Tobacco Cessation
Case for Change
Case for Change
The use of tobacco is the leading cause of death in the United States and has been linked to cancer, cardiovascular disease, respiratory disease, and various other diseases. In the state of Iowa, almost 20% of the population uses tobacco products1 and 14.5% of them use every day2. In 2006 the state of Iowa spent $794 million on tobacco related illness and treatment3. Additionally, 7.5 million packs of cigarettes were sold to underage children, drawing in 4,700 new youth addicts per year3. The Iowa Department of Public Health states that 75% of current tobacco users would like to completely quit but only 18% of those plan to quit within the next 30 days4.
Iowa's physicians must become tobacco cessation leaders and change this growing addiction pattern. Physicians are in a position to help prevent the use of tobacco and help those addicted quit for good. The Iowa Healthcare Collaborative has developed this toolkit to equip Iowa physicians in preventing, treating, and helping patients with tobacco addictions.
This toolkit will:
- Use evidence based clinical guidelines to increase patient health
- Increase provider education
- Provide patient tools and educational materials
- Provide community tools and programs
- Provide information regarding tobacco legislation
Sources:
- CDC. (2007). BRFSS Data.
- CDC. (2007). BRFSS Data.
- CDC. (2006).
- Iowa Department of Public Health. (2006). Iowa 2006 Adult Tobacco Use Survey: Executive Summary.
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Toolkit
Evidence Based Clinical Guidelines
Adult Guidelines - General Tobacco Cessation
Youth Guidelines - General Tobacco Cessation
- Journal of Pediatrics
This article describes the state of office-based interventions for youth tobacco use, including information on current clinical practice guidelines.
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Educational Materials
Provider Education
- American Academy of Family Physicians
Select "Prescribing Guidelines" to access the Pharmacologic Product Guide: FDA-Approved Medications.
- Centers for Disease Control and Prevention
The 2006 National Youth Tobacco Survey and Key Prevalence Indicators document provides nationally representative data about middle and high school youth's tobacco-related beliefs, attitudes, behaviors and exposure to pro- and anti-tobacco influences.
- Iowa Department of Public Health
The following resources are available through the Iowa Department of Public Health:
- 3 minutes 3 steps - Ask, Advise, Refer in Clinical Settings
This document describes how to implement a brief tobacco intervention in the health care setting.
- Brief Tobacco Intervention: In Clinical Practice
This power point presentation from IDPH identifies the healthcare professional's role in tobacco cessation, and provides information and resources that can be used in the clinic setting.
- Division of Tobacco Use Prevention and Control
Many different resources are available through this division of IDPH.
- Quitline Iowa
Quitline Iowa is a toll-free, statewide smoking cessation telephone counseling hotline.
- National Committee for Quality Assurance
NCQA and Pfizer have published the sixth edition of “Quality Profiles” which is a leadership series focused on raising quality of care in the healthcare marketplace. This edition highlights successful efforts for implementing evidence-based tobacco cessation initiatives.
- National Institute on Drug Abuse
- State of New York Department of Health
This website "Talk To Your Patients" provides resources on how to talk to your patients about quitting smoking successfully.
- United States Department of Health and Human Services
Helping Smokers Quit: A Guide for Clinicians (select print version)
Patient Education
Educational Information
- American Cancer Society
This website provides a guide and information on quitting smoking.
- American Heart Association
This website provides many resources on quitting smoking, including information on avoiding weight gain, and tips for family and friends.
- American Lung Association
This web site provides resources for smoking cessation support.
- Iowa Department of Public Health
The following educational resources appropriate for your patients are available through the Iowa Department of Public Health:
- Alternative Methods of Tobacco Cessation
This document provides a list of alternative quit methods for tobacco cessation.
- FAQs on Quitting Tobacco (link to FAQs on Quitting Tobacco) This document lists answers to frequently asked questions about quitting tobacco.
- Health Benefits of Quitting
This document details the short term and long term benefits to quitting smoking.
- Myths About Quitting
This document discusses the common misconceptions about quitting tobacco.
- Smoking among Older Adults
This document provides statistics on smoking as it relates to older adults.
- Tobacco Cessation Medication Overview
This document details the various medications available to assist with tobacco cessation efforts.
- Just Eliminate Lies
This website is designed for Iowa Teens and their fight against second hand smoke.
