Iowa Healthcare Collaborative

Tobacco Cessation

Tobacco use is associated with cardiovascular disease, respiratory disease, cancer and many other illnesses.  In Iowa, cigarette smokers may be unaware of current resources available for tobacco cessation.  Iowa physicians should be tobacco cessation leaders to help reduce tobacco use and increase awareness of available cessation resources.
The Iowa Healthcare Collaborative has developed this toolkit to equip Iowa physicians with current resources for preventing, treating, and helping patients with tobacco addictions.

  1. Evidence Based Guidelines

  2. Youth Guidelines

  3. Provider Educational Materials

  4. Patient Educational Resources

  5. Fact Sheets

  6. Self-Help Websites

  7. Community Awareness

  8. Current Legislation

  9. Resources

Evidence Based Clinical Guidelines

American Heart Association
Guidelines for smoking cessation provided by the American Heart Association.

Population Based Smoking Cessation
Monograph on population based smoking cessation, including proceedings of a conference on what works to influence cessation in the general population.
Research Article 
Smith, P. M., Sellick, S. M., & Spadoni, M. M.  (2012).  Tobacco cessation clinical practice guideline use by rural and urban hospital nurses: a pre-implementation needs assessment. BMC nursing, 11(6). 
University of Michigan Health System
This website contains clinical practices guidelines for health providers. 

Youth Guidelines

Centers for Disease Control and Prevention
The 2011 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.
Journal of Pediatrics
This article describes the state of office-based interventions for youth tobacco use, including information on current clinical practice guidelines.
U.S. Department of Health and Human Services
Preventing tobacco use among youth and young adults: A report of the surgeon general, 2012 – Executive Report
Youth Tobacco Cessation Collaborative
This website provides resources and guidelines for youth tobacco use. 

Provider Educational Materials

Division of Tobacco Use Prevention and Control
Many different resources are available through this division of IDPH.
National Tobacco Cessation Collaborative
This website offers resources and presentations.
Principles of Drug Addiction Treatment: A Research Based Guide       
This research guide details a variety of effective approaches to drug addiction treatment.
Research Report: Tobacco Addiction
This article summarizes the latest scientific information about tobacco addiction.

Patient Educational Resources

Mayo Clinic
Smoking cessation: Creating a quit-smoking plan (2011)
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.
Smoking Cessation for Pregnancy and Beyond
This website provides online resources for individuals who smoke and family members.
Tobacco and Relationship to low birth rate (PDF)
A fact sheet demonstrating the impact of tobacco use on low birth rates (2010).

Fact Sheets

  1. Heart Disease and Smoking (PDF)

  2. Healthy Reasons to Kick the Habit (PDF)

  3. Questions About Quitting (PDF)

  4. Secondhand Tobacco Smoke (PDF)

  5. The Smokeless Risk (PDF)

  6. Quit Without Weight Gain (PDF)

Self-Help Websites

American Cancer Society
This self-help website provides resources for individuals who plan to quit smoking.
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.
Be Tobacco Free
Self-help website provided by the U.S. Department of Health and Human Services.
Smoke Free
Self help website provided by the National Cancer Institute, U.S. Department of Health and Human Services, National Institutes of Health, and

The University of Iowa
Smoking cessation education and resources

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.
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. Ready to Quit? Call 1-800-QUIT-NOW/1-800-784-8669 for free help.
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. 

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 (PDF)
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, “ Broken Promises to Our Children: The 1998 StateTobacco Settlement 14 Years Later." 


Iowa Substance Abuse Information Center
This website allows you to order printed tobacco materials, specifically from Quitline Iowa.
The Lung Association
How to Quit Smoking (2012)
What happens when you quit smoking? (video)
Centers for Disease Control and Prevention
Tips from Former Smokers

Created: November 11, 2009
Updated: November 7, 2013

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