Resources available through this program:

  • Adolescent Screen for Tobacco Dependence: The Hooked on Nicotine Checklist
    This checklist was first described in the Development and Assessment of Nicotine Dependence in Youth study, and was designed to screen adolescents for symptoms of tobacco dependence (DiFranza et al. 2002a). An adolescent answering yes to any of these questions is said to have some dependence on tobacco.
  • Arranging Follow-Up and Providing Support
    For patients who agree to quit smoking or for whom you prescribe therapy, follow-up is extremely important. Ideally, the steps toward cessation should proceed as follows in this resource.
  • Assess the Patient's Motivation: Readiness to Change
    People tend to pass through different stages in the process of changing (Prochaska and DiClemente 1982; Prochaska and Velicer 1997). The stages are as follows:
  • Avoiding Triggers
    Situations in which patients may find they desire to smoke. Includes possible solutions to these situations.
  • Brief Negotiation Interview
    The following describes the Brief Negotiation Interview:
  • Bupropion Hydrochloride SR (Zyban®)
    See FDA insert for more information
  • Campaign for Tobacco-Free Kids
    Nongovernment site that includes information on initiatives, youth action, events, tobacco advertisements, tobacco news, special reports, and an interactive tool of tobacco use by state.
  • CDC's Sports Initiative: Tobacco Free Sports
    This website describes the CDC’s tobacco-free sports movement among youth. It contains resources such as tips for coaches, sports initiative materials, and sports initiative posters.
  • Celebrities: Anti-Tobacco Websites
    A list of celebrities who have spoken out against tobacco. Also includes the site URL to their anti-tobacco website.
  • Change Plan Worksheet
    This change plan worksheet can be given to patients for them to outline their treatment goals.
  • Cigarette Smoking and Cardiovascular Diseases
    Cigarette smoking is the most important preventable cause of premature death in the United States. It accounts for more than 440,000 of the more than 2.4 million annual deaths. Cigarette smokers have a higher risk of developing several chronic disorders. These include fatty buildups in arteries, several types of cancer and chronic obstructive pulmonary disease (lung problems). Atherosclerosis (buildup of fatty substances in the arteries) is a chief contributor to the high number of deaths from smoking. Many studies detail the evidence that cigarette smoking is a major cause of coronary heart disease, which leads to heart attack. (From Their Website)
  • Clinical Practice Guideline: Treating Tobacco Use and Dependence
    Treating Tobacco Use and Dependence: 2008 Update includes new, effective clinical treatments for tobacco dependence and the latest information to help people quit smoking. (From Their Website)
  • Fagerström Test for Nicotine Dependence
    Fagerström Test for Nicotine Dependence from Heatherton et al., 1991
  • Fagerström Test for Nicotine Dependence: John's Results
    The following are the results of the Faegerström Test for Nicotine Dependence for patient John:
  • Fagerström Tolerance Questionnare for Adolescents
    Fagerström Tolerance Questionnare for Adolescents
  • FDA-Approved Pharmacotherapy for Tobacco Dependence
    A chart giving information on different products for tobacco dependence including the nicotine patch, gum, lozenge, nazal spray, bupropion, and varenicline.
  • Great Start
    Smoking during or after pregnancy has been linked to one in 10 infant deaths. Each year about 426,000 American women smoke during pregnancy. Many of these women want to quit and would if they got help. Great Start featured: * A toll-free Quit Line (1-866-66-START), providing free counseling to pregnant smokers. * An educational booklet, developed by Smoke-Free Families, a program supported by The Robert Wood Johnson Foundation, that works to improve smoking cessation rates during pregnancy. (From their website)
  • Handout: Cost of Nicotine Replacement Therapy During Initial Treatment Phase
    The following table compares the approximate costs for Nicotine Replacement Therapy (NRT) for a moderate smoker (1.5 packs per day) during the initial treatment phase (6 weeks) when the full dose of medications are used.
  • Handout: Cost per Day of First-Line Pharmacotherapies
    The following table lists the cost per day of various first-line pharmacotherapies for tobacco cessation. The initial price of each treatment may seem high, but it is much less if the cost of smoking is subtracted. A higher long-term price is paid for the continued use of cigarettes.
