Tobacco Cessation Proposal And Summary

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Introduction
Smoking is the leading cause of preventable death in the United States and worldwide (Centers for Disease Control, 2013, World Health Organization, 2008). Tobacco cessation counseling is a vital component of any public health strategy seeking to decrease mortality, disease and costs associated with smoking. To that end, the Healthy People 2020 Tobacco Use Objectives cover three main areas: reducing tobacco use, instituting health system changes, and creating social and environmental changes (U.S. Department of Health and Human Services, 2013). Objective TU-10 falls under the category of health system changes as it seeks to open doors for patients to make quit attempts and to pursue tobacco cessation methods by increasing tobacco …show more content…

The authors were motivated in part by evidence that educating providers about nicotine addiction and clinical guidelines for outpatient interventions has been effective in increasing tobacco screening rates.(KIMMEL REFS 17 &18) Eight sites were identified to adopt and pilot the tobacco screening initiative. After setting up structures within each clinic to ensure stability and functionality of tobacco screening and counseling protocols, the researchers provided training to all providers at multiple site in tobacco screening and cessation counseling. Kimmel and her coauthors designed their interventions based on the Clinical Practice Guidelines for Treating Tobacco Use and Dependence (insert ref from Kimmel #6??). The program was comprehensive and included site-specific patient education materials, periodic follow-up training sessions as well as sessions for new employees. Each site had a provider with strong interest in tobacco cessation and the capability to serve as a leader to spear head the project for their group, reviewing data and acting as a liaison between the site and the researchers. The so-called “champion” also acted to support other sites as necessary. Each site had baseline reports and then performance reports generated every six months throughout the study. These reports were shared with all …show more content…

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Reid, J.L., Hammond, D, Boudreau, C., Fong, G.T., Siahpush, M.; ITC

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