SMOKING IN HIV. Michelle Wong Division of Pulmonology, Chris Hani Baragwanath Academic Hospital University of the Witwatersrand
|
|
|
- Estella Rodgers
- 7 years ago
- Views:
Transcription
1
2 SESSION 16D: LIFESTYLE DISEASES AND HIV SMOKING IN HIV Michelle Wong Division of Pulmonology, Chris Hani Baragwanath Academic Hospital University of the Witwatersrand 15 April 2016
3 Smoking accounts for more life-years lost than HIV infection itself in areas with wellrun HIV services Mortality rate per 100 person-years HIV negative never smokers 1.76 HIV positive never smokers 2.45 HIV positive current smokers 5.48 Crothers K et al. AIDS Edu Prev 2009
4 SMOKING COMMUNICABLE DISEASES Bacterial pneumonia Tuberculosis Pneumocystis pneumonia NON-COMMUNICABLE DISEASES COPD Lung cancer Cardiovascular disease Oral thrush Oral hairy leukoplakia Cognitive and neurological effects, etc. EFFECTS ON HIV INFECTION Faster progression to AIDS? Poorer response to ART? & SMOKING CESSATION
5 COMMUNICABLE DISEASES Bacterial pneumonia Tuberculosis Pneumocystis pneumonia
6 BACTERIAL PNEUMONIA Increased risk for pneumonia at all levels of immunosuppression and despite ART Cigarette smoking was the strongest predictor for development of pneumonia in the viral suppression arm. Gordin FM et al. Am J Respir Crit Care Med 2008
7 TUBERCULOSIS Syndemic of HIV and TB Smoking associated with Increased predisposition to TB infection and TB disease (despite ART) More rapid disease progression of disease Poorer response to treatment Longer duration of infectivity Higher likelihood of recurrence Higher mortality despite appropriate TB treatment Estimated that 16% of TB cases preventable with elimination of smoking Jackson-Morris A et al. Int J Tuberc Lung Dis 2015; Lönnroth K et al. Lancet 2010
8 TB OUTCOMES IN HIV SMOKERS Ever smokers 30% less likely to initiate ART (even though eligible) Ever smokers more likely than never smokers to have adverse TB Rx outcomes (lost to follow-up, death, Rx failure): HR 2.15 Smokers for 10 years + initiated ART during TB Rx More likely to be lost to follow-up (HR 5.11) Higher mortality (HR 3.81) Vanden Driessche K et al. Eur Respir J 2015
9 PNEUMOCYSTIS JIROVECII PNEUMONIA Increased risk of PCP in smokers 125 patients admitted with PCP 78% cigarette smokers CD4 < 200 x 10 6 /L: OR current vs non-smokers 2.7 Dose-dependent relationship: 3% risk/cigarette/day One pack/day: OR 1.8 Two packs/day: OR 3.35 Miquex-Burbano MJ et al. Int J Inf Dis 2005
10 COLONIZATION WITH PCP Prevalence of colonization with PCP Healthy subjects: up to 20% HIV-infected subjects: 20 69% Risk of colonization amongst smokers: OR 2.9 PCP prophylaxis does not reduce risk of colonization Morris A and Norris KA, Clin Micro Rev 2012
11 NON-COMMUNICABLE DISEASES COPD Lung cancer
12 COPD HIV is independent risk factor for COPD Develops over much shorter period of time in HIV infected smokers than in HIV uninfected smokers Frequently unrecognized Report of 338 HIV positive smokers ( 20 pack years) Prevalence of COPD: 26% Undiagnosed COPD: 74% Possible association with PCP Makinson A et al. Eur Respir J 2015; Morris A et al. J Clin Micro 2009
13 Acute exacerbations of COPD Rate higher in HIV-infected vs HIV-uninfected (IRR 1.54) HIV-related risk factors Lower CD4 count HIV RNA levels > 500 copies/ml Not on ART Alcohol-related conditions (even after controlling for smoking) Depp TB et al. AIDS 2016
14 LUNG CANCER Increased susceptibility (lower pack-year history) Earlier age at presentation More advanced disease at presentation Worse outcome Possible mechanisms High smoking rates in HIV population Decreased immunovigilance (despite ART) Chronic lung damage from infections Enhanced inflammation Increased lifespan due to ART and better healthcare
15 Silverberg MJ et al. Ann Intern Med 2015
16 SCREENING FOR LUNG CANCER IN HIV INFECTED POPULATION 442 patients underwent LDCT scans Prevalence of lung cancer 2.03% Positive images in 21% 8 cancers occurred in patients < 55 years Possible concerns Higher number of false positives due to previous lung infections? Need to lower age at which screening should be performed? Makinson A et al. AIDS 2016