  • Handout: Patient Needs Influence Drug Selection
    This table lists patient needs/characteristics that need to considered when determining which smoking cessation medication is optimal.
  • Healthy Lifestyles and Tobacco: A Healthy Old Age Equals No Smoking
    Healthy Lifestyles and Tobacco: A Healthy Old Age Equals No Smoking article
  • Interventions for smokeless tobacco use cessation
    This article is an intervention review. It reviews behavioral and pharmacological interventions for helping users quit smokeless tobacco.
  • Kick Butts Day
    On Kick Butts Day we all help empower youth to stand out, speak up and seize control against Big Tobacco with fun, educational activities and events. (From their website)
  • Lung Cancer Risk Assessment
    This prediction tool can assess a long-term smoker's risk of developing lung cancer in the next 10 years based on the person's age, sex, smoking history, and asbestos exposure. Knowing about risk can help clinicians and patients make decisions about health care, such as whether to get screened for lung cancer. (From Their Website)
  • Medline Plus Drug Information: Bupropion
    Medline Plus' current drug info on bupropion.
  • Medline Plus Drug Information: Varenicline
    Medline Plus' current version of their drug information on Varenicline
  • Memorial Sloan-Kettering Cancer Center Prediction Tools
    Researchers at Memorial Sloan-Kettering Cancer Center have pioneered the use of computerized devices to help patients and their physicians decide among the major treatment choices for several cancers. Rather than relying on general risk groups of patient populations who share similar characteristics, our prediction tools provide specific information.
  • Monograph 2: Smokeless Tobacco or Health: An International Perspective
    Monograph 2: Smokeless Tobacco or Health: An International Perspective covers Epidemiology, Clinical and Pathological Effects, Carcinogenesis, Nicotine Effects and Addiction, Prevention, Cessation, and Policy.
  • Monograph 9 -- Cigars: Health Effects and Trends
    Monograph 9 -- Cigars: Health Effects and Trends
  • Monograph 10: Health Effects of Exposure to Environmental Tobacco Smoke
    Monograph 10: Health Effects of Exposure to Environmental Tobacco Smoke
  • Motivational Interviewing Overview
    This web page is dedicated to motivational interviewing training. It contains links to a variety of articles, addressing all areas of MI from brief overviews to history, philosophy, principles, working with resistance, interaction techniques, and strategies. The site has a library, training information, and special populations information.
  • Negative Effects of Smoking
    Details the negative effects of smoking.
  • Nicotine Anonymous
    Nicotine Anonymous is a Non-Profit 12 Step Fellowship of men and women helping each other live nicotine-free lives. Nicotine Anonymous welcomes all those seeking freedom from nicotine addiction, including those using cessation programs and nicotine withdrawal aids. The primary purpose of Nicotine Anonymous is to help all those who would like to cease using tobacco and nicotine products in any form. The Fellowship offers group support and recovery using the 12 Steps as adapted from Alcoholics Anonymous to achieve abstinence from nicotine. (From their website)
  • Nicotine Gum
    See FDA package insert for more complete information
  • Nicotine Inhaler
    See FDA package insert for more complete information
  • Nicotine Lozenge.
    See FDA package insert for more complete information.
  • Nicotine Nasal Spray
    See FDA package insert for more complete information
  • Nicotine Patch
    See FDA package insert for more complete information
  • Outside Social Support
    Social support systems outside the clinical setting, such as support groups, are effective in helping patients quit smoking. Some possible components of social support are included in this resource.
  • Parent's Guide: Ideas to Help Parents Prevent Smoking by Their Children
    Ideas to Help Parents Prevent Smoking by Their Children
  • Patient Example: Jason's Tobacco Use Assessment Form
    This is an example of a patient's responses to the Tobacco Use Assessment Form.
  • Patient Example: Jennifer's Youth Tobacco Assessment Form
    This is an example of a patient's responses to the Tobacco Use Assessment Form for Children or Teens.
  • Patient Example: Matthew's Tobacco Use Assessment Form
    This is an example of a patient's responses to the Tobacco Use Assessment Form.
