Tobacco cessation skills certification in Arizona: application of a state wide, community based model for diffusion of evidence based practice guidelines

Enabling and Sustaining the Activities of Lay Health Influencers: Lessons From a Community-Based Tobacco Cessation Intervention Study

“…They can produce benefits to public health more quickly, and with greater magnitude, than any other tobacco control measure (U.S. Department of Health and Human Services, 2000). States are increasingly investing in innovative training models and improving smoking cessation programs (Fishman et al, 1999;Muramoto et al, 2000). Despite research suggesting that lay health interveners are able to help people they know quit smoking, training initiatives have largely focused on medical professionals in clinical settings (Muramoto et al, 2000;Zhu, Nguyen, Cummins, Wong, & Wightman, 2006).…”

“…States are increasingly investing in innovative training models and improving smoking cessation programs (Fishman et al, 1999;Muramoto et al, 2000). Despite research suggesting that lay health interveners are able to help people they know quit smoking, training initiatives have largely focused on medical professionals in clinical settings (Muramoto et al, 2000;Zhu, Nguyen, Cummins, Wong, & Wightman, 2006). There is an urgent need to understand how to successfully train lay individuals, which has implications for other public health interventions in which family members, friends, and others may have as much or more impact on health behaviors as medical professionals.…”

The Hitchhiker's Guide to Tobacco Control: A Global Assessment of Harms, Remedies, and Controversies

“…The U.S. guidelines are built around the "5 A's": ask patients about tobacco use at every clinical encounter, advise to quit, assess willingness to make a quit attempt, assist with counseling and pharmacotherapy, and arrange follow-up (43). In the United States, smoking cessation is being addressed in performance measurement systems for health care providers (31), and a few states have developed certification programs for tobacco treatment specialists (87,98). The United Kingdom is the first country to provide local specialist cessation services nationwide (86); these services were used by more than 500,000 smokers in [2004][2005] and are achieving quit rates comparable to those of clinical trials (40).…”

Institutionalizing a Comprehensive Tobacco-Cessation Protocol in an Indigenous Health System: Lessons Learned

“…The TUGS helps workers document their interactions with tobacco users and capture data on tobacco use history, readiness to quit, supports and barriers to quitting, quit date, services offered and accepted, scheduled follow-up dates, and so forth. The community health worker at the Hawai`i NHHCS, who was certified as a Basic Tobacco (Cessation) Intervention Skills Instructional Specialist by the Arizona Cessation Training and Evaluation (ACTEV) project 15 agreed to train staff at the five NHHCS in brief intervention. The Moloka`i NHHCS, through their Native Hawaiian clinical psychologist, established a successful multi-week tobacco cessation counseling program offered to groups of smokers, and all NHHCS were interested in replicating it.…”