17 EFFECTS OF SMOKING ON HIV INFECTION Faster progression to AIDS? Poorer response to ART?
18 EFFECT OF SMOKING ON HIV? Adverse effect on HIV disease progression Conflicting studies Largest study sample to date examining relationship between smoking and biomarkers of HIV disease progression Hile SJ et al. AIDS Behav 2016
19 Smokers have poorer response to ART than non-smokers Surrogate marker for non-adherence More side-effects to drugs in smokers Activation of genes by cigarette smoke which promote HIV replication Altered pharmacokinetics
20 SMOKING CESSATION Counselling Cognitive therapy (adjustment skills) Pharmacotherapy Nicotine replacement therapy Bupropion Varenicline
21 209 HIV positive smokers Face-to-face individual counselling + NRT Computer-based Internet smoking intervention + NRT Self-help + NRT Humfleet GL et al. Nic Tob Res 2013 Follow-up at 12, 24, 36 and 52 weeks No significant difference between 3 groups (abstinence 15-29%) Factors associated with achieving abstinence: employment, greater desire to quit, lower mood disturbance score
22 VARENICLINE Adherence: only 58% at 1 month Safety: no difference in adverse effects in patients on ART vs no ART Efficacy: OR of abstinence at 3 months for Varenicline vs NRT: 2.75 Adverse effects: not increased compared to HIV neg Most common adverse effects: nausea, abnormal dreams, change in affect, insomnia No effect on CD4 count or viral load Shelley D et al. Nicotine & Tobacco Research 2015 Ferketich AK et al. Nicotine & Tobacco Research 2013 Cui Q et al. AIDS Patient Care and STDs 2012
23 BARRIERS TO SMOKING CESSATION IN HIV PERSONS Failure of healthcare providers to screen for smoking promote smoking cessation Availability and cost of pharmacological therapy for smoking cessation Associated depression in smokers High rate of other substance abuse, e.g. alcohol Poor social support networks Use of tobacco as coping mechanism for HIV-related issues Perceived competence
24 THE WAY FORWARD Prioritization and integration of smoking cessation programmes into HIV/TB care programmes Inexpensive Sharing of resources Holistic care
Never Quit Quitting Training Healthcare Providers to Integrate Cessation Counseling and Referral into Office Practice Lisa Krugman, MPH, MSW Washtenaw County Public Health Washtenaw County Smokers (HIP
Delivery of Tobacco Dependence Treatment for Tobacco Users with Mental Illness and Substance Use Disorders (MISUD)
Delivery of Tobacco Dependence Treatment for Tobacco Users with Mental Illness and Substance Use Disorders (MISUD) Learning Objectives Upon completion of this module, you should be able to: Describe how
1. To create a comprehensive Benchmark plan that will assure maximum tobacco cessation coverage to all populations in Rhode Island:
POSTION STATEMENT Submitted to the Rhode Island Health Benefits Exchange Submitted By the Public Policy Workgroup of the Statewide Tobacco Cessation Committee on Tobacco Cessation Treatment Benchmarks
Cigarettes and Other Tobacco Products
Cigarettes and Other Tobacco Products Tobacco use is the leading preventable cause of disease, disability, and death in the United States. Between 1964 and 2004, cigarette smoking caused an estimated 12
Smoking Cessation: Treatment Options for Nicotine Addiction
Smoking Cessation: Treatment Options for Nicotine Addiction Hilary Nierenberg, NP, MPH Center for Interventional Vascular Therapy Columbia University Medical Center Disclosure Statement of Financial Interest
NEXT STEPS: TREATING TOBACCO AND CREATING HEALTHY MENTAL HEALTH/SUBSTANCE ABUSE TREATMENT FACILITY ENVIRONMENTS PART I
NEXT STEPS: TREATING TOBACCO AND CREATING HEALTHY MENTAL HEALTH/SUBSTANCE ABUSE TREATMENT FACILITY ENVIRONMENTS PART I Stan Martin, MM Program Director CAI, TCTP Dr John R. Hughes February 19, 2014 Housekeeping
Helping People to Stop Smoking
The New Zealand Guidelines for Helping People to Stop Smoking Tobacco smoking is a major public health problem in New Zealand. Around 5000 New Zealanders die each year from a smoking-related disease. Of
Smoking Cessation Program
Smoking Cessation Program UHN Information for people who are ready to quit smoking Read this information to learn: why you should quit smoking how the Smoking Cessation Program works treatments to help
I. INTAKE INFORMATION
Name: ID# : Tobacco Use Intake, Assessment and Treatment Planning Form I. INTAKE INFORMATION Smoking History: Current number of cigarettes per day: approx. 20 per day How soon after awaking is first cigarette
MASSACHUSETTS TOBACCO TREATMENT SPECIALIST TRAINING
University of Massachusetts Medical School MASSACHUSETTS TOBACCO TREATMENT SPECIALIST TRAINING Course Description Goals and Learning Objectives 1 2012 55 Lake Avenue North, Worcester, MA 01655 www.umassmed.edu/tobacco
Managing Patients with Substance Abuse. Steven Shoptaw, PhD Professor Department of Family Medicine, UCLA
