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Panhandle Kicks the Habit

Panhandle Kicks the Habit . Smoking cessation project from Department of Medicine and Pharmacy TTUHSC Rahul Chandra MD Assistant Professor Dept of Medicine , TTUHSC A marillo . Cigarette Smoking. Cigarette smoking is injurious to health everybody knows that !!!!!!!

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Panhandle Kicks the Habit

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  1. Panhandle Kicks the Habit Smoking cessation project from Department of Medicine and Pharmacy TTUHSC Rahul Chandra MD Assistant ProfessorDept of Medicine , TTUHSC Amarillo

  2. Cigarette Smoking Cigarette smoking is injurious to health everybody knows that !!!!!!! Its says on the cigarette pack !

  3. Our logo Spread the word ……….

  4. Objectives • Objectives: • To compare percent of enrolled subjects who achieve abstinence from smoking at 8 weeks and 6 months compared to Cochrane database. • To compare percent of subjects who attempt to stop smoking by enrolling in the study to average percent of other studies. • To compare subjects who use the Facebook page; text messaging support; smartphone application or combination of these as offered by the program cessation rate to subjects who do not utilize the program. • To compare subjects, who do not completely quit smoking, amount of cigarettes per week at baseline to end of study. • Validate self-reports of abstinence between baseline and 8 weeks by measuring a level of exhaled carbon monoxide ≤10 ppm.

  5. Inclusion Criteria • Current Smoker • Age 18-100 • Admitted to Northwest Texas Hospital under Texas Tech Internal Medicine service • Willing to try to quit smoking • Admitting diagnosis of one of the following: • Chronic Obstructive Pulmonary Disease, Hypertension, Asthma, Chronic Heart Failure, Diabetes Mellitus, History of Coronary Artery Disease or Cerebrovascular Disease, Pneumonia, or Peripheral Vascular Disease

  6. Exclusion Criteria • Comatose • Intubated • Hospice • Pregnant • Breast feeding • Psychosis • Does not understand English or Spanish

  7. Precautions for NRT • Active Unstable angina • Active MI • Arrhythmias • Hyperthyroidism • Pheochromocytoma • Accelerated hypertension • Acute Stroke • Allergy to nicotine • Allergy to tape

  8. Follow-up Interventions Every 2 weeks till a total 8 weeks (60 days) Up to 12 weeks if patient wants Intervention at Follow-up • Carbon Monoxide testing at each follow-up visit • Group Education at least 30 minutes per session but not more than 60 minutes. • Refill Medications (patch, gum, or combination) • Follow-up kitsunflower seeds, hard candy, gum and/or toothpicks. • Follow-up questionnaire(Appendix E) pertains to questions about • quitting success • feedback on NRT • actual use of and feedback on Social media forms of Facebook , text messaging, & phone app • documents any readmission to hospital Outcomes Primary outcomes: • Eight weeks of smoking cessation, defined as self-reported abstinence for 8 weeks (assessing every 2 weeks) and validated by measuring a level of exhaled carbon monoxide of < 10 ppm22. • The percent of subjects who attempt to stop smoking by enrolling in the study compared to Cochrane database review of 2008. 23 Secondary outcomes include: • Subjects who use the Facebook page; text messaging support; phone application or combination of these as well as their abstinence rates defined as self-reported at 8 weeks and validated by measuring a level of carbon monoxide compared to subjects who did not use these resources. • The percent decrease of cigarettes/week if subject is still smoking at end of study. • Abstinence rate at 6 months by a telephone call by subjects self-reporting.

  9. Smartphone application • Enter- My Last Cigarette” and click search

  10. Text messaging • Open Internet Browser • Enter: smokefree.gov (see below) • Click on SmokefreeTXT (see above)

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