Project TEACH Addressing Tobacco Treatment for Pregnant Women Jan Blalock, Ph.D.
|
|
- Imogene Cameron
- 5 years ago
- Views:
Transcription
1 Project TEACH Addressing Tobacco Treatment for Pregnant Women Jan Blalock, Ph.D.
2 Prevalence of Smoking and Cessation During Pregnancy In 2014, 14% in women with Medicaid coverage versus 3.6% of women with private insurance Quit rates of pregnant women 18.4% with Medicaid versus 28.4% with private insurance
3 Smoking in Pregnancy and Behavioral Health Disorders Among pregnant women who smoke, 45.1% meet criteria for one or more behavioral health disorders Among pregnant women with nicotine dependence disorder, 57.5% meet criteria for one or more behavioral health disorders
4 Risks of Smoking During Pregnancy Increases risk for Spontaneous abortion Placental complications Pre term delivery responsible for 10% Low birth weight responsible for 30% Fetal and neonatal death Sudden infant death syndrome
5 Impact of Smoking Cessation Treatment on Birth Outcomes Women who receive psychosocial smoking cessation interventions during pregnancy have significant reductions in risk 18% reduction in pre term birth 18% reduction in low birth weight Increase in mean birth weight of 41 g
6 Risks of Smoking in Postpartum Period Increases risk for infant and child Hospitalization Respiratory tract and other types of infections in first 12 months of life Ear problems Slower lung growth and lung function problems in infant School absence
7 Risks of Depression During Pregnancy High levels of depressive symptoms in mother independently increases risk for Preterm birth Low birth weight This risk is comparable to smoking 10 or more cigarettes per day
8 Clinical Practice Guidelines Because of serious risks of smoking during pregnancy Offer person to person psychosocial intervention that exceeds minimal advice to quit Problem solving and motivational enhancement Abstinence in early pregnancy provides greatest benefits, but quitting at any point is beneficial Offer effective intervention throughout course of pregnancy
9 Clinical Practice Guidelines (continued) Provide pregnancy specific smoking cessation materials smoking.aspx has materials to help women quit freebooklet babies.aspx has booklets to help women who have quit smoking in pregnancy remain smoke free
10 Clinical Practice Guidelines Tobacco Use Medication In 2008, limited data so the Panel did not make a recommendation
11 Recent Studies on Pharmacological Interventions Recent meta analysis of pharmacological interventions in pregnancy found NRT with behavioral support may increase smoking abstinence in late pregnancy by 40% NRT had neither positive or negative impact on birth outcomes One study found that women assigned to NRT had improved infant developmental outcomes There was a low level of adherence to NRT regimens in women who participated in these studies
12 Recent Studies on Pharmacological Interventions (continued) Bupropion is listed as a Category C drug in pregnancy (risk cannot be ruled out) One observational study found higher quit rates in bupropion (45%) than controls (14%) Varenicline is listed as a Category C drug in pregnancy No studies have been conducted
13 Tailored Treatment for Pregnant Smokers with Behavioral Health Disorders? No studies conducted with exception of Cinciripini et al., 2010 Compared depression focused versus health and wellness control 10 sessions, 60 minutes each Smoking cessation component included motivational and behavioral interventions Demographics 54% African American ~ half were unemployed 25 years of age 76% had lifetime history of MDD 67% recurrent episode
14 Tailored Treatment for Pregnant Smokers with Behavioral Health Disorders? (continued) Study Outcomes Women with highest levels of baseline depression symptoms had higher abstinence and lower depression in depression focused treatment Women with low levels of depression had worse abstinence outcomes
15 Relationship of Childhood Trauma to Nicotine Dependence High rates of moderate to severe childhood trauma in the sample 76% had at least one type of trauma 32% emotional abuse 21% physical abuse 33% sexual abuse 34% emotional neglect 25% physical neglect Childhood trauma related to higher levels of nicotine dependence Multiple types of trauma increased nicotine dependence severity
16 Relationship of Childhood Trauma to Abstinence Increasing amounts of trauma associated with reduced likelihood of abstinence at 6 months post treatment Predicted Abstinence Rates, 6 Months Post-Treatment Total Number of Moderate to Severe Trauma Categories
17 Relationship of Childhood Trauma to Depression Outcome Women with increasing amounts of childhood trauma benefitted more from depression focused treatment for depression, while those in the health and wellness condition did not
18
19 References 1. Coleman T., et al. Pharmacological interventions for promoting smoking cessation during pregnancy. Cochrane Database of Systematic Reviews 2015, Issue Chamberlain C., et al. Psychosocial interventions for supporting women to stop smoking in pregnancy. Cochrane Database of Systematic Reviews, 2013, Issue Goodwin R. D. et al. Mental disorders and nicotine dependence among pregnant women in the United States. Obstetrics & Gynecology, Vol. 109, No. 4, , Fiore, M. C., et al. "Treating Tobacco Use and Dependence: 2008 Update, Clinical Practice Guideline." Mar. 4, May, U. S. Department of Health and Human Services. Public Health Service, Rockville, MD. 5. Oncken C. A. et al. What do we know about the role of pharmacotherapy for smoking cessation behavior or during pregnancy? Nicotine & Tobacco Research, Vol. 11, No. 11, , Cinciripini P. M., et al. Effects of an intensive depression focused intervention for smoking cessation in pregnancy. Journal of Consulting and Clinical Psychology, Vol. 78, No, 1, 44 54, Blalock J. A., et al., The relationship of childhood trauma to nicotine dependence in pregnancy smokers. Psychology of Addictive Behaviors, Vol. 25, No. 4, , Blalock J. A., et al., Relationship of childhood trauma to depression and smoking outcomes in pregnant smokers. Journal of Consulting and Clinical Psychology, Vol 81, No. 5, , 2013.
