269311 Development and Implementation of an Innovative Tobacco Cessation Systems Change Model in Regional Safety-Net Sites in Florida

Tuesday, October 30, 2012

Rosebud L. Foster, EdD, MSN , Health Professions Division/Public Health Program/Area Health Education Center, Nova Southeastern University, Fort Lauderdale, FL
Steve E. Bronsburg, PhD, MHSA, CTTS , Assistant Director, Tobacco Program, Area Health Education Center Health Professions Division, Nova Southeastern University, College of Osteopathic Medicine, Fort Lauderdale, FL
Gustavo Saldias, MPH , College of Osteopathic Medicine, Area Health Education Centers (AHEC) Program, Nova Southeastern University, Ft. Lauderdale, FL
Steven Zucker, DMD, MEd , College of Osteopathic Medicine, Area Health Education Centers (AHEC) Program, Nova Southeastern University, Fort Lauderdale, FL
Introduction: Florida has a long standing history of tobacco prevention and treatment initiatives. Currently, tobacco training and cessation intervention are being addressed with a limited number of health professionals who are able to intervene successfully to help their patients quit tobacco use. The CDC Best Practices and the Public Health Service Clinical Practice Guideline serve as a framework to demonstrate a broad based systems change approach providing increased access to community tobacco cessation and counseling services. Objective: To identify and implement an innovative and comprehensive systems change model focused on tobacco cessation in rural and underserved communities utilizing evidence-based outcomes and targeted demonstration projects. Methods: Compare and contrast the implementation of the tobacco cessation systems change model in safety-net sites and community organizations. The process will identify essential strategies to increase the capacity of health care providers to treat tobacco dependency. Assess outcomes to include tobacco cessation participation, quit rates at multiple time intervals and its impact on relapse. Results: The implementation of the systems change model of tobacco cessation treatment and counseling demonstrate the public health benefits related to reductions in tobacco use including the measurement of the tobacco use quit rate outcomes. Conclusion: The innovative program as employed strengthened the capacity in targeted communities to provide tobacco use treatment, cessation, and prevention services employing the systems change model. The systems change model which focused on cessation and training provides an evidence based approach to quitting tobacco use following the CDC Best Practices and the Public Health Service Guideline.

Learning Areas:
Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Provision of health care to the public

Learning Objectives:
Describe methods and outcomes derived through the establishment of a regional systems change model to effect the long term reduction in tobacco quit rates. Demonstrate collaborative relationships with community health centers and partners in providing on-going continuity in tobacco cessation and prevention services in rural and underserved areas. Describe the evaluation and outcomes measured by the system change approach and resources utilized to enhance the increased access to tobacco cessation services and settings.

Keywords: Tobacco, Health Care Access

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an administrator of the Nova Southeastern University Area Health Education Center Tobacco Training and Cessation Program, Professor of Public Health and Family Medicine.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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