SUPPORTING SMOKE FREE FAMILIES IN SOUTHEASTERN OHIO Project Team: Barry Oches Lesli Johnson Regina...

SUPPORTING SMOKE FREE FAMILIES IN SOUTHEASTERN OHIOProject Team:

Barry Oches

Lesli Johnson

Regina Warfel

Jennifer Collins

Ohio Partners for Smoke Free Families Ohio Department of Health Ohio University Voinovich School of Leadership and Public Affairs

TELL US ABOUT YOURSELF Name

Organization

Role

What smoking cessation resources do you know about? What smoking cessation resources do you wish you

had?


SIDsBronchiolitisMeningitis

Infancy

Low Birth WeightStillbirthNeurologic Problems

In utero

AsthmaEar InfectionsFire-related Injuries

Influencesto StartSmoking

Nicotine Addiction

CancerCardiovascular DiseaseCOPD

Adulthood

Adolescence

Childhood

HEALTH EFFECTS OF TOBACCO USE


CITATION: Aligne, C.A., Stoddard, J.J. (1997). Tobacco and Children: An Economic Evaluation of the Medical Effects of Parental Smoking. Archives of Pediatrics & Adolescent Medicine, 151(7), 648-53.

SECONDHAND SMOKE EXPOSURE HARMS CHILDREN

Secondhand smoke has similar effects as it does to the smoker themselves.

Approximately 6,200 children die each year in the U.S. as a result of secondhand smoke exposure.

Approximately 5.4 million childhood diseases are attributed to secondhand smoke exposure.


CITATION: Aligne, C.A., Stoddard, J.J. (1997). Tobacco and children. An economic evaluation of the medical effects of parental smoking. Archives of Pediatric and Adolescent Medicine, 151(7), 648-53.

BENEFITS OF QUITTING20 minutes

Blood pressure and heart rate return to normal

8 hoursO2 level returns to normal;

nicotine and CO levels reduced by half

24 hoursCO is eliminated from body;

lungs begin to eliminate mucus, debris

48 hoursNicotine is eliminated from

body; taste and smell improve

72 hoursBreathing is easier; bronchial

tubes relax; energy levels increase


2 to 12 weeks

Circulation improves

3 to 9 monthsLung function increases by up to 10%; breathing problems

reduced

1 yearHeart attack risk halved

10 yearsLung cancer risk halved

15 yearsHeart attack risk same as for

someone who has never smoked

CITATION: 1990 Surgeon General’s Report

SMOKERS WANT SUPPORT TO QUIT 70% of smokers report wanting to quit and

almost two-thirds of smokers who relapse want to try quitting again within 30 days.

Even for patients who aren’t yet willing to make a quit attempt, brief interventions enhance their motivation and increase the likelihood of future quit attempts.

Most have made at least one quit attempt, and most cite their motivation to quit was caused by the advice of a health expert.


CITATION: Centers for Disease Control and Prevention. (2002). Cigarette Smoking Among Adults- United States, 2000. Morbidity and Mortality Weekly Report, 51(29), 642-5.

GOAL OF THIS PROJECT

Support women in the community

to quit smoking

ODH

Ohio University Team

Providers

Family and Friends


SUCCESS BY THE NUMBERSCounty total population: _________

Target Population: Women, ages 18 to 44: _______

Goal #1: Reach 50% of target population: _______Of which 20% smoke, to apply 5 As:

_______

Goal #2: 50% accept referral to Ohio Quit Line (or other)

_______

Goal #3: at least 75% referred will quit for at least

one day_______

Goal #4: at least 10% referred will quit

for 30 days_________


5AS QUIT SMOKING PROGRAM

1. ASK about tobacco use

2. ADVISE to quit

3. ASSESS willingness to make a quit attempt

4. ASSIST in quit attempt

5. ARRANGE follow-up


OHIO QUIT LINE SUPPORT

Quit lines are staffed by trained cessation experts who tailor a plan and advice for each caller.