Smoking Cessation in Pregnancy. Jessica Reader, MD, MPH Family Medicine Obstetrics Fellow June 1st, 2018
Smoking Cessation in Pregnancy Jessica Reader, MD, MPH Family Medicine Obstetrics Fellow June 1st, 2018 Tobacco Cessation in Pregnancy: Objective 1. Overview of the negative effects of tobacco abuse in
More informationWhat Do We Know About Best Practice Prenatal Counseling Interventions In Clinical Settings?
1 What Do We Know About Best Practice Prenatal Counseling Interventions In Clinical Settings? Cathy L. Melvin, PhD, MPH Presented by Catherine L. Rohweder, DrPH The National Conference on Tobacco or Health
More informationThe Science and Practice of Perinatal Tobacco Use Cessation
1 The Science and Practice of Perinatal Tobacco Use Cessation Erin McClain, MA, MPH Catherine Rohweder, DrPH Cathy Melvin, PhD, MPH erin_mcclain@unc.edu Prevention of Tobacco Use and Secondhand Smoke Exposure
More informationTobacco Use and Reproductive Health: An Update
Project with Alberta Health Services Christene Fetterly Gail Foreman and Tasha Allen Tobacco Use and Reproductive Health: An Update Lorraine Greaves PhD Nancy Poole PhD Natalie Hemsing, Research Associate,
More informationPERINATAL TOBACCO USE
PERINATAL TOBACCO USE Child Fatality Task Force Meeting December 7, 2015 Erin McClain, MA, MPH You Quit, Two Quit, UNC Center for Maternal & Infant Health Percentage Women & Tobacco Use in NC 2 50 45 40
More informationManagement of Perinatal Tobacco Use
Management of Perinatal Tobacco Use David Stamilio, MD, MSCE Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, UNC School of Medicine Funding for this project is provided in
More informationTobacco Cessation for Women of Reproductive Age. Erin McClain, MA, MPH
Tobacco Cessation for Women of Reproductive Age Erin McClain, MA, MPH Tobacco Use During Pregnancy in NC 2 1 in 10 babies in NC are born to women reporting tobacco use during pregnancy In some counties
More informationHow to help your patient quit smoking. Christopher M. Johnson MD, PhD
How to help your patient quit smoking Christopher M. Johnson MD, PhD Outline Smoking and its effects on IBD CD UC Clinical interventions Pharmacotherapy Resources Outline Smoking and its effects on IBD
More informationSpecial Populations: Guidelines for Pregnant Smokers
Special Populations: Guidelines for Pregnant Smokers Jennifer S. B. Moran, MA Mayo Clinic Best Practice Brief cessation counseling 5-15 minutes by a trained health care provider, combined with pregnancyspecific
More informationBASIC SKILLS FOR WORKING WITH SMOKERS
BASIC SKILLS FOR WORKING WITH SMOKERS Course Description Goals and Learning Objectives 55 Lave Ave No, Worcester, MA 01655 www.umassmed.edu/tobacco 2016 Basic Skills for Working with Smokers 1 Table of
More informationSmoking Cessation Interventions In Hospital Settings: Implementing the Evidence
Smoking Cessation Interventions In Hospital Settings: Implementing the Evidence Nancy Rigotti, MD Tobacco Research & Treatment Center, General Medicine Division, Massachusetts General Hospital, Harvard
More informationWanting to Get Pregnant
Continuing Medical Education COPD Case Presentation LEARNING OBJECTIVES Those completing this activity will receive information that should allow them to Assist a patient in developing a quit plan; Advise
More informationBASIC SKILLS FOR WORKING WITH SMOKERS
BASIC SKILLS FOR WORKING WITH SMOKERS Course Description Goals and Learning Objectives 368 Plantation Street, Worcester, MA 01605 www.umassmed.edu/tobacco 2018 Basic Skills for Working with Smokers 1 Table
More informationDr Caitlin Notley. Preventing Return to Smoking Postpartum: PReS Study
Dr Caitlin Notley Preventing Return to Smoking Postpartum: PReS Study DEVELOPMENT OF AN EVIDENCE BASED COMPLEX INTERVENTION FOR MAINTAINING POSITIVE BEHAVIOUR CHANGE c.notley@uea.ac.uk @AddictionUEA https://www.uea.ac.uk/medicine/research/addiction
More informationPERINATAL TOBACCO USE
PERINATAL TOBACCO USE Child Fatality Task Force Perinatal Health Committee Meeting November 4, 2015 Erin McClain, MA, MPH You Quit, Two Quit, UNC Center for Maternal & Infant Health Percentage Women &
More informationProject ECHO Importance of Treating Tobacco Use In People With Behavioral Health Disorders Jan Blalock, Ph.D.
