Tuesday, 19 November 2002 - 2:40 PM
Hilton San Francisco Franciscan Room A (100)

This presentation is part of CESS-42. Community Outreach: Knowing Your Community and Achieving Cessation

A Tobacco Cessation Project for Disadvantaged WV Communities, Lessons Learned So Far

Julia W. Blackwood, MA, CAMC Health Education and Research Institute, Continuing Education, julie.blackwood@camc.org

Learning Objectives: Identify components of a comprehensive tobacco cessation project and how effective those methods are with a specific population group (rural, low-income adults).

Abstract:
Problem/Objective: West Virginia boasts one of the highest tobacco use rates in the nation. The problem is exacerbated in low-income populations, where there are few resources to address tobacco cessation needs. “A Tobacco Cessation Project for Disadvantaged WV Communities” addresses tobacco use among low-income adults with a comprehensive program that offers behavior modification, pharmacotherapy, and on-going support.

This project is a cooperative effort with WV Community Voices and is funded by the American Legacy Foundation. Patient enrollment began January 2002 at three sites. A fourth site will be added March 2003.
METHODS: At two sites, patients self-select for participation. At site three, patients are referred by a healthcare provider, and based upon their interest in participating, are randomized into one of two cessation classes (this site has their own cessation program in addition to the one funded by this grant).

Patients participate in the 8-session Freedom from Tobacco program (ALA’s Freedom from Smoking, expanded for smokeless products), and are given the option for pharmacological aids (Wellbutrin and/or NRT). At the conclusion of the classes, participants may attend on-going support groups. Participant progress is tracked weekly, and then monthly at each support group meeting.
RESULTS: Preliminary data are currently being analyzed. Of the three classes that have ended, quit rates are a little more than 50 percent.

Discussion: This session will give an overview of program implementation at multiple sites and strategies for working with low-income populations. Successes (in terms of more than just quit rates) and challenges will be discussed.


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