Managing Patients with Substance Abuse Steven Shoptaw, PhD Professor Department of Family Medicine, UCLA Objectives for this Presentation: Review the epidemiology of substances most likely for misuse in
Healthy Lifestyle, Tobacco Free and Recovery Lesson for Group or Individual Sessions
Healthy Lifestyle, Tobacco Free and Recovery Lesson for Group or Individual Sessions This lesson is part of an overall curriculum based program developed by the New York State Office of Alcoholism and
Utilization of Services in a Randomized Trial Testing Phone- and Web-based Behavioral Interventions for Smoking Cessation
Utilization of Services in a Randomized Trial Testing Phone- and Web-based Behavioral Interventions for Smoking Cessation Susan M. Zbikowski, Ph.D. Society of Behavioral Medicine April 22-25, 2009 Introduction
Smoking Cessation in People with Severe Mental Illness. Lisa Dixon, M.D., MPH and Melanie Bennett, Ph.D. University of Maryland School of Medicine
Smoking Cessation in People with Severe Mental Illness Lisa Dixon, M.D., MPH and Melanie Bennett, Ph.D. University of Maryland School of Medicine Smoking and Severe Mental Illness Smoking is a MAJOR problem
From chronic conditions to chronic diseases: a primary health care research agenda. Vikram Patel
From chronic conditions to chronic diseases: a primary health care research agenda Vikram Patel London School of Hygiene & Tropical Medicine Sangath, Goa, India Public Health Foundation of India 1 The
A Partnership to Establish Tobacco free Mental Health and Substance Abuse Treatment Centers
A Partnership to Establish Tobacco free Mental Health and Substance Abuse Treatment Centers in Utah Claudia Bohner, MPH Tobacco Prevention and Control Program (TPCP) Utah Department of Health Background:
Internet and Mobile Phone Studies (E-epidemiology)
Conducting studies on the Internet and mobile phones Jean-François ETTER, PhD Associate Professor IMSP, Faculty of Medicine, University of Geneva, Switzerland Jean-Francois.Etter@unige.ch HUG Colloque
MANCHESTER Lung Cancer Screening Program Dartmouth-Hitchcock Manchester 100 Hitchcock Way Manchester, NH 03104 (603) 695-2850
LEBANON Lung Cancer Screening Program One Medical Center Drive Lebanon, NH 03756 (603) 650-4400 (866) 966-1601 Toll-free cancer.dartmouth.edu/lungscreening MANCHESTER Lung Cancer Screening Program Dartmouth-Hitchcock
Menthol cigarettes and smoking cessation behavior Authors: Allison C. Hoffman, FDA CTP; Donna Miceli, DLM Writing Services
Not yet peer-reviewed submitted for publication Menthol cigarettes and smoking cessation behavior Authors: Allison C. Hoffman, FDA CTP; Donna Miceli, DLM Writing Services Abstract Although much is known
Smoking Cessation Services in Addiction Treatment: Challenges for Organizations and the Counseling Workforce
Knudsen, H.K. & White, W.L. (2012) Smoking cessation services in addiction treatment: Challenges for organizations and the counseling workforce. Counselor, 13(1), 10-14. Smoking Cessation Services in Addiction
TOBACCO CESSATION WORKS: AN OVERVIEW OF BEST PRACTICES AND STATE EXPERIENCES
TOBACCO CESSATION WORKS: AN OVERVIEW OF BEST PRACTICES AND STATE EXPERIENCES Despite reductions in smoking prevalence since the first Surgeon General s report on smoking in 1964, approximately 46 million
Ass Professor Frances Kay-Lambkin. NHMRC Research Fellow, National Drug and Alcohol Research Centre UNSW
Ass Professor Frances Kay-Lambkin NHMRC Research Fellow, National Drug and Alcohol Research Centre UNSW Frances Kay-Lambkin PhD National Health and Medical Research Council Research Fellow Substance Use
ISSUEBrief. Reducing the Burden of Smoking on Employee Health and Productivity. Center for Prevention
Center for Prevention and Health ISSUEBrief Services Volume I, Number 5 Reducing the Burden of Smoking on Employee Health and Productivity This issue brief summarizes information presented during the fifth
Literature Review January 2010
Literature Review January 2010 FOR GENERAL DISTRIBUTION Smoking Cessation Interventions: A Literature Review. Jeanne Ellard Smoking Cessation Literature Review - Executive Summary AFAO/NAPWA EDUCATION
Major Depression: A Medical Comorbidity of HIV Infection
Major Depression: A Medical Comorbidity of HIV Infection Francine Cournos, M.D. Professor of Clinical Psychiatry, Columbia University Principal Investigator, New York/ New Jersey AETC fc15@columbia.edu
Smoking Cessation. Why is it so hard to quit smoking? Ways to manage it
Why is it so hard to quit smoking? Nearly five million people in Canada smoke. 1 The majority of them want to quit, but quitting can be hard. 2 In fact, most smokers try to quit 5-7 times before they finally
Dual Diagnosis. Steven Shoptaw, PhD UCLA Center for Behavioral and Addiction Medicine Department of Family Medicine sshoptaw@mednet.ucla.