Project ECHO Importance of Treating Tobacco Use In People With Behavioral Health Disorders Jan Blalock, Ph.D. High Levels Of Tobacco Use Almost twice as likely to smoke as people without disorders (36.1%
More informationSystematic Review Search Strategy
Registered Nurses Association of Ontario Clinical Best Practice Guidelines Program Integrating Tobacco Interventions into Daily Practice (2017) Third Edition Systematic Review Search Strategy Concurrent
More informationEVIDENCE-BASED INTERVENTIONS TO HELP PATIENTS QUIT TOBACCO
EVIDENCE-BASED INTERVENTIONS TO HELP PATIENTS QUIT TOBACCO Lena Matthias Gray, MSA, CTTS-M University of Michigan MHealthy Tobacco Consultation Service Overview of Tobacco Use The World Health Organization
More informationSMOKING RELAPSE ONE YEAR AFTER DELIVERY AMONG WOMEN WHO QUIT SMOKING DURING PREGNANCY
International Journal of Occupational Medicine and Environmental Health, 2005;8(2):59 65 SMOKING RELAPSE ONE YEAR AFTER DELIVERY AMONG WOMEN WHO QUIT SMOKING DURING PREGNANCY KINGA POLAŃSKA, WOJCIECH HANKE,
More informationSlide 1. Slide 2. Slide 3. Reducing Tobacco Use and Nicotine Dependence in Clinical Settings. Goals for Today
Slide 1 UNIVERSITY OF HAWAI I CANCER CENTER Reducing Tobacco Use and Nicotine Dependence in Clinical Settings Pebbles Fagan, Ph.D., M.P.H. Associate Professor and Program Director Cancer Prevention and
More informationSMOKING CESSATION. Why bother?
SMOKING CESSATION Why bother? Supporting policies COPD A disease characterised by airflow obstruction. It is usually progressive, not fully reversible and does not change markedly over several months.
More informationPregnancy and Secondhand Smoke Cathy L. Melvin, PhD, MPH
Pregnancy and Secondhand Smoke Cathy L. Melvin, PhD, MPH Chair, The National Partnership for Smoke-Free Families Objectives To summarize the relationship of secondhand smoke exposure to fetal and infant
More informationThe 5A's are practice guidelines on tobacco use prevention and cessation treatment (4):
Smoking Cessation Module Tobacco use is the single greatest preventable cause of chronic diseases and premature deaths worldwide. The Canadian Cancer Society reports that tobacco product use is responsible
More informationPREGNANCY SERVICES WORKING IN PARTNERSHIP TO REDUCE INEQUALITIES & REDUCE THE PREVALENCE OF SMOKING IN PREGNANCY
PREGNANCY SERVICES WORKING IN PARTNERSHIP TO REDUCE INEQUALITIES & REDUCE THE PREVALENCE OF SMOKING IN PREGNANCY Lesley Allan, Specialist Nurse, NHS Lanarkshire Lorraine Farrow, Specialist Midwife, NHS
More informationSmoking Cessation A Clinicians Perspective. Jeff Wilson, MD
Smoking Cessation A Clinicians Perspective Jeff Wilson, MD Overview Tobacco control what we have accomplished and the road ahead Role of the health care professional Using pharmacotherapy Electronic cigarettes
More informationSmoking Cessation. MariBeth Kuntz, PA-C Duke Center for Smoking Cessation
Smoking Cessation MariBeth Kuntz, PA-C Duke Center for Smoking Cessation Objectives Tobacco use at population level Tobacco use and control around the world What works for managing tobacco use Common myths