Free to most callers. Those not covered will be referred to other resources.

Fax referral services are available.

Patches, gum, and lozenges are free for a four week course. They are mailed directly to the client.


5As AND QUIT LINE EFFECTIVENESS

Even simple advice to quit increases quit rates by an estimated 2.3%.

Low intensity counseling (3-10 minutes) increases quit rates by approximately 5.1%.

High intensity counseling (>10 minutes) increases rates by an estimated 11.2%.

Quit-line counseling increases rates by an estimated 4.2%.


CITATION: Fiore M.C., Jaén, C.R., Baker, T.B., et al. Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service. May 2008.

STEPS TO SUCCESSTHE OU TEAM WILL:

Provide ongoing support and refresher trainings to offices as they implement the 5As program

Provide free 5As training to as many providers as possible and design a system of data collection for the

community

Assess the work flow of provider offices and provide assistance to implement the 5As as seamlessly as

possible


SUCCESS STORIES

A married couple, pregnant with their first baby, were motivated to stop smoking. They were both smoking about a half pack a day each and once they found out that they were pregnant, they have been trying to cut down and quit. They had cut down on their own so that the wife was down to 2 cigarettes per day, one in the morning and one in the evening, and the husband was smoking about 6 cigarettes a day, the 2 with his wife, 1 on his way to work, 1 on his way back from work, and 2 during work breaks. They expressed a strong willingness to completely stop smoking by the time the baby was born.


Provider discussed their smoking triggers and together they figured out which cigarettes to drop from their “routine.” They would both stop smoking the morning cigarette and instead prepare a hot breakfast. They were going to start walking in the evenings after dinner, to overcome the urge to smoke.

The husband agreed to stop smoking in the car on the way to and from work, and instead play music, put his cigarette pack in the trunk of the car, and have gum in the glove compartment at all times. This was an important change since they did not want anyone to smoke in the car once the baby was born. The husband also said that he would consider letting his friends at work know that he was trying to stop smoking and ask for their support and recommend other activities for break time.


SUCCESS STORIES

The couple succeeded in refraining from smoking in the morning and in the evening. The wife completely quit, and the husband was still working on the 2 cigarettes at work.

They established a smoke-free home and cleaned their house (including carpet cleaning).

The couple told their families, who were smokers, that they were quitting smoking and that they wanted their support to create a safer environment for their baby.

The wife planned to talk to her mother about creating smoke-free rooms in her house for when she was going to watch the baby when the wife returned to work at 6 weeks.


SUCCESS STORIES

TAKE AWAY MESSAGE

Patients and families expect health care providers to discuss tobacco use.

If counseling is delivered in a non-judgmental manner, it is usually well-received.

Even small doses are effective – and cumulative!

As a service provider, YOU have a huge influence on whether women in your community quit smoking.


CITATION: Fiore M.C., Jaén, C.R., Baker, T.B., et al. Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service. May 2008.

Questions?

CONTACT USProject website: www.smokefreeseohio.org

Barry Oches Lesli Johnson

Senior Project Manager Assistant Professor

Phone: 740.593.9799 Phone 740.593.9739

Email: [email protected] Email: [email protected]

Regina Warfel Jennifer Collins

Research Associate Research Associate

Phone: 740.597.1664 Phone: 740.593.9701

Email: [email protected] Email: [email protected]


http://www.smokefreeseohio.org/

mailto:[email protected]




SUCCESS BY THE NUMBERSCounty total population: _________

Target Population: Women, ages 18 to 44: _______

Goal #1: Reach 50% of target population: _______Of which 20% smoke, to apply 5 As: ________

_______Goal #2: 50% accept referral

to Ohio Quit Line (or other)_______

Goal #3: at least 75% referred will quit for at least

one day_______

Goal #4: at least 10%

referred will quit for 30 days_________


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