Dual Diagnosis Steven Shoptaw, PhD UCLA Center for Behavioral and Addiction Medicine Department of Family Medicine sshoptaw@mednet.ucla.edu July 14, 2013 Acknowledgments NIDA support R01 DA029804; R01
TOBACCO CESSATION PILOT PROGRAM. Report to the Texas Legislature
TOBACCO CESSATION PILOT PROGRAM Report to the Texas Legislature As Required by S.B. 10, 80 th Legislature, Regular Session, 2007 Texas Health and Human Services Commission September 2010 Table of Contents
Prevention of Acute COPD exacerbations
December 3, 2015 Prevention of Acute COPD exacerbations George Pyrgos MD 1 Disclosures No funding received for this presentation I have previously conducted clinical trials with Boehringer Ingelheim. Principal
Stephen R. Veach, M.D.
Stephen R. Veach, M.D. Memorial Sloan-Kettering Cancer Center International Oncology Programs 160 E. 53 rd Street New York, NY 10022 212-610 610-08780878 - tel 212-308 308-7063 - fax veachs@mskcc.org SCREENING
Journal of. Employee Assistance. The magazine of the Employee Assistance Professionals Association VOL. 36 NO. 2 2 ND QUARTER 2006
Employer Initiatives to Stop Smoking by Mary Hill, LCSW, CEAP As more employers take aggressive steps to reduce health care costs arising from employees tobacco use, EAPs can and must help ensure the process
HIV/AIDS Care: The Diagnosis Code Series 2. Prepared By: Stacey L. Murphy, MPA, RHIA, CPC AHIMA Approved ICD-10-CM/ICD-10-CM Trainer
HIV/AIDS Care: The Diagnosis Code Series 2 Prepared By: Stacey L. Murphy, MPA, RHIA, CPC AHIMA Approved ICD-10-CM/ICD-10-CM Trainer Learning Outcomes Identify and explain the difference between ICD-9-CM
Provider Manual. Section 18.0 - Case Management and Disease Management
Section 18.0 - Case Management and Disease Management 18.1.1 Introduction 18.2.1 Scope 18.3.1 Objectives 18.4.1 Procedures Case Management 18.4.1-A. Referrals 18.4.1-B. Case Management Mercy Maricopa Acute
NATIONAL ADHERENCE GUIDELINES FOR HIV,TB AND NON COMMUNICABLE DISEASES
NATIONAL ADHERENCE GUIDELINES FOR HIV,TB AND NON COMMUNICABLE DISEASES Ms. Mokgadi Phokojoe Director: HIV and AIDS Care and Support Programs National Department of Health 11 June 2015 SA AIDS Conference
HOW TO STOP SMOKING. Dr Coral Gartner UQ Centre for Clinical Research
HOW TO STOP SMOKING Dr Coral Gartner UQ Centre for Clinical Research ACKNOWLEDGEMENTS SOME TRUTHS There is no magic bullet Secret to successful quitting: keep trying make every quit attempt count Every
Provider payment approaches and incentives to implement screening
Provider payment approaches and incentives to implement screening Constance Horgan Maureen Stewart, Mary Brolin, Deborah Garnick, Dominic Hodgkin, Sharon Reif, Amity Quinn Symposium: Integrating Implementation
The Clinical Content of Preconception Care: Alcohol, Tobacco, and Illicit Drug Exposures
The Clinical Content of Preconception Care: Alcohol, Tobacco, and Illicit Drug Exposures by R. Louise Floyd, DSN, RN; Brian W. Jack, MD; Robert Cefalo, MD, PhD; Hani Atrash, MD, MPH; Jeanne Mahoney, BSN,
Alcohol abuse and smoking
Alcohol abuse and smoking Important risk factors for TB? 18 th Swiss Symposium on tuberculosis Swiss Lung Association 26 Mach 2009 Knut Lönnroth Stop TB Department WHO, Geneva Full implementation of Global
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Age Differences in Viral Suppression, Antiretroviral Therapy Use, and Adherence Among HIV-positive Men Who Have Sex With Men Receiving
National Learning Objectives for COPD Educators
National Learning Objectives for COPD Educators National Learning Objectives for COPD Educators The COPD Educator will be able to achieve the following objectives. Performance objectives, denoted by the
Smoking and your lungs Why it s never too late to give up
Smoking and your lungs Why it s never too late to give up Giving up smoking is never easy, but it s the most important thing you can do to look after your health. If you have a lung condition, you might
ESCMID Online Lecture Library. by author
Do statins improve outcomes of patients with sepsis and pneumonia? Jordi Carratalà Department of Infectious Diseases Statins for sepsis & community-acquired pneumonia Sepsis and CAP are major healthcare