More informationFunding for TIPS provided by: The State of Tennessee Portions of this presentation 2002 The American College of Obstetricians and Gynecologists
A training offered by Dr. Beth Bailey, Associate Professor of Family Medicine, East Tennessee State University; and by the Tennessee Intervention for Pregnant Smokers (TIPS) Program Funding for TIPS provided
More informationBackground. Abstinence rates associated with varenicline
What are the range of abstinence rates for varenicline for smoking cessation? Do they differ based on treatment duration? Are there any studies utilizing 3-4 months of varenicline treatment? Background
More informationPrimary Care Smoking Cessation. GP and Clinical Director WRPHO Primary Care Advisor MOH Tobacco Team Target Champion Primary Care Tobacco
Primary Care Smoking Cessation Dr John McMenamin GP and Clinical Director WRPHO Primary Care Advisor MOH Tobacco Team Target Champion Primary Care Tobacco Target or Tickbox? The Tobacco health target:
More information1.3 Sample Standard of Care from the Medical University of South Carolina
1.3 Sample Standard of Care from the Medical University of South Carolina Vitamin D Testing and Treatment Protocol MUSC Department of Ob-Gyn, Maternal-Fetal Medicine Division BACKGROUND: A rapidly evolving
More informationBrief Counselling for Tobacco Use Cessation
Brief Counselling for Tobacco Use Cessation Revised Fall 2011 www.ptcc-cfc.on.ca Overview & Agenda Impact of Tobacco Use Cessation & Comprehensive Tobacco Control Nicotine & Nicotine Delivery Systems Prevalence
More informationBest Practices in Tobacco Treatment IDN
Best Practices in Tobacco Treatment IDN 6.27.18 Objectives Project SCUM was a plan proposed in 1995 by R. J. Reynolds Tobacco Company (RJR) to sell cigarettes to members of the "alternative lifestyle"
More informationCONSTITUTION Smoking Before, During and After Pregnancy: Colorado Trends
A N D health COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT watch April 21 No. 75 UNION CONSTITUTION Smoking Before, During and After Pregnancy: Colorado Trends Health Statistics Section Alyson Shupe,
More informationEffective Treatments for Tobacco Dependence
Effective Treatments for Tobacco Dependence Abigail Halperin MD, MPH Director, University of Washington Tobacco Studies Program Ken Wassum Associate Director of Clinical Development and Support Quit for
More informationTobacco treatment for people with serious mental illness (SMI)
Tobacco treatment for people with serious mental illness (SMI) An opportunity to close the mortality gap Massachusetts Mental Health Center 1 National Resource Center for Academic Detailing A compelling
More informationExecutive Summary. Context. Guideline Origins
Executive Summary Context In America today, tobacco stands out as the agent most responsible for avoidable illness and death. Millions of Americans consume this toxin on a daily basis. Its use brings premature
More informationEvaluating Smoke-Free Policies
Evaluating Smoke-Free Policies Andrew Hyland, PhD Roswell Park Cancer Institute Section A General Overview 1 Evaluating Smoke-Free Policies: Andrew Hyland, PhD Why Have Smoke-Free Rules? Clean up the air
More informationYou Can Make a Difference!