  • Patient Example: Tamika's Tobacco Assessment Form
    Patient Example: Tamika's Tobacco Assessment Form
  • Patient Handout: Basics of Nicotine
    Patient handout with information on the basics of nicotine.
  • Patient Handout: Bupropion Hydrochloride SR (Zyban®)
    See FDA package insert for more complete information
  • Patient Handout: Health Changes Once You Quit Smoking
    Handout describes the lasting health improvements that result from quitting smoking.
  • Patient Handout: Help for Smokers and Other Tobacco Users (en Español)
    This brochure (en Español) gives smokers and other tobacco users reasons for quitting tobacco. It also describes ways to quit tobacco, such as a combination of setting a quit date, getting support, and taking medication.
  • Patient Handout: Physical Activity
    Details how ex-smokers are successful at quitting by getting involved in some kind of regular physical activity.
  • Patient Handout: Reasons for Quitting Smokeless Tobacco
    This patient handout gives reasons for quitting smokeless tobacco (e.g., improve appearance, improve sports performance, improve health, and more money).
  • Patient Handout: Varenicline (Chantix®)
    See FDA package insert for more complete information.
  • Patient Handout: Why Quit?
    General facts about smoking in regards to special topics like smoking and women, secondhand smoke, and addiction in general.
  • Patient Handout for Women: How Tobacco Can Affect Your Reproductive Health
    A list of items detailing how smoking effects reproductive health.
  • Problem Solving
    Description of problem-solving treatment components, as well as examples. This resource points out how patients can avoid potentially risky situations.
  • Provide Social Support
    A supportive clinical environment is effective in helping patients quit smoking. Encouragement and support from clinical staff is crucial. This resource details supportive treatment and examples.
  • Public Health Advisory: Important Information on Chantix (varenicline)
    This public health advisory, issued by the FDA in 2008, warns about the possibility of severe changes in mood and behavior in patients taking Chantix.
  • QuitNet.com
    Launched in 1995, QuitNet is the Web's original quit smoking site. (From their website)
  • QuitSmokeless.org
    QuitSmokeless.org provides a support community atmosphere for quitting tobacco
  • Quit Smoking
    I Quit: What To Do When You're Sick of Smoking, Chewing, or Dipping is a booklet written for young people that can help them quit smoking tobacco or using “spit” tobacco. (From their website)
  • Quit Smoking Support
    Comprehensive information on smoking information, support, and advice for a patient's desire to quit smoking.
  • Quitting Smoking
    Tobacco use is the most common preventable cause of death. About half of the people who don't quit smoking will die of smoking-related problems. Quitting smoking is important for your health and provides many benefits. Soon after you quit, your circulation begins to improve, and your blood pressure starts to return to normal. Your sense of smell and taste return and breathing starts to become easier. In the long term, giving up tobacco can help you live longer. Your risk of getting cancer decreases with each year you stay smoke-free.
  • Quitting Tobacco Use is a Process
    Stages of Quitting
  • Reasons Why Different People Might Want to Quit
    Reasons why different people might want to quit tobacco: symptomatic adults, asymptomatic results, people with family history of cancer or heart disease, long-term users, new users, parents, women, pregnant women, teenagers, and any users.
  • Relapse Handout
    Questions and situations that surround relapse in tobacco cessation.
  • Relapse Prevention
    Describes working to prevent relapse.
  • Secondhand Smoke
    Find information on secondhand smoke exposure, health effects, and smoke-free initiatives and resources (From their Website).
  • Secondhand Smoke: Questions and Answers
    Information on secondhand smoke and its health risks.
  • Secondhand Smoke Fact Sheet
    Secondhand smoke is a mixture of the smoke given off by the burning end of a cigarette, pipe or cigar and the smoke exhaled from the lungs of smokers. It is involuntarily inhaled by nonsmokers, lingers in the air hours after cigarettes have been extinguished and can cause or exacerbate a wide range of adverse health effects, including cancer, respiratory infections, and asthma. (From Their Website)
  • Setting a Quit Date
    Tips for setting a quit date for tobacco products.