Parisa Vatanka, PharmD Pharmacy Strategic Alliances Manager Assistant Clinical Professor, UCSF. Stan Leung, PharmD Clinical Division Lead
Parisa Vatanka, PharmD Pharmacy Strategic Alliances Manager Assistant Clinical Professor, UCSF Stan Leung, PharmD Clinical Division Lead April 13, 2015 ! PrevenFve Care Immuniza(ons (aligned with ACIP
Overview of the Adverse Childhood Experiences (ACE) Study. Robert F. Anda, MD, MS Co-Principal Investigator. www.robertandamd.com
Overview of the Adverse Childhood Experiences (ACE) Study Robert F. Anda, MD, MS Co-Principal Investigator www.robertandamd.com Death Early Death Disease, Disability and Social Problems Adoption of Health-risk
Case Finding for Hepatitis B and Hepatitis C
Case Finding for Hepatitis B and Hepatitis C John W. Ward, M.D. Division of Viral Hepatitis Centers for Disease Control and Prevention Atlanta, Georgia, USA Division of Viral Hepatitis National Center
How To Quit Smoking
The American College of Obstetricians and Gynecologists f AQ FREQUENTLY ASKED QUESTIONS FAQ065 WOMEN S HEALTH It s Time to Quit Smoking What are the dangers of smoking? How does smoking affect the body?
Better Living with Obstructive Pulmonary Disease A Patient Guide
Better Living with Obstructive Pulmonary Disease A Patient Guide Second Edition November 2012 Queensland Health The State of Queensland (Queensland Health) and The Australian Lung Foundation 2012 a Better
Addressing Nicotine Dependence in Treatment
Addressing Nicotine Dependence in Treatment The Elephant in the Living Room Loretta Worthington, MA, MSP Director Worthington Consulting Tobacco Use Has Traditionally Been Trivialized Nicotine addiction
Tobacco Cessation and the Affordable Care Act. Jennifer Singleterry Director, National Health Policy American Lung Association
Tobacco Cessation and the Affordable Care Act Jennifer Singleterry Director, National Health Policy American Lung Association Background on ACA Acronyms ACA = Affordable Care Act (healthcare reform) HHS
Grant ID 044360 Page 4 Medical University of South Carolina Implementation of TelASK Quit Connection IVR System in Charleston Area Hospitals
1. Overall Aim & Objectives: The goal of this project is to implement an evidence-based Tobacco Cessation Management System in all hospitals in the Charleston, South Carolina region. The system should
What is HIV? What is AIDS? The HIV pandemic HIV transmission Window period Stages of HIV infection
Module 1 Overview of HIV Infection Purpose Pre-requisite Modules Learning Objectives To provide you with the basic terms and concepts related to HIV infection. None At the end of this module, you will
It is a common beginning with many addicts and alcoholics. For many addicts that begin using in the early years, using tobacco fits in with the
1 2 It is a common beginning with many addicts and alcoholics. For many addicts that begin using in the early years, using tobacco fits in with the rebellious behavior pattern or process that is often
GUIDELINES FOR TUBERCULOSIS PREVENTIVE THERAPY AMONG HIV INFECTED INDIVIDUALS IN SOUTH AFRICA
GUIDELINES FOR TUBERCULOSIS PREVENTIVE THERAPY AMONG HIV INFECTED INDIVIDUALS IN SOUTH AFRICA 2010 1 TB prophylaxis GUIDELINES FOR TUBERCULOSIS PREVENTIVE THERAPY AMONG HIV INFECTED INDIVIDUALS Background
NATIONAL FORUM JOURNAL OF COUNSELING AND ADDICTION VOLUME 3, NUMBER 1, 2014. Nicotine Addiction
VOLUME 3, NUMBER 1, 2014 Nicotine Addiction Iyakinoabasi Mbride, MBA Research Assistant College of Education and Human Services Department of Psychology, Counseling, and Special Education Texas A&M University-Commerce
Health risk assessment: a standardized framework
Health risk assessment: a standardized framework February 1, 2011 Thomas R. Frieden, MD, MPH Director, Centers for Disease Control and Prevention Leading causes of death in the U.S. The 5 leading causes
Recommendations for the Identification of Chronic Hepatitis C virus infection Among Persons Born During 1945-1965
Recommendations for the Identification of Chronic Hepatitis C virus infection Among Persons Born During 1945-1965 MMWR August 17, 2012 Prepared by : The National Viral Hepatitis Technical Assistance Center
Management of a child failing first line TB treatment.