You Can Make a Difference! How to help your clients become tobacco free What Does Smoking Cost Us? One study estimates that cost savings of between $1,142 and $1,358 per pregnancy can be achieved for each
More informationScience = Solutions For Substance Use Disorders and Infant Outcomes. Wilson M. Compton, M.D., M.P.E. Deputy Director National Institute on Drug Abuse
Science = Solutions For Substance Use Disorders and Infant Outcomes Wilson M. Compton, M.D., M.P.E. Deputy Director National Institute on Drug Abuse Science = Solutions Increased Opioid Mortality: Greater
More informationUMASS TOBACCO TREATMENT SPECIALIST CORE TRAINING
UMASS TOBACCO TREATMENT SPECIALIST CORE TRAINING Course Description Goals and Learning Objectives 55 Lake Ave North, Worcester, MA 01655 www.umassmed.edu/tobacco 1 Table of Contents Determinants of Nicotine
More informationPUBLIC HEALTH GUIDANCE FINAL SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE PUBLIC HEALTH GUIDANCE FINAL SCOPE 1 Guidance title How to stop smoking in pregnancy and following childbirth. 1.1 Short title Quitting smoking in
More informationThe short version. WHO recommendations on prevention and management INTRODUCTION. of tobacco use and second-hand smoke exposure in pregnancy
WHO recommendations on prevention and management of tobacco use and second-hand smoke exposure in pregnancy The short version In 2013, the World Health Organization (WHO) published a set of Recommendations
More informationSmoking Cessation. Disclosures. Thank You. None
Smoking Cessation Dr. Jamie Kellar; BSc, BScPhm, PharmD Clinician Educator Centre for Addiction and Mental Health Assistant Professor Leslie Dan Faculty of Pharmacy Disclosures None Thank You Several slides
More informationCochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library)
A systematic review of smoking cessation and relapse prevention interventions in parents of babies admitted to a neonatal unit (after delivery) Divya Nelson, Sarah Gentry, Caitlin Notley, Henry White,
More informationTRENDS IN TOBACCO UNDERSTAND 5/26/2017 LEARNING OBJECTIVES. Understand the types of tobacco products trending in today s market & associated risks
TRENDS IN TOBACCO And What Employers Can Do to Support Cessation Katy Tombaugh, Certified Tobacco Treatment Specialist Founder & CEO, Wellness Collective LEARNING OBJECTIVES Understand the types of tobacco
More informationSmoking cessation in pregnancy guideline for practice (GL917)
Smoking cessation in pregnancy guideline for practice (GL917) Approval Approval Group Job Title, Chair of Committee Date Maternity & Children s Services Clinical Governance Committee Chair, Maternity Clinical
More informationPage 1 of 7 INITIAL EVALUATION MANAGEMENT. STATUS Yes. See page 2. Refer patient to a tobacco treatment program 3 (preferred) Patient interested?
Page 1 of 7 INITIAL EVALUATION Screen current tobacco use status Has patient smoked more than 100 cigarettes in lifetime? Has patient smoked or used tobacco in the last 12 months? STATUS Within the last
More informationSmokefree mums and bubs
Smokefree mums and bubs Emma Dean Acting Population Health and Health Promotion Coordinator Lead Pharmacist- Smokefree Monday 28 th May 2018 2008 Our transition to Totally Smokefree May 2008 Rapid transition
More informationTWIN VALLEY BEHAVIORAL HEALTHCARE CLINICAL GUIDELINES FOR MANAGEMENT OF SMOKING CESSATION
Appendix G PHASE OF MANAGEMENT NOTIFICATION ASSESSMENT TWIN VALLEY BEHAVIORAL HEALTHCARE CLINICAL GUIDELINES FOR MANAGEMENT OF SMOKING CESSATION ACTIONS All patients will be advised on admission that :
More informationPriority Alignment. Birth Outcomes. Goal 1-Reduce preterm births. Goal 2 - Reduce substance misuse in pregnant women
Alignment Birth Outcomes Goal 1-Reduce preterm births Birth Outcomes Infant Mortality - Empower People - Reproductive and Sexual Health - Reduce preterm births - Reduce the fetal and infant deaths - Reduce
More informationIntroduction to pharmacotherapy
Introduction to pharmacotherapy Dr. Shamim Jubayer. Research Fellow Dept. Epidemiology and Research National Heart Foundation Hospital And research Institute Effective tobacco cessation medications The
More informationAre we missing an opportunity to improve. smoking cessation rates for pregnant women? JHD. Lizanne C Siqueira
Are we missing an opportunity to improve smoking cessation rates for pregnant women? Lizanne C Siqueira The University of Notre Dame, School of Medicine, Ballarat Clinical School, Ballarat, VIC, Australia.
More informationThe Nottingham eprints service makes this work by researchers of the University of Nottingham available open access under the following conditions.
Naughton, Felix and Foster, Katharine and Emery, Jo and Cooper, Sue and Sutton, Stephen and Leonardi- Bee, Jo and Jones, Matthew and Ussher, Michael and Whitemore, Rachel and Leighton, Matthew and Montgomery,
More informationMEDICATION COVERAGE POLICY PHARMACY AND THERAPEUTICS ADVISORY COMMITTEE
MEDICATION COVERAGE POLICY PHARMACY AND THERAPEUTICS ADVISORY COMMITTEE POLICY: Smoking Cessation Products LAST REVIEW 5/8/2018 THERAPEUTIC CLASS: Psychiatric Disorders REVIEW HISTORY 5/17, 5/16, 5/15,
More informationUpdate on Medications for Tobacco Cessation
Update on Medications for Tobacco Cessation Marc Fishman MD Johns Hopkins University Dept of Psychiatry Maryland Treatment Centers Baltimore MD MDQuit Best Practices Conference Jan 2013 Nicotine Addiction
More informationPharmacotherapy Safety and Efficacy in Adolescent Smoking Cessation
Philadelphia College of Osteopathic Medicine DigitalCommons@PCOM PCOM Physician Assistant Studies Student Scholarship Student Dissertations, Theses and Papers 2011 Pharmacotherapy Safety and Efficacy in
More informationBIOSTATISTICAL METHODS
BIOSTATISTICAL METHODS FOR TRANSLATIONAL & CLINICAL RESEARCH ADAPTIVE DESIGN: SMART TRIALS ADAPTIVE CLINICAL TRIALS An adaptive clinical trial is a clinical trial that evaluates a treatment (or treatments)
More informationEffective Strategies for Addressing the Needs of Substance Exposed Newborns & their Families Dixie L. Morgese, BA, CAP, ICADC.
