to use a "combination of both counseling and medication" for tobacco cessation was featured.
- "A meta-analysis of 52 studies involving more than 19,000 participants who received medication and counseling to help smokers quit" further validates the recommended practice.
- According to the analysis, the use of both medication and counseling results to an 83% increased chance of successful cessation after 6 months, compared to quitting abruptly, counseling alone, or only medication.
- The guideline also listed three counseling types proven to be effective, namely, Motivational Interviewing (MI), Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT).
- The recommended treatment process is divided into five stages, which are pre-contemplation, contemplation, preparation, action, and maintenance or relapse prevention. Tips From The Field further suggests goal planning in each stage.
- Other practices are encouraged in each stage, such as "mini-quits" during contemplation "to practice not using tobacco in specific settings or at specific times."
- In the medication part of the process, nicotine replacement therapies (NRT) and tobacco treatment medications were enumerated. Over the counter NRTs include nicotine patch, nicotine gum, and nicotine lozenges. Nicotine inhaler and nicotine nasal spray are prescription NRTs.
- Varenicline (brand name Chantix) and Buproprion SR (brand name Zyban or Wellbutrin) were among the specified prescription tobacco treatment medications.