Management of a child failing first line TB treatment. Robert Gie Desmond Tutu Tuberculosis Centre Department of Paediatric and Child Health Stellenbosch University South Africa. Tygerberg Hospital Complex
Tobacco Addiction. Presented by: Dawn M. Dunn, M.P.H. & Dotsie Anfenson
Tobacco Addiction Presented by: Dawn M. Dunn, M.P.H. & Dotsie Anfenson Presentation Overview Tobacco Use: The Realities Nicotine Addiction Pharmacological Treatments Tobacco Use: Assessing CA s Progress
NHS Whittington Health/ Smokefree Islington <Enter date>
Helping your employees go smokefree NHS Whittington Health/ Smokefree Islington 1. Why smoking matters Why is smoking an important issue? Smoking is the main cause of preventable deaths and
INTRODUCTION. Tobacco Prevention & Cessation Program Substance Abuse and Tobacco Cessation Report - March 2011
TPCP Tobacco Prevention & Cessation Program Substance Abuse and Tobacco Cessation Report Report Prepared by Antionne Dewayne Alcorn, BS, CPC, CIT Contributors Miriam N Karanja, MBA Ma rc h 2 0 1 1 INTRODUCTION
About one-half of all smokers die of a disease caused by smoking.the most common ones are lung cancer, heart disease, and strokes
Patient information from the BMJ Group Stopping smoking Smoking harms your health, but it's difficult to stop. That s because most people who smoke have become addicted to nicotine, a chemical in tobacco.
Table 1 Performance Measures. Quality Monitoring P4P Yr1 Yr2 Yr3. Specification Source. # Category Performance Measure
Table 1 Performance Measures # Category Performance Measure 1 Behavioral Health Risk Assessment and Follow-up 1) Behavioral Screening/ Assessment within 60 days of enrollment New Enrollees who completed
OVERVIEW OF BRIEF INTERVENTION FOR RISKY SUBSTANCE USE IN PRIMARY CARE. Prepared by CASAColumbia
OVERVIEW OF BRIEF INTERVENTION FOR RISKY SUBSTANCE USE IN PRIMARY CARE Prepared by CASAColumbia February 2014 Outline Introduction Three Key Steps Engage Motivate Plan Sample Videos 2 INTRODUCTION 3 Addiction
"Starting today, every doctor, nurse, health plan, purchaser, and medical school in America should make treating tobacco dependence a top priority.
Encouraging Tobacco Cessation Through the Five A s: Ask, Advise, Assess, Assist, Arrange Mary Clare Champion, Ph.D. Tennessee Primary Care Clinical Conference April 14-15, 2011 Franklin, TN "Starting today,
Primary care: Addictive disorders. Addiction a growing public health problem
Meditation, Addiction, and the Culture of Patient Satisfaction: An Evolving Primary Care Research Strategy Department of Family Medicine Aleksandra Zgierska, MD PhD UW School of Medicine & Public Health
Medicare 2015 QI Program Evaluation
Color Code: Red does not meet 5 star threshold, or target. Green meets or exceeds 5 star threshold/target. Improving or Maintaining Physical Health (HOS) Improving or Maintaining Mental Health (HOS) Diabetes
Medications to help you quit smoking
Medications to help you quit smoking How can medication help me quit smoking? Using medications can increase your chances of quitting smoking 2 to 3 times more than quitting without using medications.
