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) 24/7 Tools and 4 Support Personalized Quit Plan 3 NRT or Rx 2 Medications Trained Quit 1 Coaches
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
Tobacco Free School Policy 01 Comprehensive definition of ● Includes current and future tobacco products ● Includes e-cigarettes tobacco products Includes school sponsored events (i.e. field ● 02 Prohibits tobacco products on trips, sporting events) and off campus ● Applies to students, staff, and visitors Require students caught with tobacco products ● 03 Alternatives to punishment to complete an education and/or cessation program
Tobacco Free School Policy Research School policy that allows Schools that enforce non- staff to smoke is smoking policy are more associated with a likely to have lower negative effect on high smoking rates among school student smoking students (APHA, 2007). behavior (APHA, 2007).
Nicotine Concentration In Europe, e-cigarette nicotine In the US, JUUL offers pods at 3% and concentration cannot exceed 2%. 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 ●
Provide youth with education ● and resources as an alternative to traditional punishment (i.e. suspension and expulsion) ● Research shows punishment is Alternatives to not an effective strategy for Punishment 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 1. Nicotine/tobacco policy 2. Includes e-cigarettes and Tobacco Free emerging tobacco products School Policies 3. Bans tobacco use on school grounds 4. Bans tobacco use at all school- sponsored events, on and off campus
Wyoming Albany ● ● Campbell Counties ● Goshen with Hot Springs ● Johnson ● Adequate Niobrara ● Tobacco Sublette ● ● Sweetwater * Free School ● Teton Policy
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
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