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Priorities & Plans Dr Donita Baird Manager, Cessation Quit - - PowerPoint PPT Presentation
Priorities & Plans Dr Donita Baird Manager, Cessation Quit - - PowerPoint PPT Presentation
Priorities & Plans Dr Donita Baird Manager, Cessation Quit Victoria Priority Areas Smoking rates amongst disadvantaged groups in Australia 70 60.7 60 Smoking prevalence (%) 46.1 50 36.1 40 30.3 26.3 30 21.5 15.3 20 10 0
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Smoking rates amongst disadvantaged groups in Australia
Source: Scollo (2008) various national data
15.3 21.5 26.3 30.3 36.1 46.1 60.7
10 20 30 40 50 60 70 1 2 3 4 5 6 to 7 Number of indicators of disadvantage Smoking prevalence (%)
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Key projects for 2017
- Tackling Tobacco
- Latrobe Valley
- Wellington House / Turning Point Project
- Vic Health Grant: Pre and post release
smoking cessation support to individuals exiting prison Project
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ADVISE
all smokers to quit and quitting methods
HELP
by offering information, support and referral
ASK
all clients about their smoking
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Help people who smoke become tobacco free
- Support health
professionals to deliver brief interventions
- Increase
understanding
- f how Quitline
can help
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Working together to help people quit
OR 1.55 OR 2.58
Kotz et al. Mayo Clin Proc (2014) 89(10):1360
Brief Intervention
NRT
- r
quitting medication Behavioural Intervention (such as Quitline)
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What happens if do not offer help?
0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.8 2
Seen GP but not advised to quit Advised to quit but not
- ffered help
Offered help
Odds ratio for having quit
P < 0.05 P < 0.05
Source: www.rjwest.co.uk - Smoking Toolkit Study
Seen GP but not advised to quit Advised to quit, but not offered help Advised to quit plus
- ffered help
N=12,221; Results of multiple logistic regression adjusting for age, sex and social grade
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Offer Help regardless of readiness
Pisinger et al. Prev Med (2005) 40(3):278
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Quitline mythbusting
Information only Scripted Quit “Police” Understand smokers Tailored to needs Practical advice & counselling Anti-smokers Supportive and non- judgmental
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Quitline call-back service model
Post-quit calls: 1, 3, 7, 14 and 30 days after quitting Pre-quit calls x 2
Zhu & Pierce. Prof Psych Res & Pract (1995) 26(6):624
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Quitline behavioural interventions are tailored to help
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Three reasons to make a Quitline referral
- Simple, effective model
shown to work in many settings
- Many benefits for
patients
- Proactive referrals
shown to be of more benefit (compared to telling patients to call)
Also see: Zwar et al. Fam Pract (2015) 32(2): 173; Mowls et al (2016) Am J Prev Med 2016 Borland et al. Fam. Pract (2008) 25(5):382 Sherman et al. T
- b Control (2017) Feb 11
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Making it easier to refer:
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What you can expect if you refer
Quitline receives referral:
- Responds within two business days
- Makes multiple attempts to contact patient
- Acknowledgement of referral, and feedback on
- utcome
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Victorian Quitline success rates
Patient Group Sustained abstinence (6 months) % n Disclosed mental illness 11.4% 26/229 Did not use NRT or medication 9.5% 31/326 Used NRT or medication 23.3% 88/378 Overall 16.9% 119/704
Quitline (Victoria) Evaluation - 2013
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Help - resources
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