Causes of maternal death and impact of treatment:
Causes of maternal death and impact of treatment: What do we know? Isabella Danel MD MS Acting Chief Proposed Field Support Branch Division of Reproductive Health Questions to be addressed today What do
Marilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL
Marilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL www.goldcopd.com GLOBAL INITIATIVE FOR CHRONIC OBSTRUCTIVE LUNG DISEASE GLOBAL STRATEGY FOR DIAGNOSIS, MANAGEMENT
SMOKING TOBACCO: SMOKING
TOBACCO: SMOKING One in 4 adults in Guam is a smoker. Among youth, 1 in 5 smokes. Guam s smoking rate is higher than most US States and Territories; this has remained unchanged since 2001. T O B A C C
Behavioral Health Provider Implementation of Whole Health Integrative Treatment Services
Behavioral Health Provider Implementation of Whole Health Integrative Treatment Services Maryland Integrative Learning Community Lynn H Albizo, Director of Public Affairs Maryland Addictions Directors
Health Profile for St. Louis City
Health Profile for St. Louis City The health indicators of St. Louis City show that the city has many health problems. To highlight a few, the city s rates of sexually transmitted diseases (i.e., HIV/AIDS,
How to use the Brief Tobacco Cessation Intervention Form
How to use the Brief Tobacco Cessation Intervention Form The following information is related to the use of an office brief tobacco use cessation intervention using a check off form to obtain a patients
SLEEP DISTURBANCE AND PSYCHIATRIC DISORDERS
E-Resource December, 2013 SLEEP DISTURBANCE AND PSYCHIATRIC DISORDERS Between 10-18% of adults in the general population and up to 50% of adults in the primary care setting have difficulty sleeping. Sleep
The source documentation for the procedure will need to be identified for some items that are in the protocol, but not captured on the CRFs.
6. Visit Checklists 6.1. Overview of Section 6 This section provides a template checklist for each of the required study visits. The use of visit checklists is optional. 6.2. Visit Checklists as Source
Nora D. Volkow, M.D. Director National Institute on Drug Abuse
Nora D. Volkow, M.D. Director National Institute on Drug Abuse Medications Currently Available For Nicotine Addiction Nicotine Replacement Therapies (NRT) Bupropion Varenicline For Alcoholism Disulfiram
Smoking Cessation Program
Guide to Pharmacist Health Coaching Smoking Cessation Program Smoking is the leading cause of preventable death in Canada and a significant risk factor for many chronic non-communicable diseases including
Screening for asbestos-related lung cancer Nea Malila, Tony Miller, Riitta Sauni, Robert Smith, Kurt Straif, Tapio Vehmas
Screening for asbestos-related lung cancer Nea Malila, Tony Miller, Riitta Sauni, Robert Smith, Kurt Straif, Tapio Vehmas International Conference on Monitoring and Surveillance of Asbestos-Related Diseases
HIV infection in injecting drug users
HIV Clinical Skills Series 4 th International Training Course Tallinn 2010 HIV infection in injecting drug users Marika Raukas West-Tallinn Central Hospital Estonia InjectionDrug Users Transmission via
Overcoming Resistance to Stopping Tobacco Use: A Motivational Approach
Overcoming Resistance to Stopping Tobacco Use: A Motivational Approach Lowell C. Dale, MD Associate Professor of Medicine Mayo Clinic Nicotine Dependence Center & Division of Primary Care Internal Medicine
Smoking Cessation: Theory and Practice of Behavior Change
Stanton Glantz, PhD, Lisa Kroon, Parm D, Jodi Prochaska, PhD, Steven Schroeder, MD Smoking Cessation: Theory and Practice of Behavior Change (Lecture) OBJECTIVES Provide estimates of smoking prevalence
Achieving a smoke-free hospital: reported enforcement of smoke-free regulations by NHS health care staff
Journal of Public Health Vol. 30, No. 1, pp. 2 7 doi:10.1093/pubmed/fdn004 Achieving a smoke-free hospital: reported enforcement of smoke-free regulations by NHS health care staff Mark Shipley, Robert
Population Health Management Program
Population Health Management Program Program (formerly Disease Management) is dedicated to improving our members health and quality of life. Our Population Health Management Programs aim to improve care
Stress is linked to exaggerated cardiovascular reactivity. 1) Stress 2) Hostility 3) Social Support. Evidence of association between these
Psychosocial Factors & CHD Health Psychology Psychosocial Factors 1) Stress 2) Hostility 3) Social Support Evidence of association between these psychosocial factors and CHD Physiological Mechanisms Stress
Aim of Presentation. The Role of the Nurse in HIV Care. Global Epidemic 7/24/09
Aim of Presentation The Role of the Nurse in HIV Care Eileen Nixon HIV Nurse Consultant Brighton and Sussex University Hospitals Overview of key issues that affect people with HIV Identify the role of
Clinical Trials Network
National Drug Abuse Treatment Clinical Trials Network STOP SMOKING STUDY Should I Join? NATIONAL INSTITUTES OF HEALTH U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Introduction Many people who abuse drugs
This clinical study synopsis is provided in line with Boehringer Ingelheim s Policy on Transparency and Publication of Clinical Study Data.
