Thursday, 11 December 2003
Sheraton Boston Hotel Grand Ballroom (1100)
CESS-81-139

This presentation is part of CESS-81. Poster Session

Developing Effective Approaches to Promote Systems Change and NRT

Andrea J. Merritt, BS, Tacoma-Pierce County Health Department, Public Health Prevention Priorities, amerritt@tpchd.org, Liesl M. Santkuyl, CHES MPH, Tacoma-Pierce County Health Department, Public Health Prevention Priorities, lsantkuyl@tpchd.org, Kimberly C. Clarke, MES, TacomapPierce County Health Department, Public Health Prevention Priorities, kclarke@tpchd.org.

Learning Objectives: Describe essential elements to foster partnership for sytematic approaches to tobacco cessation Identify training components that work well within clinical,public health, and community systems Recognize implementation strategies to address tobacco cessation in multiple agencies.

Abstract: Audience: This case study is directed toward health care practioners and tobacco control advocates who are developing strategies to implement the evidence-based guideline, Treating Tobacco Use and Dependence: A Clinical Practice Guideline published by the US Public Health Service.

Key Points: There is a disparity between recommendations for smoking cessation services in primary care medical settings and actual practice. To encourage the use of these Clinical Practice recommendations, a local health department used subsidized NRT and expertise on office based systems as incentives to encourage systematic screening and interventions. Brief intervention training for Tobacco Prevention Champions was a critical component, as well as the availability of free NRT, and proactive phone counseling.

Educational Experience: Participants will be able to: -Describe essential elements to foster partnership for sytematic approaches to tobacco cessation -Identify training components that work well within clinical, public health, and community systems -Recognize implementation strategies to address tobacco cessation in multiple agencies.

Benefits: Participants will be able to learn from a two-year practical case study how to implement a systems change tobacco cessation approach in low-income and other underserved populations. Participants will be able to: 1) identify political, infrastructural, institutional barriers to systems approaches, 2) work through identified barriers, 3) transition systems from dependence on incentives such as NRT, to creating their own individualized approaches to help their client quit tobacco use.


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