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FFS Facilitator Recertification/Refresher Training
June 2021Americ
an Lung A
ssociation
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Eva Book, BS, CHES
National Manager, Tobacco Programs
Chicago, IL
Presenters
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Jennifer Folkenroth, BA, CTTS, NCTTP, NDS
National Senior Director, Tobacco Programs
Camp Hill, PAAmeric
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Please use the Q&A feature to ask our team questions. We will follow up
with you after the training if we are unable to address your questions
because of time restraints.
We are here for you!
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• Program Accomplishments
• Program Implementation and Updates
• Implementation Challenges and Lessons Learned
• Facilitator Resources and Trainings
• Priority and Emerging Issues
• American Lung Association Initiatives
• Facilitator Expectations
Agenda
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View and participate in the Recertification Webcast
Recertification Process
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Complete the Post-Training Evaluation
Sign and send in the Acknowledgement of Agreements Form to [email protected] after reading through the Facilitator Agreement Form, Virtual Training Addendum Agreement Form and the Digital Material Addendum Agreement Form.
Receive your 3-year Facilitator Certificate of Completion
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Polling Question
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Are you participating in today’s webcast as a recertification or as a refresher course?
a) Recertification. My 3-year certification is about to expire.
b) Refresher. To collect new information and resources to enhance my delivery of FFS.
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Program Accomplishments
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Some key findings from the results of our implementation evaluation are below:
• Over 50% of respondents found the FFS virtual clinic ‘Easy’ or ‘Very Easy’ to facilitate
• Nearly 50% of respondents found ‘Session 8: Celebration’ difficult to facilitate in a
virtual format
• While 81% of respondents reported that the virtual FFS delivery model is an effective way
for participants to learn the FFS content, over one third of facilitators were less then satisfied
facilitating their virtual clinic compared to in-person clinics.
Virtual Clinic Implementation Survey Results
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Nationwide Facilitators Share their Thoughts
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• The most common implementation barrier reported was 'participant technology issues', with
75% of respondents experiencing this barrier.
• The most requested technical assistance service was 'lists of virtual activities and
resources', with over 80% of facilitators requesting.
Further discussion of virtual clinic implementation will be later within the presentation.
Virtual Clinic Implementation Survey Results
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Continued..
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Program Implementation and Updates
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• Facilitator-led in-person group clinics
• Self-paced on any digital device
• FFS Plus
• Telephonic support/counseling
• Lung Helpline & Tobacco Quitline
• Self-guided workbook
• Self-Help Guide
• Online social support community
• INSPIRE
• Facilitator-led virtual group clinics
Delivery Methods
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Freedom From
Smoking
Freedom From Smoking In-person
Clinics
Freedom From Smoking
Virtual Clinics
Freedom From Smoking
Online Social Support
Community
Lung HelpLine & Tobacco
Quitline Counseling
Freedom From Smoking
Self-Guided Program
Freedom From Smoking Plus
Online Program
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• Transition from "smokefree" to "tobacco-free"
• Smoking/cigarettes updated to smokeless, e-cigarette/vaping via
"smoke, vape or chew"
• Transition from "addiction" and "habit" to "dependency" per ATTUD
guidance
• New section on e-cigarettes and vaping device secondhand aerosol
• Quit medications further defined as FDA-Approved
• Generic medication names included behind brand-names to support
easier access
Curriculum Updates
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2021 FFS Revisions
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• Supplemental enhancement resources on Lung.org webpages
• More diversity in imaging
• LGBTQ+ inclusive
• New cost calculator
• Pack tracks transitioned to "Nic-Checks"
• Lower-carb snack recommendations to be inclusive of those with
diabetes
Curriculum Updates
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2021 FFS Revisions
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• Inclusion of Saved by the Scan to assess risk
for lung cancer
• Updated statistics
• Free downloadable relaxation/breathing
exercises
• Old publisher logo removed
• New Lung Association branding
Curriculum Updates
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2021 FFS Revisions Continued
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Polling Question
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Do you share the Saved By The Scan lung cancer risk quiz with your FFS participants to help them determine their eligibility for screening for lung cancer via low-dose CT scan?
a) Yes. Screening is key to early detection.
b) No. I do not discuss screening for lung cancer risk using the quiz on SavedByTheScan.org
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Implementation Challenges and Lessons Learned
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• What virtual platform will you use and why?
o How will you assist participants and educate them on how to use that platform?
▪ Mute/unmute, turn camera on and off, how to use the chat functions, etc.
• How will you market your clinic?
o Social media, provider's offices, community bulletin boards (in-person of virtual), Lung.org, etc.
• How will participants get their participant kits?
o Drive by or pick up, through the mail, personal drop off, etc.
• How to set up payment?
o Work with finance in advance, couple registration with payment if possible.
• What forms need to be filled out and how will you handle the questionnaires?
o Can you put them within Google Docs? Does everyone have access to get the documents via Docs or email? Could they text responses to you?
