|
Current research tells us that the combination of medication and counseling results in the highest quit rates.
Unaided quit attempts ("cold turkey") Quit rate < 5% With medication and Quitline counseling Quit rate = as high as 30% The Florida Tobacco Quit-For-Life Line is a free cessation service offering individualized counseling and support to any Florida resident who is ready to quit. The Quit-For-Life Line can provide the counseling component of tobacco dependence treatment without added time or costs to health care providers or insurers. The Florida Tobacco Quit-For-Life Line is a free cessation service offering individualized counseling and support to any Florida resident who is ready to quit. How to Integrate the QuitLine into Treatment Providing Stop-Smoking Interventions Practical Tools for Health Care Providers How to Integrate the QuitLine into Treatment Research finds that a systematic approach to tobacco dependence treatment can increase quit rates. For larger health care organizations, it's a good idea to describe this approach in writing, set high standards, require documentation and create an incentive for providers. An effective practice is to include the QuitLine as part of the fourth step in a five-step intervention: Ask the patient about tobacco use. Advise him or her to quit. Assess the person's willingness to quit. Assist the patient by prescribing the appropriate pharmacotherapy and referring him or her to the Florida Tobacco Quit-For-Life Line. Arrange for follow-up. If time does not permit a full-scale intervention that includes counseling and medications, you can still increase the patient's chances of making a successful quit attempt by referring smokers to the QuitLine. Visit the National Library of Medicine's web site to access the Clinical Practice Guideline: Treating Tobacco Use and Dependence
Download Free Materials. Select the items below to download and print free QuitLine materials. Files open a in new window. All files are pdf and less than 2.5mb.
Poster Brochure for Patient Promotional Items
Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing. Request Delivery of Promotional and/or Printed Materials. To place an order by fax, email or regular mail, use the appropriate form below and send it to the DOH Publication and Supply Distribution Center. DOH employees please use form DH1370H. A journal transfer will be completed for the shipping costs. Non-DOH employees, please use Supplemental Order Form 7-06 and mail a check or money order made payable to the Department of Health to cover the shipping costs. Please contact the DOH Publication and Supply Distribution Center at (850) 414-8086 before ordering items to verify current prices.
The Fax to Quit Program - An Innovative, Effective, Evidence-based Tobacco Cessation Program. The best and easiest way to integrate the QuitLine into the regular delivery of health care is by using the Fax Referral Form. Once a smoker is identified and agrees to attempt to quit smoking, the patient is asked to agree to have his or her name and telephone number faxed to the QuitLine from your office by signing a consent form. The QuitLine then makes the initial call to the patient to begin the counseling program. Smokers who speak little or no English can request an interpreter on the enrollment form. Value Added The Fax Referral Form provides an intensive counseling intervention that may not be feasible for a busy clinic. We know that ongoing counseling increases the likelihood of successfully quitting tobacco. The Fax Referral Form can be used by hospitals, clinics, dental offices, worksites and community-based agencies. To get started, download the Fax Referral Form (pdf-162kb) Treatment from Physicians Can Double Smokers' Chances of Quitting Treating tobacco dependence is a team effort. Learn more about the key roles that need to be played by: The reasons for implementing a comprehensive system to treat tobacco dependence are compelling. Read more. Health Care Providers can help to double, triple or even quadruple quit rates by playing a powerful role in ensuring all patients who use tobacco get help to quit. Effective treatments exist that can produce long-term or permanent abstinence: When a physician intervenes, abstinence rates can double. When smokers use one of the six FDA-approved medications, long-term abstinence rates can triple. Even greater success can result from the combined use of pharmacotherapy and counseling. Treatments, including counseling, have been shown to be both clinically effective and cost-effective, relative to other medical and disease prevention interventions. Clinics and Hospitals Can Have a Positive Impact on Tobacco Quit Rates "There has never been a better time for health professionals to help their patients break free from the deadly chronic disease we know as tobacco addiction." -- David Satcher, M.D., P.h.D., former U.S. Surgeon General By developing supportive systems for tobacco treatment, clinics create environments where tobacco dependence can be routinely addressed. Because smoking inhibits healing, you can help your patients heal faster by helping them to quit. By treating tobacco dependence as part of standard care, you can help your patients live longer, healthier lives. Health Care Systems Can Have a Positive Impact on Tobacco Quit Rates Each time a patient who smokes enters your office, you have an opportunity to take an active role in helping him or her quit. Health care systems can implement policies to treat tobacco dependence. By putting evidence-based recommendations and effective interventions into practice, systems can ensure that every patient who wants to quit can. Research indicates health care savings can be substantial in the long run. Cessation is Cost Effective for Health Plans According to a recent study by Leif Associates, Inc., a health care actuarial consulting firm, investment in smoking cessation leads to improved health outcomes, lower health care costs and to more affordable health insurance premiums. In addition: Studies indicate many smokers quit during or after costly health care treatment. Meanwhile, the Surgeon General has indicated smokers who quit dramatically reduce the risk of illness. Research shows health care costs for smokers who quit decline over time, while health care costs of continuing smokers increase over time. Research also shows quit rates improve when managed care organizations set guidelines and compensate their employees for treating tobacco dependence. According to the CDC, smoking is the leading cause of preventable death each year in the United States, claiming more than 440,000 lives each year. That is more than the combined death rates for AIDS, drugs, alcohol. homicide, suicide and motor vehicle accidents. Smokers tend to incur more medical costs, see physicians more often, and be admitted to hospitals for longer periods than nonsmokers. Putting Tobacco Cessation Research into Practice: Practical Tools for Providers The U.S. Department of Health and Human Services' Agency for Healthcare Research and Quality (AHRQ) developed informational packets to help clinicians provide the most efficacious treatment of tobacco addiction. The packets are based on the U.S. Public Health Service Clinical Practice Guideline: Treating Tobacco Use and Dependence. Clinical Practice Guideline: Treating Tobacco Use and Dependence The U.S. Public Health Service Clinic Practice Guideline: Treating Tobacco Use and Dependence, is the gold standard for treating tobacco addiction. The original guideline, developed in 1996 by AHRQ, was updated in 2000 by a consortium that included the University of Wisconsin's Center for Tobacco Research and Intervention (UW-CTRI) researchers. The panel reviewed 6,000 articles before making recommendations for clinicians, health care providers, insurers, administrators, purchasers and others who play a role in smoking cessation. FDA-approved Medications to Help Patients Quit Smoking The U.S. Public Health Service's quit smoking guidelines recommend that all smokers trying to quit use one of the six FDA-approved medications listed below (unless there is a medical condition that could cause a complication.) Suggested dose treatment chart (pdf - 34kb) Bupropion (Zyban or Wellbutrin) Nicotine Replacement Therapies (NRT) Gum. This OTC product is recommended for smokers who want something to turn to when experiencing urges to smoke. It releases nicotine into your mouth to ease cravings. Smokers can chew up to 20-30 pieces a day for six to eight weeks. Inhaler. Patients inhale small doses of nicotine through this prescription product that looks similar to a cigarette. Unlike a cigarette, there is no harmful carbon monoxide. Treatment usually last eight to 12 weeks, depending o the patient. Nasal Spray. This prescription product supplies nicotine that is absorbed through the nasal passages. Recommended use is up to two sprays an hour for up to three months. Lozenge. This OTC medication releases nicotine into your mouth. It's usually used for eight to 12 weeks. Patients that typically have their first cigarette of the day within 30 minutes of awakening should use a 4 mg dose. Otherwise, a 2 mg dose should be used. |
|||||||||||||||||||||||