Research ReportsEngaging Smokeless Tobacco Users in Population-Based Cessation Services: Findings From an Observational StudyKeller, Paula A. MPH; Boyle, Raymond G. PhD; Lien, Rebecca K. MPH; Christiansen, Bruce PhD; Kobinsky, Kate MPHAuthor Information ClearWay Minnesota, Minneapolis, Minnesota (Ms Keller and Dr Boyle); Professional Data Analysts, Inc, Minneapolis, Minnesota (Ms Lien); and Center for Tobacco Research and Intervention, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin (Dr Christiansen and Ms Kobinsky). Correspondence: Paula A. Keller, MPH, ClearWay Minnesota, 8011 34th Ave S, Ste 400, Minneapolis, MN 55425 ([email protected]). Funding source: ClearWay Minnesota. Any conclusions from this project and the content of this publication are solely the responsibility of the authors and do not necessarily represent the official views of ClearWay Minnesota. All authors have no conflicts of interest to declare. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (http://www.JPHMP.com). Journal of Public Health Management and Practice: July/August 2021 - Volume 27 - Issue 4 - p E173-E176 doi: 10.1097/PHH.0000000000000794 Buy SDC Metrics Abstract Although telephone quitlines are effective for helping smokeless tobacco (ST) users quit, ST users are underrepresented among quitline participants. After ClearWay MinnesotaSM implemented multiple changes to its quitline service (QUITPLAN® Services), utilization increased dramatically, including by ST users. We examined data from Minnesota and Wisconsin to determine whether these changes were unique to Minnesota. Four years of quitline registration data were analyzed for both states. A significant increase in enrollees reporting any ST use was seen in Minnesota after changes were made to services; no change was seen in Wisconsin. A 2-week starter kit of nicotine replacement therapy and the ability to register for services online were popular among Minnesotans reporting ST use. This study suggests that quitline services can be designed to increase participation by ST users. © 2018 Wolters Kluwer Health, Inc. All rights reserved.