- National Institute on Drug Abuse
This fact sheet on cigarettes and other tobacco products (available in Spanish or as a PDF) lists information and statistics about tobacco use and addiction.
- South Carolina Department of Alcohol and Other Drug Abuse Services
The Tobacco Fact Sheet answers common questions about smoking and tobacco products.
Tools
- Iowa Department of Public Health
The following resources from the Iowa Department of Public Health can help your patients when they decide to quit tobacco.
- 5 Day Quit Plan
This document helps you create an action plan and lists things to consider when quitting smoking.
- Tips for Week 1 - Cravings
This document lists techniques to help you successfully deal with the nicotine cravings associated with quitting smoking.
- Weight Control While Quitting
This document gives tips on avoiding weight gain as you quit.
- Self-Help Websites
- American Lung Association - Freedom from Smoking
Free online smoking cessation program.
- Become An Ex
This site is free to anyone looking for help with tobacco cessation, and utilizes proven methods to teach smokers how to quit and how to stay quit.
- Quit Net
This site is dedicated to providing comprehensive resources and support for people trying to give up smoking.
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Community Awareness
Community awareness surrounding tobacco use is one of the most important factors in decreasing the overall population use of tobacco. One's environment often determines whether tobacco use occurs, and healthy, supportive communities decrease the tobacco risk factor. The information provided below contains ways to improve community services and successful programs in the state of Iowa, and can be used to increase public awareness of the harm of tobacco products.
Successful Iowa Programs
- Iowa Tobacco Prevention Alliance
The Iowa Tobacco Prevention Alliance is the only statewide non-profit organization in Iowa solely dedicated to reducing tobacco use and exposure to second hand smoke. This website provides the components of a comprehensive tobacco control program as recommended by the Centers for Disease Control and Prevention.
- Guide to Community Preventive Services
This site provides evidence-based recommendations for programs and policies to promote population health.
- Quitline Iowa
Quitline Iowa is a toll-free, statewide smoking cessation telephone counseling hotline where trained counselors provide callers assistance in making an individualized quit plan and on-going support through optional follow-up calls. This is a free service through the Iowa Department of Public Health.
- Tar Wars
A tobacco-free education program for kids from the American Academy of Family Physicians. Tar Wars programs are available in a variety of Iowa towns, including Iowa City and Cedar Rapids.
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Current Legislation
Provided below are articles concerning recent state or federal legislation that affects the use of tobacco. Understanding the implementation of legislative directives is useful in explaining the reasoning behind current laws.
- Iowa Department of Human Services
This letter from the Iowa Medicaid Enterprise informs providers and other interested parties of the changes associated with coverage of smoking cessation drugs by Iowa Medicaid Enterprise to allow IowaCare members to receive the smoking cessation drugs at any pharmacy location.
- Iowa Department of Public Health
The Iowa Smoke Free Air Act was signed into law by Governor Chet Culver on April 15, 2008, which regulates smoking in public places, places of employment, and certain outdoor areas.
- Tobacco Free Kids
Since the November 1998 multi-state tobacco settlement, the Campaign for Tobacco-Free Kids, American Heart Association, American Lung Association and American Cancer Society Cancer Action Network has issued regular reports assessing whether the states are keeping their promise to use a significant portion of their settlement funds - expected to total $246 billion over the first 25 years-to attack the enormous public health problem posed by tobacco use in the United States. The latest report is titled, "A Broken Promise to Our Children: the 1998 State Tobacco Settlement Nine Years Later."
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Success Stories
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Mentors
This tool kit was developed in collaboration with the Iowa Department of Public health. IHC would like to thank those individuals and organizations who have shared their materials and who have agreed to serve as mentors, including the Iowans for Wellness and Prevention, the Iowa Department of Public Health, and the Iowa Nebraska Primary Care Association. Please contact IHC if your organization would like to contribute materials to this tool kit.
- Iowa Department of Public Health
Contact: Jeremy Whitaker, MPH
Tobacco Cessation Coordinator
Phone: 515-281-4517
Email: jwhitake@idph.state.ia.us
- Iowa/Nebraska Primary Care Association
9943 Hickman Rd, Suite 103
Urbandale, IA 50322
Pnone: 515.244.9610
www.ianepca.com
- Iowans for Wellness and Prevention
www.iowans4wellness.org
- Eastern Iowa Coordinator, Tar Wars
Contact: Les Weber, MD
Email: drles1498@mchsi.com
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Resources
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