abcd Clinical Study for Public Disclosure This clinical study synopsis is provided in line with s Policy on Transparency and Publication of Clinical Study Data. The synopsis which is part of the clinical
The Impact of Alcohol
Alcohol and Tobacco Smoking cigarettes and drinking alcohol are behaviors that often begin in adolescence. Although tobacco companies are prohibited from advertising, promoting, or marketing their products
Georgia Performance Standards. Health Education
HIGH SCHOOL Students in high school demonstrate comprehensive health knowledge and skills. Their behaviors reflect a conceptual understanding of the issues associated with maintaining good personal health.
Using Substance Abuse Prevention and Treatment (SAPT) Block Grant HIV Set- Aside Funds for Integrated Services
Using Substance Abuse Prevention and Treatment (SAPT) Block Grant HIV Set- Aside Funds for Integrated Services ADP Training Conference, Sacramento, August 21, 2012 Rachel McLean, MPH, CA Dept. of Public
Heart transplantation
Heart transplantation A patient s guide 1 Heart transplantation Heart transplantation has the potential to significantly improve the length and quality of life for patients with severe heart failure.
Alcohol Dependence and HIV Part 1
HIV Case Conference: Management of Psychiatric Conditions Patrick Marsh, MD Faculty, Florida/Caribbean AIDS Education and Training Center Assistant Professor, College Of Medicine, Psychiatry And Behavioral
Chronic Disease Management in the Homeless
Chronic Disease Management in the Homeless Pia Valvassori PhD, ARNP Health Care Center for the Homeless, Orlando FL Elliot Montgomery Sklar, PhD Nova Southeastern University, College of Osteopathic Medicine
Improving smoking cessation in drug and alcohol treatment
Improving smoking cessation in drug and alcohol treatment Interim briefing on Turning Point s PHE-supported smoking cessation pilots Tobacco smoking is prevalent among drug and alcohol users, and contributes
Healthcare provider cessation practices in Ontario. Alexey Babayan Knowledge Exchange Forum June 18, 2014
Healthcare provider cessation practices in Ontario Alexey Babayan Knowledge Exchange Forum June 18, 2014 What we know Tobacco cessation interventions by healthcare providers (physicians, nurses, dental
British Columbia Pharmacy Association (BCPhA) Clinical Service Proposal Pharmacist-Led Smoking Cessation Services
British Columbia Pharmacy Association (BCPhA) Clinical Service Proposal Pharmacist-Led Introduction Tobacco-related illnesses are the leading cause of preventable death in BC. Each year more than 6,000
Developing Medications to Treat Addiction: Implications for Policy and Practice. Nora D. Volkow, M.D. Director National Institute on Drug Abuse
Developing Medications to Treat Addiction: Implications for Policy and Practice Nora D. Volkow, M.D. Director National Institute on Drug Abuse Medications Currently Available For Nicotine Addiction Nicotine
February 18, 2010. Dear Cessation Program Provider:
February 18, 2010 Dear Cessation Program Provider: The Alabama Department of Public Health (ADPH) is pleased to present this Request for Application (RFA) for online cessation services for the Alabama
Incidencia y Características Clínicas del Síndrome Inflamatorio de Reconstitución Inmune (IRIS) en el Contexto de la Coinfección VIH-TB
Incidencia y Características Clínicas del Síndrome Inflamatorio de Reconstitución Inmune (IRIS) en el Contexto de la Coinfección VIH-TB Dr. Christian Manzardo Hospital Clínic/IDIBAPS- Universidad de Barcelona
HW.9.7.11 Identify family, peer, legal, and cultural influences in avoiding the use of all addictive substances
Too Good for Drugs Curriculum Correlations Correlated with Arkansas Health Curriculum Framework Grade 7 Lesson One: Introducing You and Your Dreams Develop personal goals. List steps for reaching a goal.