In All Health Settings

 

IN ALL HEALTH SETTINGS

Impact of interventions on tobacco use morbidity and mortality

Impact of interventions on tobacco use morbidity and mortality

There is strong evidence that Health Care Providers can make a difference in helping their clients quit. Unassisted quit attempts are successful only 3-5% of the time, compared with up to 20% success for those receiving cessation counseling and medications. Cessation interventions are now considered to be requisite duties of many health care professionals.

  • Tobacco use kills an estimated 37,000 Canadians every year
  • Many of these deaths are premature and could be prevented
  • People who smoke have a much higher chance of getting a serious disease like cancer, heart or lung disease or suffering a stroke
  • Smoking also adds a huge burden to our health care system
  • The health and economic costs associated with tobacco use are estimated to total $17 billion annually, including $4.4 billion in direct health care costs

Evidence to support tobacco dependence interventions

Evidence to support tobacco dependence interventions

Examples of evidence-based practice systems

Examples of evidence-based practice systems

  • Worksheet for implementing a policy in your setting
  • It only takes a few minutes to make it happen.
  • The 5A’s model of minimal contact tobacco intervention is:
    • Recognized internationally as a best practice in tobacco cessation.
    • Advocated for in many clinical best practice guidelines.
    • Supported as effective through a number of studies and meta-analysis.

The You Can Make It Happen toolkit, Integrating tobacco cessation interventions (5A’s) into your daily practice will outline how to use the 5A’s  to ensure that for every patient, at every visit, tobacco use status is queried and documented.

Examples of patient assessment and pharmacotherapy tools

Examples of patient assessment and pharmacotherapy tools

Resources for staff and patients

Download these resources or complete the order form (limited stock available by order).

Contact Us to adapt these resources.

Resources for Patients and Staff

Resources for Patients and Staff

5A’s Overview
Staff Pocket Card
5A Reminder Staff Poster
Assist
Tips and Quit Plan Handout
Arrange
SHL Quit Connection Form
Patient Reminder
Door Decal
Patient Reminder
Button
Patient Reminder
Poster
Patient Reminder
Video

 

Arrange: Refer patients/clients to:

Training opportunities for staff

Training opportunities for staff

In-person:

  • Training Enhancement in Applied Cessation Counselling and Health (TEACH)
    Training Enhancement in Applied Cessation Counselling and Health (TEACH) Project provides training for health care professionals in the public, private and non-profit sectors who provide intensive counselling services to people who use tobacco. Practitioners who are TEACH trained in Ontario can become certified by the University of Toronto in the delivery of intensive tobacco cessation interventions. TEACH is accredited by the College of Family Physicians of Canada Main-Pro C, Canadian Addiction Counselling Certification Federation and the Ontario College of Pharmacists.
  • Program Training and Consultation Centre (PTCC)
    The Program Training and Consultation Centre (PTCC) provide training, consultation and resources for health care intermediaries working in tobacco control. A current listing of workshop opportunities in listed on the PTCC website.
  • RNAO Smoking Cessation Champion Workshops
    The Registered Nurses` Association of Ontario invites all nurses, nursing students and other health care professionals to attend a FREE one day workshop on Smoking Cessation Best Practices!
  • University of Massachusetts Medical School
    Centre for Tobacco Treatment Research and Training Tobacco Treatment Specialist Core Training is an intensive 4-day program, conducted in person and offers certification as a Tobacco Treatment Specialist

Web-based:

Canada:

  • Ontario Tobacco Research Unit (OTRU)
    OTRU’s online course, Tobacco and Public Health: From Theory to Practice features accessible, comprehensive and evidence-based Canadian content that is geared to individuals working in tobacco.
  • Canadian Action Network for the Advancement, Dissemination and Adoption of Practice-informed Tobacco Treatment (CAN-ADAPTT)
    In addition to the on-line Dynamic Guidelines for Tobacco Control in Canada, CAN-ADAPTT hosts a Guidelines Discussion Board, inviting health care providers to make comments on how these recommended practices may or may not work in their setting and provide suggestions and/or evidence of what practices have worked for you or may work when treating tobacco dependence.
  • Introduction to Motivational Interviewing online course – Centre for Addiction and Mental Health
    Based on the book Motivational Interviewing: Helping People Change (Third edition, 2013), this simulation-based and interactive online course is designed for health care practitioners who have direct client care responsibilities.  This course offers 44 hours of training on how to use core motivational interviewing skills in conversations about change across a range of health-related issues.
  • Tobacco Free RNAO
    The Registered Nurses’ Association of Ontario invites nurses and other health-care professionals to attend FREE knowledge exchange webinars to learn more about smoking cessation interventions within specific populations groups and other smoking cessation topics.

United States:

  • Brown University: The Center for Alcohol and Addiction Studies Distance Learning Program
    Online continuing education courses covering a range of topics relating to advances in addiction treatment and prevention. Courses relevant to tobacco use cessation include: Addressing Tobacco Use and Dependence in Addiction and Behavioral Health Services; Motivational Interviewing: Fundamentals; and Motivational Interviewing: Encouraging client change and rolling with resistance.

Monitoring and evaluation

Monitoring and evaluation

  • Data Standards for Smoke-free Ontario Smoking Cessation Service Providers
    Common measures and definitions are provided to ensure equivalent reporting by service providers. Key data standards and definitions are provided in this document for adult (18 years of age and older) tobacco users participating in smoking cessation programs.  These data standards/questions and definitions can be utilized when creating your patient assessment forms.
  1. Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline.
  2. Canadian Pharmacy Association, 2001