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Author: Tolulope Olajumoke Kolawole
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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"Tobacco smoking is a major public health problem and the leading cause of disability both in the United States and the rest of the world (Reitsma et al., 2017). The purpose of this evidence-based project (EBP) was to reduce tobacco use among psychiatric patients through the routine utilization of the 5 A's smoking cessation model by healthcare providers. The problem identified was described as increased tobacco use among psychiatric patients. The literature that supported the 5 A's model of tobacco cessation (ask, advise, assess, assist, and arrange) is an evidence-based tool created by the World Health Organization (2014). The theory and EBP model that offered guidance to the EBP project were the Transtheoretical Model of Health Behavior Change (TTM) and the IOWA model respectively. The project was implemented at a psychiatric outpatient clinic site. The intervention included education of clinicians on understanding and actual use of 5 A's model tool for tobacco cessation efforts during each patient encounter. The outcome results on the pre-and-post training survey revealed clinicians had improved awareness on each of the six questions related to use of the tool. Evaluation of chart audit group outcome data revealed 97.5% use of the 5 A's model following the implementation of the project versus 10% usage pre-implementation. These results show an increase in the smoking cessation screening rates using the 5 A's model tool. For the future, it is recommended that the 5A's model tool should be incorporated into the electronic health record (EHR) as a consistent form of assessment and intervention for smoking cessation efforts. Key words: psychiatric patients, clinicians, 5As tobacco model tools, smoking cessation. " -- Abstract
Author: Tolulope Olajumoke Kolawole
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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"Tobacco smoking is a major public health problem and the leading cause of disability both in the United States and the rest of the world (Reitsma et al., 2017). The purpose of this evidence-based project (EBP) was to reduce tobacco use among psychiatric patients through the routine utilization of the 5 A's smoking cessation model by healthcare providers. The problem identified was described as increased tobacco use among psychiatric patients. The literature that supported the 5 A's model of tobacco cessation (ask, advise, assess, assist, and arrange) is an evidence-based tool created by the World Health Organization (2014). The theory and EBP model that offered guidance to the EBP project were the Transtheoretical Model of Health Behavior Change (TTM) and the IOWA model respectively. The project was implemented at a psychiatric outpatient clinic site. The intervention included education of clinicians on understanding and actual use of 5 A's model tool for tobacco cessation efforts during each patient encounter. The outcome results on the pre-and-post training survey revealed clinicians had improved awareness on each of the six questions related to use of the tool. Evaluation of chart audit group outcome data revealed 97.5% use of the 5 A's model following the implementation of the project versus 10% usage pre-implementation. These results show an increase in the smoking cessation screening rates using the 5 A's model tool. For the future, it is recommended that the 5A's model tool should be incorporated into the electronic health record (EHR) as a consistent form of assessment and intervention for smoking cessation efforts. Key words: psychiatric patients, clinicians, 5As tobacco model tools, smoking cessation. " -- Abstract
Author: Tara Thompson
Publisher:
ISBN:
Category : Mental illness
Languages : en
Pages : 0
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Background: Cigarette smoking use remains the leading cause of preventable death, disease, and disability in the United States. Approximately one in five American adults smoke accounting for 480,000 deaths yearly. Individuals with mental illness are two to three times more likely to smoke cigarettes than individuals without mental illness yet have less access to tobacco dependence treatment within the healthcare continuum. Project Aim: This quality improvement project aimed to improve the frequency at which tobacco cessation interventions were provided to individuals with mental illness who smoke by using the 5 As of tobacco cessation. Widely viewed as the gold standard in addressing tobacco cessation, the 5 A's are ask, advise, assess, assist, and arrange. Methods: The project was implemented at a community based outpatient behavioral health clinic. A vital signs data form that included a checklist aligned with the 5 As was used for each patient treated by the clinicians. A pre- and post-implementation chart review was conducted to measure the effectiveness of the checklist. Results: Pre-implementation data showed 17% of the patients who smoked and expressed a desire to quit received smoking cessation intervention. Post-implementation showed 100% of this group received an intervention. Compared with the pre-intervention, the post-intervention had a significantly (p
