Panhandle Kicks the Habit . Smoking cessation project from Department of Medicine and Pharmacy TTUHSC Rahul Chandra MD Assistant Professor Dept of Medicine , TTUHSC A marillo . Cigarette Smoking. Cigarette smoking is injurious to health everybody knows that !!!!!!! - PowerPoint PPT Presentation
Text of Panhandle Kicks the Habit
Panhandle Kicks the Habit Smoking cessation project from Department of Medicine and Pharmacy TTUHSC
Rahul Chandra MDAssistant ProfessorDept of Medicine ,TTUHSC Amarillo
Cigarette smoking is injurious to health everybody knows that !!!!!!!
Its says on the cigarette pack !
Spread the word ……….
ObjectivesObjectives:To compare percent of enrolled subjects who achieve abstinence
from smoking at 8 weeks and 6 months compared to Cochrane database.
To compare percent of subjects who attempt to stop smoking by enrolling in the study to average percent of other studies.
To compare subjects who use the Facebook page; text messaging support; smartphone application or combination of these as offered by the program cessation rate to subjects who do not utilize the program.
To compare subjects, who do not completely quit smoking, amount of cigarettes per week at baseline to end of study.
Validate self-reports of abstinence between baseline and 8 weeks by measuring a level of exhaled carbon monoxide ≤10 ppm.
Inclusion Criteria Current SmokerAge 18-100Admitted to Northwest Texas Hospital under
Texas Tech Internal Medicine serviceWilling to try to quit smokingAdmitting diagnosis of one of the following:
Chronic Obstructive Pulmonary Disease, Hypertension, Asthma, Chronic Heart Failure, Diabetes Mellitus, History of Coronary Artery Disease or Cerebrovascular Disease, Pneumonia, or Peripheral Vascular Disease
Exclusion CriteriaComatoseIntubated Hospice PregnantBreast feedingPsychosisDoes not understand English or Spanish
Precautions for NRT Active Unstable anginaActive MI Arrhythmias HyperthyroidismPheochromocytoma Accelerated hypertensionAcute StrokeAllergy to nicotineAllergy to tape
PANHANDLE KICKS the HABIT
Recruitment The Northwest smoking cessation educator will identify smokers who are on Texas Tech Internal Medicine services. She will provide a brochure about the study and explain the purpose. If a patient is interested she will use a Screener form to ensure that the patient is a candidate for the study looking at basic inclusion & exclusion criteria.
IN HOSPITAL INTERVENTION PRIOR TO DISCHARGE By the Northwest Smoking Cessation Educator
1) Counseling 2) Medications* (patch, gum or combination) 3) Introduce Social media how to access
“Facebook” , text messages, and phone application.
4) Survival kit( Information card, stress ball, candy, mints and paper clips)
5) Free 30 day membership to gym may be offered
Inclusion Criteria: Current Smoker Age 18-100 Admitted to Northwest Texas Hospital under Texas
Tech Internal Medicine service Willing to try to quit smoking Admitting diagnosis of one of the following:
Chronic Obstructive Pulmonary Disease, Hypertension, Asthma, Chronic Heart Failure, Diabetes Mellitus Type 2, History of Coronary Artery Disease or Cerebrovascular Disease, Pneumonia, or Peripheral Vascular Disease
Exclusion Criteria: Comatose Intubated Hospice Pregnant Breast feeding Psychosis Does not understand English or
Obtain consent for intervention (which means Inpatient counseling, drug therapy, follow-up counseling and social media/phone supplement (Facebook, text messages & phone app)
Agree for intervention Disagree for intervention
Continue to enroll subject in study: 1. Fill out Initial Questionnaire 2. FTND Questionnaire 3. Why do you Smoke Questions 4. Baseline Carbon Monoxide Level
Eight weeks of smoking cessation, defined as self-reported abstinence for 8 weeks (assessing every 2 weeks) and validated by measuring a level of exhaled carbon monoxide of < 10 ppm22.
The percent of subjects who attempt to stop smoking by enrolling in the study compared to Cochrane database review of 2008. 23
Secondary outcomes include:Subjects who use the Facebook page; text messaging support; phone application or combination of these as well as their abstinence rates defined as self-reported at 8 weeks and validated by measuring a level of carbon monoxide compared to subjects who did not use these resources.
The percent decrease of cigarettes/week if subject is still smoking at end of study.
Abstinence rate at 6 months by a telephone call by subjects self-reporting.
Intervention at Follow-up
oCarbon Monoxide testing at each follow-up visit
oGroup Education at least 30 minutes per session but not more than 60 minutes.
oRefill Medications (patch, gum, or combination)
oFollow-up kit sunflower seeds, hard candy, gum and/or toothpicks. oFollow-up questionnaire (Appendix E) pertains to questions about
ofeedback on NRT
oactual use of and feedback on Social media forms of Facebook , text messaging, & phone app
odocuments any readmission to hospital
Every 2 weeks till a total 8 weeks (60 days) Up to 12 weeks if patient wants