MDMC Smoking Cessation Model: A Comprehensive Approach

Monday, 31 October 2011: 2:25 PM

Mary Delores Mites-Campbell, PhD, RN, MSN-ADM, CTTS
Jackson Health System/University of Miami Transplant Department, 1801 NW 9th Ave, Miami, FL
Richard Thurer, MD
Department of Cardiothoracic Surgery, University of Miami Miller School of Medicine, Miami, FL, Zimbabwe
Samantha M. Behbahani, PsyD, MS, ClinPharm
Department of Family Medicine, University of Miami Miller School of Medicine, Miami, NM
Asma Aftab, MD
Department of Family Medicine, University of Miami Miller School of Medicine, Miami, MN

Learning Objective 1: understand cessation education utilizing appropriate modalities and other medically-based treatments.

Learning Objective 2: employ a multifaceted cessation approach of a comprehensive model to high risk low income populations.

In 2009, the United States reported more former smokers, forty-seven million, than current smoker, forty-six million. The US reported cessation success does increase with intensity of clinical interventions through clinician contact, cessation program and counseling interaction. Purpose: to increase cessation outcomes through application of a multifaceted Smoking Cessation Model which produces smoking reduction, enhances cessation education, employees cultural specific individualized/group counseling, incorporates nutrition and weight management, enforces smoking aversion education, nicotine replace therapy, behavioral modification and community/social support. Method: the evidence-based program coordinated and evaluated services through community screening, education , behavioral modification, nicotine replacement, clinician-drive cessation program with access to cultural-specific counseling from 2007 to 2009, 614 participants enrolled in the program. Results: program outcomes yield a high level of collaboration through a mutual commitment between partners, integrated, maximized and leverage resources in face of declining funding and budget cuts; easy access for multicultural smokers to ascertain cessation counseling through outpatient services; closed gaps for under-deserved low-in come minorities,; established an educational process for the community to improve cessation and prevention tobacco-related diseases; developed partnerships between cessation specialists, experts in tobacco control and the physicians delivering primary care, and training community-based smoking cessation facilitators to be disseminated throughout the county for cessation education, program awareness, and tobacco disease prevention (54%).