How to Offer FFS Virtually – Orientation from ALA Staff
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Before the Clinic Begins
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During the Clinic
• What files will you need to run your clinic and how will you use them?
o Do you have a PowerPoint slide presentation for every week? How to include pages from the workbook into the presentation?
• How can you record meeting notes in real time?
Helpful tips:
• Send out notes and a short recap after each class.
• Continue to review Session 1 and the agenda throughout the 8 weeks to stay on track
during clinics.
• Use the buddy system.
o Quitline services are available for clinic participants. Support with participants within your clinic.
▪ 1-800-QUITNOW
How to Offer FFS Virtually – Orientation from ALA Staff
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Share an informative video each week. The
American Lung Association's Quit Smoking
Help YouTube playlist includes videos
around the following:
o How to create a quit plan
o Three-link chain of addiction
o Why it's hard to quit
o 5 ways to resist the urge to use tobacco
o Learn to say "No"
o Health benefits of quitting
o How Smoking Impacts Your Lung Health
Strategies for Virtual Implementation
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Virtual Activities for Clinic Implementation
https://bit.ly/LungDemo
https://bit.ly/ALAQuit
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• Share success stories with clinic participants.
o Illinois Tobacco Quitline Success Stories on YouTube: Tracy and Leslie
o Your own clinic participants success and struggles from previous clinics
• Practice their breathing exercises throughout the week using the MP3 code that participants
receive with their participant kit.
Want to share successes or lessons learned from your virtual clinic? Email [email protected]
Strategies for Virtual Implementation
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Virtual Activities for Clinic Implementation
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Polling Question
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Have you facilitated a Freedom From Smoking group class since March 2020?
a) Yes. I continued to deliver FFS in-person face-to-face during the pandemic.
b) Yes. I've delivered FFS remotely by web platform (Skype, Zoom, etc.) with participant web cameras on.
c) Yes. I've delivered FFS remotely by web platform (Skype, Zoom, etc.) without participant web cameras on.
d) Yes. I've delivered FFS remotely by telephone.
e) No. I have not delivered FFS since March 2020.
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Facilitator Resources and Trainings
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• Supplemental Enhancements
• Ordering FFS Clinic Materials
• FFS Clinic Promotion
• Lung Champion
• Video Links
• Additional Resources
http://bit.ly/FFSClinicResources
FFS Facilitator Clinic Resources
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FFSClinicResources
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Participation in American Lung Association's Freedom From Smoking Inspire Online Discussion
and Support Community has grown over 500% in 5 years. This is an incredible resource for
those individuals who are looking to go tobacco-free, as well as those who are wanting to assist
tobacco users in quitting for good. Benefits include:
• Stay connected to others along quit journey
• Give and receive peer to peer support
• Information about cessation medications
• Tobacco cessation strategies
• Success stories
https://www.inspire.com/groups/freedom-from-smoking/
INSPIRE Community
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Free Online Peer to Peer Support Community
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Polling Question
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Do you currently refer your Freedom From Smoking Program participants into American Lung Association's Freedom From Smoking Inspire Online Discussion and Support Community to provide continued peer-to-peer support after Session 8?
A) Yes
B) No
C) This is a new resource to me
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Updated Virtual Trainings on Lung.Training
The American Lung Association’s Tobacco Basics is a free one-hour online course that
includes five online learning modules designed to lay the foundation in understanding the toll of
tobacco use in the U.S.
In this course participants will learn:
• The difference between tobacco products
• Including e-cigarettes and vaping devices
• The effects of tobacco use on the human body and brain
• Nicotine dependence and why quitting is so challenging
• Proven policies that protect public health from the toll of tobacco
• Programs available to help all tobacco users successfully quit for good
Tobacco Basics
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Updated Virtual Trainings on Lung.Training
The American Lung Association’s How To Help People Quit training is a free, one-hour online
course that includes four interactive learning modules designed to further enhance
understanding of the Lung Association’s core beliefs about tobacco cessation, as well as
understanding behavior changes, interventions and treatment needed to help people quit for
good.
Specifically, participants of this course will enhance their skill set in:
• Recognizing the types of resistance to change
• Conducting brief interventions
• Utilizing principles of Motivational Interviewing to resolve uncertainty
• Identify FDA-approved medications to help individuals break tobacco dependency
• Connect quitters with American Lung Association’s tobacco cessation resources for both
youth and adults
How to Help People Quit
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Priority and Emerging Issues
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1) The American Lung Association will defeat lung cancer.
2) Champion clean air for all.
3) Improve the quality of life for those with lung disease and their families.
4) Create a tobacco free future.
Each imperative is constructed with the idea that achieving healthy equity must be the foundation of
any Lung Association goal, objective or strategy.
ALA Strategic Imperatives
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Goals for a Healthier Future
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• African American/Black Communities
• Behavioral Health Population
• Native/Tribal Regions
• Latino/Hispanic Population
• Asian American and Pacific Islanders
• LGBTQ+ Community
Equity and Inclusion
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Our vision is to embrace diversity, equity, and inclusion within the Lung Association and the communities we serve.
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• Over 40% of adults who smoke do not receive
advice to quit from a healthcare professional.