Effective Strategies for Addressing the Needs of Substance Exposed Newborns & their Families Dixie L. Morgese, BA, CAP, ICADC Key Issues Significant increase in number of pregnant women addicted to prescription
More informationPharmacological interventions for smoking cessation: an overview and network meta-analysis (Review)
Pharmacological interventions for smoking cessation: an overview and network meta-analysis (Review) Cahill K, Stevens S, Perera R, Lancaster T This is a reprint of a Cochrane review, prepared and maintained
More informationEnsuring Medicaid Coverage of Tobacco Cessation
Ensuring Medicaid Coverage of Tobacco Cessation Why is Medicaid Coverage of Tobacco Cessation Important? In 2014, 32 percent of Medicaid enrollees were smokers, compared with 17 percent of the general
More information6 SUMMARY OF ACTIVITIES IN THE RISK MANAGEMENT PLAN
6 SUMMARY OF ACTIVITIES IN THE RISK MANAGEMENT PLAN 6.1 Overview of disease epidemiology WHO has calculated that every second smoker will die early because of smoking and in average a smoker will lose
More informationNORLAND AVENUE PHARMACY PRESCRIPTION COMPOUNDING FOR GENERAL PRACTICE
OCTOBER 2011 NORLAND AVENUE PHARMACY PRESCRIPTION COMPOUNDING N ORLANDA VENUEP HARMACY. COM We customize individual prescriptions for the specific needs of our patients. INSIDE THIS ISSUE: Smoking Cessation
More informationPHARMACOTHERAPY OF SMOKING CESSATION
PHARMACOTHERAPY OF SMOKING CESSATION Domenic A. Ciraulo, MD Director of Alcohol Pharmacotherapy Research Center for Addiction Medicine Department of Psychiatry Massachusetts General Hospital Disclosure
More informationTobacco Use Dependence and Approaches to Treatment
University of Kentucky UKnowledge Nursing Presentations College of Nursing 11-2011 Tobacco Use Dependence and Approaches to Treatment Audrey Darville University of Kentucky, audrey.darville@uky.edu Chizimuzo
More informationEvaluation of Pregnant and Postpartum Women s Use of Quitlines:
Evaluation of Pregnant and Postpartum Women s Use of Quitlines: Overview and lessons learned Patricia Dietz, DrPH Epidemiologist, Team Leader Research and Evaluation Team December 8 &10, 2010 National
More informationMotivating Smoking Cessation: Recognizing and Capitalizing on Teachable Moments
Motivating Smoking Cessation: Recognizing and Capitalizing on Teachable Moments Belinda Borrelli, PhD Professor & Director, The Miriam Hospital and Brown Medical School, Program in Nicotine and Tobacco
More informationNew Mexico Department of Health Tobacco Use Prevention and Control
New Mexico Department of Health Tobacco Use Prevention and Control The TUPAC Program acknowledges the traditional and beneficial use of tobacco within many of the Native American communities of New Mexico
More informationReadiness of Lung Cancer Screening Sites to Implement Smoking Cessation Treatment Services
Readiness of Lung Cancer Screening Sites to Implement Smoking Cessation Treatment Services Jamie S. Ostroff, PhD Memorial Sloan Kettering Cancer Center June 20, 2016 Disclosures Research Consultant, New
More informationUsing a Guideline-Centered Approach for the Design of a Clinical Decision Support System to Promote Smoking Cessation
Using a Guideline-Centered Approach for the Design of a Clinical Decision Support System to Promote Smoking Cessation Richard N. Shiffman, MD, MCIS George Michel, MS Abdelwaheb Essaihi, MD Theodore W.