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309264049
Category : Medical
Languages : en
Pages : 131
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Tobacco use is the leading cause of preventable death in United States, causing more than 440,000 deaths annually and resulting in $193 billion in health-related economic losses each year-$96 billion in direct medical costs and $97 billion in lost productivity. Since the first U.S. Surgeon General's report on smoking in 1964, more than 29 Surgeon General's reports, drawing on data from thousands of studies, have documented the overwhelming and conclusive biologic, epidemiologic, behavioral, and pharmacologic evidence that tobacco use is deadly. This evidence base links tobacco use to the development of multiple types of cancer and other life-threatening conditions, including cardiovascular and respiratory diseases. Smoking accounts for at least 30 percent of all cancer deaths, and 80 percent of lung cancer deaths. Despite the widespread agreement on the dangers of tobacco use and considerable success in reducing tobacco use prevalence from over 40 percent at the time of the 1964 Surgeon General's report to less than 20 percent today, recent progress in reducing tobacco use has slowed. An estimated 18.9 percent of U.S. adults smoke cigarettes, nearly one in four high school seniors smoke, and 13 percent of high school males use smokeless tobacco products. In recognition that progress in combating cancer will not be fully achieved without addressing the tobacco problem, the National Cancer Policy Forum of the Institute of Medicine (IOM) convened a public workshop, Reducing Tobacco-Related Cancer Incidence and Mortality, June 11-12, 2012 in Washington, DC. In opening remarks to the workshop participants, planning committee chair Roy Herbst, professor of medicine and of pharmacology and chief of medical oncology at Yale Cancer Center and Smilow Cancer Hospital, described the goals of the workshop, which were to examine the current obstacles to tobacco control and to discuss potential policy, outreach, and treatment strategies that could overcome these obstacles and reduce tobacco-related cancer incidence and mortality. Experts explored a number of topics, including: the changing demographics of tobacco users and the changing patterns of tobacco product use; the influence of tobacco use on cancer incidence and cancer treatment outcomes; tobacco dependence and cessation programs; federal and state level laws and regulations to curtail tobacco use; tobacco control education, messaging, and advocacy; financial and legal challenges to tobacco control efforts; and research and infrastructure needs to support tobacco control strategies, reduce tobacco related cancer incidence, and improve cancer patient outcomes. Reducing Tobacco-Related Cancer Incidence and Mortality summarizes the workshop.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309146844
Category : Medical
Languages : en
Pages : 381
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The health and economic costs of tobacco use in military and veteran populations are high. In 2007, the Department of Veterans Affairs (VA) and the Department of Defense (DoD) requested that the Institute of Medicine (IOM) make recommendations on how to reduce tobacco initiation and encourage cessation in both military and veteran populations. In its 2009 report, Combating Tobacco in Military and Veteran Populations, the authoring committee concludes that to prevent tobacco initiation and encourage cessation, both DoD and VA should implement comprehensive tobacco-control programs.
Author: United States. Public Health Service. Office of the Surgeon General
Publisher:
ISBN:
Category : Health promotion
Languages : en
Pages : 670
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Author: Michael Fiore
Publisher: Department of Health and Human Services Public Health Servic
ISBN:
Category : Medical
Languages : en
Pages : 200
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"This guideline is an updated version of the 1996 Smoking Cessation Clinical Practice Guideline No. 18."--P. ii.
Author: United States. Surgeon General's Advisory Committee on Smoking and Health
Publisher:
ISBN:
Category : Smoking
Languages : en
Pages : 406
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Author:
Publisher: DIANE Publishing
ISBN: 1437906621
Category : Nicotine addiction
Languages : en
Pages : 276
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Author: Mary Ann Balut
Publisher:
ISBN:
Category : Smoking cessation
Languages : en
Pages : 126
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"....In order to improve smoking cessation outcomes among adult patients, this scholarly project implemented a tobacco cessation program in a primary care/urgent care practice to proactively connect patients with evidence-based resources and treatment."--Abstract.
Author: Karen Glanz
Publisher:
ISBN:
Category : Health behavior
Languages : en
Pages : 52
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