• Fewer than one in three adults who smoke use
cessation counseling or FDA-approved
medications when trying to quit.
• Fewer than one in 10 U.S. adults successfully quit
smoking each year.
2020 U.S. Surgeon General’s Report
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Challenges we Face to Further Reduce Smoking
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• Ask, Advise, Refer to Quit, Don’t Switch
• Brief tobacco intervention training
• Proven-effective cessation strategies
• 1-hour, on-demand
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Take Action!
Complete this training by visiting
https://lung.training/courses/ask-advise-refer-to-quit-dont-switch.html
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• All tobacco users can quit for good using approved
quit smoking medication plus behavioral counseling
• There are seven Food and Drug Administration (FDA)
– approved medications and three forms of counseling
that are both safe and effective in helping smokers
quit. FDA found these seven products to be safe and
effective.
Effective Quit Attempts
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Ending the Epidemic Among Youth
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• Intervention for Nicotine Dependence: Education,
Prevention, Tobacco and Health
• Mandatory, alternative to suspension program
• Trained adults facilitate four, 50-minute sessions
• Program addresses nicotine dependence,
establishing healthy alternatives and how to kick the
unhealthy addiction.
Access this free training:
https://lung.training/courses/indepth.html
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• Not On Tobacco – Program updated in 2020
• Evidence-based voluntary youth cessation
program
• Facilitators trained via Lung.Training
• Trained adults facilitate ten sessions, each
about 50 minutes
• Small groups (6-10 participants) can be
conducted in person or virtually
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NOT For Me is a self-guided, web-based app that leverages the
American Lung Association’s evidence-based N-O-T Not On
Tobacco® program to help teens break nicotine dependency, no
matter what tobacco products they use.
Launching June 2021
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• Does not replace the N-O-T group program
• Web-based app (no download necessary)
• Voluntary, self-guided program to help guide
teens who want to break their nicotine
dependence and stop using all tobacco products
• Based on content from the N-O-T group program,
NOT for Me is offered in 8 sessions, completed
within 4-6 weeks
• In addition to helping them quit, the program
supports healthy life skills including nutrition,
fitness, stress management and effective
communication
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Polling Question
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What other priority and emerging issue training opportunities would you be interested in?
a) Conducting brief interventions among school-aged youth
b) Cessation strategies to address disparities and further health equity
c) Cessation strategies specific to supporting e-cigarette users in quitting
d) Addressing cannabis use among FFS participants
e) Integration of referral for lung cancer screening
f) Other (please select then type the topic in the chat box)
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American Lung Association Initiatives
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Lung.org/CessationTA
• Resource Library
• Presentations and Podcasts
• Toolkits
• Listserv
• Direct Technical Assistance
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For Tobacco Cessation Coverage and Health Systems Change
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Email: [email protected]
Resource Library: Lung.org/CessationTA
Listserv: [email protected]
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Lung Association Technical Assistance
For Tobacco Cessation Coverage and Health Systems Change
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Lung.org/CessationTA/Roadmap
Public Health Roadmap to Coaching the Clinical Team
Public Health Roadmap to Coaching a
Clinical Team to use the Million Hearts®
Tobacco Cessation Change Package is
available at Lung.org/CessationTA/Roadmap.
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Lung.org/CessationTA/BHRoadmap
Public Health Roadmap: Tobacco Use
Disorder (TUD) Treatment Integration in
Behavioral Health Settings is available at
Lung.org/CessationTA/BHRoadmap.
Public Health Roadmap: Tobacco Use Disorder
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Facilitator Agreements and Expectations
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Facilitator Agreement Form
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Expectations
• Remain free of all tobacco products including ENDS
• Provide a safe and tobacco-free meeting environment
• Adhere to guidelines for registration fees
• Follow the content and format of the program as intended
• Use only the copyrighted program material
• Promote using the Freedom From Smoking name and logo
• Submit clinic promotion and outcome reports
Facilitator Agreement Form
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1. FFS Virtual Training Addendum Agreement
2. Digital Materials Addendum Agreement
• Provides additional guidance on expectations of FFS Facilitators receiving electronic files of the Lung Associations copyrighted program curriculum as a component in supporting virtual clinic implementation, in response to physical distancing protocols.
Email your signed and completed Agreement and Addendums to [email protected].
Facilitator Addendums
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Virtual Training and Digital Material Addendum
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Recertification Process
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View and participate in the Recertification Webcast
Complete the Post-Training Evaluation
Receive your 3-year Facilitator Certificate of Completion
Sign and send in the Acknowledgement of Agreements Form to [email protected] after reading through the Facilitator Agreement Form, Virtual Training Addendum Agreement Form and the Digital Material Addendum Agreement Form.Am
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You make a difference!
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Questions & Answers
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Post-Training Evaluation
https://bit.ly/FFS_RecertificationEvaluation
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erican Lu
ng Associatio
n
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an Lung A
ssociation
Am
erican Lu
ng Associatio
n
Am
erican Lu
ng Associatio
n
Am
erican Lu
ng Associatio
n
Am
erican Lu
ng Associatio
n