More informationConsiderations in Designing a Tobacco Services Benefit
Considerations in Designing a Tobacco Services Benefit Susan J. Curry, Ph.D. Director, Center for Health Studies, Group Health Cooperative of Puget Sound Topics Elements of effective tobacco control strategy
More informationCANNABIS AND CANNABINOIDS: 2017 REPORT, U.S. NATIONAL ACADEMIES OF SCIENCES, ENGINEERING AND MEDICINE
1 CANNABIS AND CANNABINOIDS: 2017 REPORT, U.S. NATIONAL ACADEMIES OF SCIENCES, ENGINEERING AND MEDICINE The Health Effects of Cannabis and Cannabinoids. The Current State of Evidence and Recommendations
More informationEconomic Analysis of Interventions for Smoking Cessation Aimed at Pregnant Women
Y O R K Health Economics C O N S O R T I U M NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Economic Analysis of Interventions for Smoking Cessation Aimed at Pregnant Women Supplementary Report
More informationSMOKING CESSATION. Recommendations 5As Approach to Smoking Cessation. Stages of Change Assisting the Smoker. Contributor Dr. Saifuz Sulami.
SMOKING CESSATION 08 Recommendations 5As Approach to Intervention Stages of Change Assisting the Smoker Pharmacotherapy Contributor Dr. Saifuz Sulami Advisor Dr. Audrey Tan 79 nhg_guideline_14102010_1112.indd
More informationStrategies for Integrating Smoking Cessation & Wellness into Psychiatric & Substance Abuse Treatment Settings
Strategies for Integrating Smoking Cessation & Wellness into Psychiatric & Substance Abuse Treatment Settings Antoine Douaihy, MD Associate Professor of Psychiatry University of Pittsburgh School of Medicine
More informationHEALTHY BABIES: COLORADO COIIN Smoking Cessation Among Pregnant Women and other priorities
HEALTHY BABIES: COLORADO COIIN Smoking Cessation Among Pregnant Women and other priorities Larry Wolk, M.D. M.S.P.H. Executive Director and Chief Medical Officer Smoking Prevalence Among Pregnant Women
More informationNew Mexico Tobacco Cessation Services and Resources
New Mexico Tobacco Cessation Services and Resources Esther Hoang New Mexico Department of Health Tobacco Use Prevention and Control www.nmtupac.com 1190 S. St. Francis Drive Santa Fe, NM 87505 Phone: 505-827-2613
More informationAdverse Childhood Experiences
Adverse Childhood Experiences Adam Zolotor, MD, DrPH Associate Professor of Family Medicine University of North Carolina at Chapel Hill Interim President, North Carolina Institute of Medicine Presentation
More informationChantix Label Update 2018
Chantix Label Update 2018 Chantix (varenicline) Prescribing Information Chantix Prescribing Info URL and Disclaimer Please refer to the full Prescribing Information on important treatment considerations
More informationA systems approach to treating tobacco use and dependence
A systems approach to treating tobacco use and dependence Ann Wendland, MSL Policy Analyst & Cessation Programs Manager NYSDOH Bureau of Tobacco Control ann.wendland@health.ny.gov A systems approach to
More informationSmoking Reduction and Cessation Interventions for Pregnant Women and Mothers of Infants: A Review of the Clinical Effectiveness
CADTH RAPID RESPONSE REPORT: SUMMARY WITH CRITICAL APPRAISAL Smoking Reduction and Cessation Interventions for Pregnant Women and Mothers of Infants: A Review of the Clinical Effectiveness Service Line:
More informationSmoke Free Families Informational Webinar August 23, 2018
The Ohio Perinatal Quality Collaborative Mission: Through collaborative use of improvement science methods, to reduce preterm births & improve perinatal and preterm newborn outcomes in Ohio as quickly
More informationIntegrating Tobacco Cessation into Practice
Integrating Tobacco Cessation into Practice Presented To Smoking Cessation Leadership Center PIONEERS FOR SMOKING CESSATION CAMPAIGN By Carol Southard, RN, MSN Tobacco Treatment Specialist Northwestern
More informationSmoking. know the facts
Smoking know the facts DID YOU KNOW? In Northern Ireland, 2,300 people die each year from smoking-related illness more than six people per day. Why stop? Smoking is the main cause of illness and early
More information9.2% of pregnant women in the US smoke. 19.8% of pregnant women in Michigan smoke
Priscilla Tait MS, CNM, IMH-E(IV) Incidence: 9.2% of pregnant women in the US smoke 19.8% of pregnant women in Michigan smoke 28.7% of pregnant women smoke in NW Michigan Antrim- 29.5% Benzie- 26.4% Charlevoix-
