US Public Health Service and U.S. Coast Guard Breakout: Pharmacy II (Evolution of USPHS-Rx for Change: Tobacco Cessation Training for Youth and Young Adults) CDR Thomas E. Addison Phoenix Indian Medical Center LT Joseph Muroka Haskell Health Center
CPE Information and Disclosures Thomas E. Addison and Joseph Muroka “declare(s) no conflicts of interest, real or apparent, and no financial interests in any company, product, or service mentioned in this program, including grants, employment, gifts, stock holdings, and honoraria.” The American Pharmacist Association is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
CPE Information Target Audience: Pharmacists ACPE#: 0202-0000-18-211-L04-P Activity Type: Knowledge-based
Learning Objectives 1. List the populations most impacted by Electronic Nicotine Delivery Systems (ENDS)\ 2. Explain why ENDS vapor is just as hazardous as cigarette smoke 3. Discuss why ENDS cannot be used for nicotine cessation
Self-Assessment Questions Cigarette smoking is the chief, single avoidable cause of death in the United States, causing >480,000 deaths each year. A) True B) False Which of the following statements is false? A) E-cigarettes are the most commonly used tobacco products among youth B) E-cigarettes are proven cessation tools C) Nicotine is addictive D) E-juice or the aerosol contains formaldehyde, polyethylene glycol, and diacetyl What are the 2 types of dependence that comprise tobacco dependence? A) ___________________ B) ___________________
AGENDA ◊ Nicotine Cessation Services Access Workgroup (NCSAW) ◊ USPHS-Rx for Change: Nicotine Cessation ◊ Training for Youth and Young Adults ◊ Impact ◊ Future
NCSAW PURPOSE To support the implementation of evidence-based tobacco cessation treatment services and prevention interventions in communities and health systems throughout the U.S. in accordance with the U.S. Surgeon General’s Priority on Tobacco and Drug Free Living.
NCSAW SUBGROUPS ◊ Communications (Leadership Changes/Recruiting/Listserv Development) Foster and facilitate communication on NCSAW activities to USPHS Leadership, HHS Agencies, other Federal Agencies, Professional Organizations and Tobacco Control Stakeholders ◊ Documentation/Informatics Develop resources such as note templates, order sets, reminders, picklists using systematized nomenclature of medical terms (SNOMED) and other tools to facilitate the capture of essential elements of tobacco cessation treatment and prevention visits ◊ Funding Resources Provide resources of various funding opportunities ◊ Metrics/Outcomes Assess and compare tobacco rates throughout the US and focus efforts on high use areas
NCSAW SUBGROUPS continued ◊ Prevention Resources Identify, develop, and disseminate best practices for delivering tobacco use prevention interventions in community settings ◊ Provider Resources Determine and disseminate criteria for qualified providers of intensive tobacco cessation service and visit documentation requirements for Medicaid and Medicare programs ◊ Training Resources Develops online tobacco cessation intervention skills programs for the nation
BACKGROUND ◊ 2017 Future Health Professionals (HOSA) National Leadership Conference ◊ Youth Module Committee was created under the Training Resources Subgroup of NCSAW
OBJECTIVE To develop a comprehensive training for youth and young adults explaining the dangers of Electronic Nicotine Delivery Systems (ENDS)
METHODS ◊ A Youth Module Committee was created under the Training Resources Subgroup of the Nicotine Cessation Services Access Workgroup (NCSAW) ◊ References E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General Ask-Advise-Refer (brief counselling) and 5 A’s (comprehensive counselling) from Rx for Change
DESIGN ◊ Epidemiology of Tobacco Use ◊ Evolution of Electronic Nicotine Delivery Systems (ENDS) ◊ Addiction to Nicotine ◊ Medications & Behavior Change
EPIDEMIOLOGY OF TOBACCO USE
EPIDEMIOLOGY OF TOBACCO USE continued
Evolution of Electronic Nicotine Delivery Systems (ENDS)
Evolution of Electronic Nicotine Delivery Systems (ENDS) continued
Addiction to Nicotine
Medications & Behavior Change
EVALUATION ◊ Watch two videos titled Not Ready to Quit and Ready to Quit ◊ Break up into pairs to role play the two scenarios using a Skills Demonstration Checklist as a guide ◊ Comprehension is enhanced by evaluator feedback during these real-time scenarios Evaluation can be done on-site or remotely by contacting evaluators at rxfceval@gmail.com ◊ Examination is given and a score of 75% is required to pass ◊ Skills Demonstration Checklist and examination must be completed to receive a Certificate of Completion
IMPACT Over 230 students have participated in training over the past year: ◊ 2017 AMSUS ◊ 2018 National HOSA ◊ 2018 Arizona HOSA ◊ Boys and Girls Club
FUTURE USPHS-Rx for Change: Nicotine Cessation Training for Youth and Young Adults ◊ Rx for Change Free Pending finalization ◊ Purdue University Continuing Education (CE) Free Pending finalization ◊ Online CE modules: Basic Skills, Train the Trainer, and other specific populations
Key Points ENDS are a rapidly emerging and diversified product class. ENDS use among youth and young adults has become a public health concern. ENDS are now the most commonly used nicotine product among youth, surpassing conventional cigarettes in 2014. The use of products containing nicotine poses dangers to youth, pregnant women, and fetuses. ENDS aerosol is not harmless. ENDS are marketed by promoting flavors and using a wide variety of media channels and approaches that have been used in the past for marketing conventional tobacco products to youth and young adults. Action can be taken at the national, state, local, tribal, and territorial levels to address ENDS use among youth and young adults.
Answers To Self-Assessment Questions Cigarette smoking is the chief, single avoidable cause of death in the United States, causing >480,000 deaths each year. A) True B) False Which of the following statements is false? A) E-cigarettes are the most commonly used tobacco products among youth B) E-cigarettes are proven cessation tools C) Nicotine is addictive D) E-juice or the aerosol contains formaldehyde, polyethylene glycol, and diacetyl What are the 2 types of dependence that comprise tobacco dependence? A) Physiological B) Behavioral
Closing Remarks CDR Thomas E. Addison Phoenix Indian Medical Center (602) 263-1664 thomas.addison@ihs.gov LT Joseph Muroka Haskell Health Center (785) 843-3750 joseph.muroka@ihs.gov
Recommend
More recommend
