Quitline Access and School Policy Hannah Eck, MPH, CHES Tobacco - - PowerPoint PPT Presentation

Tobacco Prevention: Improving Quitline Access and School Policy

Hannah Eck, MPH, CHES Tobacco Prevention and Control Program Manager Wyoming Department of Health

Wyoming Quit Tobacco Program

Wyoming Quit Tobacco Program (WQTP)

NRT or Rx Medications

Trained Quit Coaches

24/7 Tools and Support

Personalized Quit Plan

Quit Rate

30%

Of WQTP enrollees have quit since 2013.

8%

Of WY cigarette smokers have quit without using WQTP.

Pregnancy Protocol

• Same female coach for all coaching calls
• $5 prepaid visa card per call while pregnant

(up to $25)

• $10 prepaid visa card per call postpartum

(up to $40)

American Indian Protocol

• Increased number of counseling sessions but

shorter duration per session

• Native cessation coaches
• Respects traditional/ceremonial tobacco use

My Life, My Quit

• Free for Wyoming teens
• Five one-on-one coaching

sessions ○ Develop a quit plan ○ Identify triggers ○ Practice refusal skills ○ Receive support

• Self-help and educational

materials

• Additional support by

phone, text, and chat.

• Discrete design

My Life My Quit

Promotional Materials:

• Facebook & Instagram
• Digital Banners
• Posters
• Handouts
• Business Cards

Leveraging MLMQ

Printed and distributed MLMQ cards to youth-serving organizations, law enforcement, and community-based organizations ○ LCSD #1 & LCSD #2 ○ Boys and Girls Club ○ Cheyenne Police Department ○ Laramie County Sheriff’s Office Promoted MLMQ within community presentations ○ Junior high PE/health classes ○ Parent groups ○ School nurses ○ Family Engagement Facilitators

EHR Integration

EHR Integration Example

March 2019 Initiated project communication with WDH, National Jewish Health (NJH), and Cheyenne Regional Medical Center (CRMC) team April 2019 Held virtual meeting with WDH, NJH, and CRMC to discuss technical aspects, project process, and timeline May - August 2019 Technical build and testing August 2019 Go LIVE!

EHR Integration Example

September - December 2019 E-referral is live January 2020 Examining referral data to NJH February 2020 - present Plan and implement additional provider education Lessons Learned Provider education must be constant prior to, during, and after implementation Identify additional options to further streamline the e-referral Continuous quality improvement is necessary Discuss how WQTP fits into the organizational strategy around tobacco cessation

Tobacco Free School Policy

Alternatives to punishment

03

• Require students caught with tobacco products

to complete an education and/or cessation program

Prohibits tobacco products on and off campus

02

• Includes school sponsored events (i.e. field

trips, sporting events)

• Applies to students, staff, and visitors

Comprehensive definition of tobacco products

01

• Includes current and future tobacco products
• Includes e-cigarettes

Tobacco Free School Policy

Tobacco Free School Policy Research

School policy that allows staff to smoke is associated with a negative effect on high school student smoking behavior (APHA, 2007). Schools that enforce non- smoking policy are more likely to have lower smoking rates among students (APHA, 2007).

Nicotine Concentration

In Europe, e-cigarette nicotine concentration cannot exceed 2%. In the US, JUUL offers pods at 3% and 5% nicotine.

Students punished with suspension and expulsion are

• Less likely to graduate on time
• More likely to drop out
• More likely to repeat a grade
• More likely to be involved with the court system

Alternatives to Punishment

• Provide youth with education

and resources as an alternative to traditional punishment (i.e. suspension and expulsion)

• Research shows punishment is

not an effective strategy for preventing substance use

• Education and resources

address the substance use directly

• Free curriculum available online

Know the Risks

• Created by the CDC
• Ages 11-18
• Presentation with

talking points

The Real Cost of Vaping

• Created by the FDA and

Scholastic

• Content for middle

school and high school

• Variety of material

Tobacco Prevention Toolkit

• Created by Stanford

Medicine

• Healthy Futures

Curriculum

• 6 unit curriculum on e-

cigarettes

• Options for 1 to 8 session

curriculum

CATCH My Breath

Survey of Wyoming Tobacco Free School Policies

• 1. Nicotine/tobacco policy
• 2. Includes e-cigarettes and

emerging tobacco products

• 3. Bans tobacco use on school

grounds

• 4. Bans tobacco use at all school-

sponsored events, on and off campus

Wyoming Counties with Adequate Tobacco Free School Policy

• Albany
• Campbell
• Goshen
• Hot Springs
• Johnson
• Niobrara
• Sublette
• Sweetwater *
• Teton

School Policy & Alternative to Punishment Example

LCSD #1 - Cheyenne Chapter 8: Students, Section 21 (https://go.boarddocs.com/wy/laramie1/Board.nsf/goto?open&id=9XRKQU508FF2#) Alcohol, Tobacco, and Other Drugs

School Policy & Alternative to Punishment Example

LCSD #1 - Cheyenne

• Discretion of school principals and Student Resource Officers (SROs)
• Courses are offered through Safe and Drug-Free Schools

○ Run by counselors within the schools (Student Assistance Specialists) ○ Tobacco Violation: Student participates in “This Way Out”, average length is 6 sessions ○ E-cigarette Violation: Student participates in “Catch My Breath”, average length is 4-6 sessions

• Each school reports to Safe and Drug-Free Schools programming

○ 2018-2019: 84 students for alcohol and other drugs, 96 for tobacco/vaping

Vape Detectors

Summary

• WQTP provides WY residents with free evidence based cessation

methods

• EHR integration to the WQTP is an easy and convenient way for

providers to refer patients

• My Life, My Quit offers cessation support for youth and young adults
• Comprehensive tobacco free school policies and alternatives to

punishment are important for reducing youth tobacco use

Questions?