  • Smokefree.gov
    Smokefree.gov (http://smokefree.gov/) provides free, accurate, evidence-based information and professional assistance to help support the immediate and long-term needs of people trying to quit smoking.
  • Smoke Free Movies
    This website provides information about smoking in movies and tobacco advertising/marketing. It aims to protect youth health by decreasing smoking in movies, and provides tool and resources for how you can get involved in this effort.
  • Smokefree Teen
    This website, created by the National Cancer Institutes, is designed to help teens make better decisions and provides resources for smoking cessation.
  • Smoking: Impact on Unborn Babies, Infants, Children, and Adolescents
    Highlights from the 2004 Surgeon General's Report on the impact of smoking on unborn babies, infants, children, and adolescents.
  • Smoking and How to Quit
    About 1 out of every 5 women in America smokes, and women are starting to smoke at younger and younger ages. Did you know that lung cancer kills more women every year than breast cancer? More deaths are caused each year by tobacco use than by all deaths from AIDS, illegal drug use, alcohol use, motor vehicle injuries, suicides, and murders combined. (From their website)
  • Smoking and Tobacco Use: Quit Smoking
    Learn more about quitting successfully from the resources provided on this page: Benefits of Quitting, Nicotine Addiction, Using Proven Treatments Can Double Your Chance of Success, Five Keys for Quitting Smoking, Special Situations or Conditions, Questions to Think About, and Additional Quit Resources.
  • Smoking Cessation Cycle
    Smoking Cessation Cycle as referenced by Prochaska et al. 1992, 1993; Prochaska and DiClemente 1982
  • Spit Tobacco: A Guide for Quitting
    The NIDCR provides a quit guide for spit tobacco.
  • Talking to Your Child About Smoking and Smokeless Tobacco
    The health risks of tobacco are well known, yet the rates of smoking and using chewing tobacco continue to grow. Many young people pick up these habits every year — in fact, 90% of all adult smokers started when they were kids. Each day, more than 4,400 kids become regular smokers. (From their website)
  • The 4 D's: Steps for Coping With Withdrawal
    Details withdrawal symptoms from tobacco cessation and how to manage them.
  • The 5 R's of Motivation
    Details how to increase a patient's motivation to quit using tobacco products.
  • The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General, U.S. Department of Health and Human Services
    A report on the surgeon general on the health consequences of second hand smoke.
  • The Health Consequences of Smoking: A Report of the Surgeon General
    The Health Consequences of Smoking: A Report of the Surgeon General
  • The Oral Cancer Foundation
    The Oral Cancer Foundation is a national public service, non-profit entity designed to reduce suffering and save lives through prevention, education, research, advocacy, and support activities. (From Their Website)
  • The Truth About Kids and Smoking
    Every day, more than 3,800 children ages 12 to 17 in the United States smoke their first cigarette, according to the 2012 US Surgeon General’s report, Preventing Tobacco Use Among Youth and Young Adults, putting themselves at risk for nicotine addiction and the many diseases associated with smoking, including lung cancer. (From their website)
  • The Truth About Kids and Smoking
    Every day, more than 3,800 children ages 12 to 17 in the United States smoke their first cigarette, according to the 2012 US Surgeon General’s report, Preventing Tobacco Use Among Youth and Young Adults, putting themselves at risk for nicotine addiction and the many diseases associated with smoking, including lung cancer. (From Their Website)
  • The Truth About Tobacco
    This site provides information on a new anti-smoking live assembly program for middle and high schools (grades 7-12). The speaker is Patrick Reynolds, grandson of the founder of the R.J. Reynolds Tobacco Company. Mr. Reynolds tells true stories in his live talk, such as how he saw his father and other relatives die from tobacco-related complications. He also talks about topics such as smoking in TV and the movies, tobacco ads, and different kinds of tobacco and their health consequences. His goal is to spread the message to youth to stay tobaccofree and that tobacco is addictive. An educational DVD of his live talk is also available on this website.
