An Equal Opportunity University

TU2-145 iQuit: The Use of Health

Information Technology in Tobacco Treatment for

College Students

Joanne Brown, APRN, DNP, CTTS

Fadyia Lowe, MS, CHES, CTTS

Kirstie Kear, peer coach

Welcome!

The Topic For Today Is…

Tobacco Treatment for College Students

Endless Tobacco Options

How Can We

Help?

Meds and More

Coughs and Chemicals

Big Tobacco

200 200 200 200 200

400 400 400 400 400

600 600 600 600 600

800 800 800 800 800

1000 1000 1000 1000 1000

Bonus Question: 5000 pts

iQuit Tobacco

Topic 1: 200

• What percentage of college students used one or more tobacco products in the past month?

• Between 28.8-48.3%

Topic 1: 400

• What are 2 names for this product that is popping up in bars around our campuses?

• Hookah, Shisha, Narghile, Waterpipe

Topic 1: 600

• Most 12th grade smokers say they won’t be smoking in 5 years. What % reach that goal?

• 47%. Nearly 2/3 of daily smokers were still daily smokers 7-9 years later.

Topic 1: 800

• _____% of adult cigarette smokers report that they started smoking by the age of 18.

• 88%

Topic 1: 1000

• 1 in ____young adults smoke cigars.

• 10

Topic 2: 200

• Where can you go to find evidence-based strategies and recommendations to help students quit smoking?

• Treating Tobacco Use and Dependence: 2008 Update, a U.S. Public Health Service-sponsored Clinical Practice Guideline http://www.ncbi.nlm.nih.gov/books/NBK63952/

Topic 2: 400

• What are the “5 A’s?”

• Ask about tobacco use

• Advise to quit

• Assess willingness to make a quit attempt

• Assist in quit attempt

• Arrange follow-up

Topic 2: 600

• Having a clinic screening system in place _____the rate at which clinicians intervene with their patients who smoke

• Triples

Topic 2: 800

• How does the intensity of counseling interventions affect abstinence rates?

• Longer and more intense counseling increases likelihood of success in quitting, but even minimal contact (< 3 minutes) increases odds.

Topic 2: 1000

• What is the most effective strategy for treating tobacco dependence?

• Combining counseling and medication

Topic 3: 200

• What are the seven first-line (FDA-approved) medications for tobacco treatment?

• 5 Nicotine replacement therapy(NRT): nicotine patch, nicotine gum, nicotine lozenge, nicotine inhaler, nicotine nasal spray, buproprion SR and varenicline

Topic 3: 400

• Where should NRT patches be placed?

• Clean, dry area of skin without much hair; below the neck and above the waist like the upper arm or chest

Topic 3: 600

• Who should not use bupropion SR (Wellbutrin SR, Zyban)?

• Someone with seizure disorder, serious head injury, eating disorder, use of MAO inhibitor in prior 14 days

Topic 3: 800

• What are two common side effects of Varenicline (Chantix)?

• Nausea, headaches, abnormal dreams, trouble sleeping

Topic 3: 1000

• Name 2 myths regarding the safety of NRT

• Causes cancer, causes heart attacks, continues addiction

Topic 4: 200

• Smoking is linked to ____% of all cancer deaths.

• 30%

Topic 4: 400

• Health effects seen in young adults include:

• More respiratory symptoms; more PMS; higher risk for developing high-grade cervical lesions

Topic 4: 600

• Tobacco smoke contains more than _______ chemicals.

• 7,000. Hundreds are toxic and ~ 70 can cause cancer

Topic 4: 800

• Although many young people believe cigarette smoking will help with this health issue, there is no evidence to support this.

• Body weight

Topic 4: 1000

• Young adult smokers under age 30 exhibit signs of and are being diagnosed with ______, a serious indicator of heart disease.

• Early disease of the abdominal aorta (arthrosclerosis)

Topic 5: 200

• How do the Big Tobacco companies view young adults?

• As replacement smokers (RJR document on “The

Importance of Younger Adults.”)

Topic 5: 400

• Just seeing this in the movies can double the odds for a teen or young adult mimicking the behavior.

• Smoking or using tobacco.

Topic 5: 600

• How much did tobacco companies spend on promotional activities in 2008?

• Almost $10 Billion

Topic 5: 800

• Tobacco companies spend most of their money on this strategy.

• Marketing efforts to reduce the cost of targeted tobacco products.

Topic 5: 1000

• Name two tobacco products (other than cigarettes) targeting young adults

• Orbs

• Snus

• Smokeless

• Hookah

• E-cigarettes

Bonus Question: 5000 pts.

• According to ACHA and Healthy Campus 2020 the following goals should be met by 2020:

Reduce cigarette use by college students to below ____%

Reduce smokeless tobacco use to below ____% by the year 2020.

• <13% for cigarettes and <3% for smokeless

(ACHA Position statement November 2011).