Learning Objectives: Understand the procedures for implementing a tobacco cessation project within a specific setting and describe ways to assess progress/success.
Abstract:
Problem/Objective: More than one in four women in West Virginia smokes at
some point during her pregnancy. Anecdotal data suggests these numbers are
even higher among low-income (Medicaid) patients. Pregnancy is the strongest
motivator for patients to stop using tobacco, but many women lack the
resources to quit. Compounding this problem is that tobacco use is not
consistently addressed by healthcare providers with their patients. The
Women's Medicine Center at WV's largest teaching hospital, Charleston Area
Medical Center, is implementing a tobacco cessation program specifically
designed for the needs of the pregnant patient.
Methods: Implementation phases of this project include baseline data
collection through chart audits and patient surveys, provider training, and
program implementation with patients. Patients will be given a copy of "A
Pregnant Woman's Guide to Quit Smoking," the program developed by Dr.
Richard Windsor. Quit rates will be biochemically verified, and patients
will be asked to provide their overall satisfaction with the program.
Results: Baseline patient statistics (including perinatal outcomes) will be
reported. Surveys of current provider practices will also be reviewed (i.e.,
is tobacco use always addressed with patients). Although this is meant to be
a long-term project, and the full range of data will not be available on
every participant at the time of the conference, preliminary results will be
available for review.
Discussion: This session will give an overview of program implementation at a hospital-based clinic, where the patient population is primarily low-income. Challenges, successes, and potential project modifications will also be discussed.
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