More informationPREGNANCY SMOKING AND CHILD OUTCOMES FROM BIRTH TO 15 MONTHS: FINDINGS FROM NORTHEAST TENNESSEE. Beth Bailey, PhD
PREGNANCY SMOKING AND CHILD OUTCOMES FROM BIRTH TO 15 MONTHS: FINDINGS FROM NORTHEAST TENNESSEE Beth Bailey, PhD Associate Professor of Family Medicine, East Tennessee State University Associate Director
More informationSAFETY E-CIGS: CLINICAL STUDIES
SAFETY E-CIGS: CLINICAL STUDIES SAFETY ECIGS: clinical studies Source: Safety evaluation and risk assessment of electronic cigarettes as tobacco cigarette substitutes: A systematic review. Ther Adv Drug
More informationDERBYSHIRE JOINT AREA PRESCRIBING COMMITTEE (JAPC)
DERBYSHIRE JOINT AREA PRESCRIBING COMMITTEE (JAPC) Derbyshire Formulary for Nicotine Replacement Therapy (NRT) 1. Supporting Smokers to stop smoking The most effective method to quit smoking is by quitting
More informationCovering Smoking Cessation as a Health Benefit: A Case for Employers
One Pennsylvania Plaza, 38 th Floor New York, NY 10119 Tel +1 646 473.3000 Fax +1 646 473.3199 www.milliman.com Covering Smoking Cessation as a Health Benefit: A Case for Employers by Kate Fitch, RN, MEd
More informationShocking Facts: Health Effects of Smoking on Women
Shocking Facts: Health Effects of Smoking on Women By Arushi Bidhuri, Onlymyhealth editorial team Mar 12, 2018 QUICK BITES Today, India has 12.1 million women smokers Rural women consume tobacco in various
More informationUsing the Balanced-Placebo Design for Parsing Nicotine Administration Effects
Using the Balanced-Placebo Design for Parsing Nicotine Administration Effects Thomas H. Brandon, Ph.D. & Amanda M. Palmer, M.A. Moffitt Cancer Center University of South Florida Tampa, Florida, USA Global
More informationWhat is Quitline Iowa?
CONTENTS: What is Quitline Iowa? 0 A telephone counseling helpline for tobacco-use cessation. Free to all residents of the state of Iowa Open Monday-Thursday 7:00am 12:00am / Friday 7:00am 9:00pm / Saturday
More informationThe Cochrane Library Impact Factor Data Pack
Attachment 2 The Cochrane Library Impact Factor Data Pack When considering the data presented below, please be aware of the following: The dataset we have used to generate impact factors for individual
More informationSmoking Counselling and Cessation Service in Hospital Authority 7 May HA Convention 2014
Smoking Counselling and Cessation Service in Hospital Authority 7 May 2014 - HA Convention 2014 On behalf of COC (Family Medicine) Dr Maria Leung Consultant, Department of Family Medicine New Territories
More information16851 Mount Wolfe Road Caledon ON L7E 3P or 1 (855)
2 Copyright 2015, Canadian Network for Respiratory Care 16851 Mount Wolfe Road Caledon ON L7E 3P6 905 880-1092 or 1 (855) 355-4672 www.cnrchome.net www.cnrchome.net Contents 1 Health Promotion and Tobacco
More informationSMOKING CESSATION FOR PREGNANCY AND BEYOND: A VIRTUAL CLINIC WB2590
SMOKING CESSATION FOR PREGNANCY AND BEYOND: A VIRTUAL CLINIC WB2590 PROGRAM DESCRIPTION: The goal of this educational offering is to improve the clinical application of best practice interventions for
More informationReport: The Business Case for Coverage of Tobacco Cessation
Report: The Business Case for Coverage of Tobacco Cessation Table of Contents HEALTH INSURANCE AND THE COST OF SMOKING... 123 THE IMPACT OF SMOKING ON HEALTH... 123 INSURANCE COVERAGE ISSUES... 123 QUANTIFYING
More informationCessation Pathways Exploring Opportunities for Developing a Coordinated Smoking Cessation System in Ontario
Generating knowledge for public health E V A L U A T I O N NEWS Cessation Pathways Exploring Opportunities for Developing a Coordinated Smoking Cessation System in Ontario Introduction The process of quitting
More informationMOSBIRT - Personal Health Risk Assessment
Participant: Test, Amy (9987631) Assessed: Wednesday, February 01, 2012 About this report: Like most women you face a lot of responsibilities and decisions every day. These include how you take care of
More informationGuideline scope Smoking cessation interventions and services
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Topic NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline scope Smoking cessation interventions and services This guideline
More informationThe Cochrane Library Impact Factor Data Pack
The Cochrane Library Impact Factor Data Pack When considering the data presented below, please be aware of the following: The dataset we have used to generate impact factors for individual review groups
More information