  • Tobacco-Related Health Problems & Older Persons Center for Social Gerontology
    The National Center for Tobacco-Free Older Persons (NCTFOP), created by and an integral part of The Center for Social Gerontology (TCSG), is dedicated to redressing and mitigating the physical and emotional harm to older persons caused by the actions of the tobacco industry. The NCTFOP will serve as a national advocate for and source of information on tobacco and older persons issues, as well as a center for conducting research, education and training to increase public awareness of the effects of tobacco on older persons and to reduce smoking and exposure to secondhand smoke by older persons. (From their website)
  • Tobacco and Cancer
    A list of articles from the American Cancer Society
  • Tobacco Cessation
    From the American Academy of Family Physicians
  • TobaccoFree.org
    The Foundation for a Smokefree America was founded in 1989 by Patrick Reynolds, a grandson of the founder of the R.J. Reynolds Tobacco Company. A former pack-a-day smoker, Patrick saw his father, oldest brother and other relatives die from cigarette-induced emphysema, heart disease and cancer. (From their website)
  • Tobacco Information and Prevention Source (TIPS)
    A list of informational documents from the CDC
  • Tobacco Reality Unfiltered
    This website advocates a youth tobacco prevention campaign in North Carolina, where its mission is to decrease tobacco use among NC teens. The site includes facts about tobacco and information on treatments to quit tobacco. There is also a downloadable "Advokit" with ideas and resources on how to take action with this prevention effort.
  • Tobacco Use Among U.S. Racial/Ethnic Minority Groups: A Report of the Surgeon General, 1998
    Tobacco Use Among U.S. Racial/Ethnic Minority Groups: A Report of the Surgeon General, 1998
  • Tobacco Use and Pregnancy: Home
    General facts and information on the effect smoking has on babies born to mothers who smoke.
  • Tobacco Use Assessment Form
    Tobacco use assessment form reproduced with modifications from Glynn and Manley, 1998.
  • Tobacco Use Assessment Form for Children or Teens
    Tobacco Use Assessment Form for Children or Teens reproduced with modifications from: Choi, WS, Pierce, JP, Gilpin, EA, Berry, CC. Which adolescent experimenters progress to established smoking in the United States? Am J Prev Med. 1997; 13(5), 385-391.
  • Treating Tobacco Dependence: Review of the Best and Latest Treatment Options
    A review of the pharmacologic approaches to tobacco cessation.
  • Treating Tobacco Use and Dependence: 2008 Update
    Treating Tobacco Use and Dependence: 2008 Update, sponsored by the Public Health Service, includes new, effective clinical treatments for tobacco dependence that have become available since the 2000 Guideline was published. This update will make an important contribution to the quality of care in the United States and to the health of the American people. (From Their Website)
  • Varenicline (Chantix®)
    For more complete information, and especially because of the warnings associated with this medication, please refer to the FDA package insert before prescribing for full details and up to date information. suicidal thoughts or actions; new or worsening depression, anxiety, or panic attacks; agitation; restlessness; angry or violent behavior; acting dangerously; mania (frenzied, abnormally excited mood or talking); abnormal thoughts or sensations; hallucinations (seeing things or hearing voices that do not exist); feeling that people are against you; feeling confused; or any other sudden or unusual changes in behavior, thinking, or mood.
  • Weight Gain
    Weight gain, for most ex-smokers, can be avoided or controlled. This resource helps patients plan ahead.
  • What are the types of nicotine replacement therapy?
    Contains information on different forms of nicotine replacement therapy, such as the nicotine patch, gum, lozenge, inhalers, and nasal sprays.
  • Women and Smoking: A Report of the Surgeon General
    Women and Smoking: A Report of the Surgeon General
  • Women and Smoking: A Report of the Surgeon General -- 2001
    Women and Smoking: A Report of the Surgeon General -- 2001
  • Women and Tobacco Use
    This web page provides key facts and statistics about smoking among women and smoking during pregnancy
  • Youth Tobacco Prevention
    Youth tobacco prevention information from the CDC. Educational resources include: fact sheets on tobacco use, Surgeon General's Report Materials, DVDs and videos, posters, guides, and surveys. There is also information on celebrities against smoking, and the tobacco-free sports initiative.