After reviewing this page, be sure to go back to the Activity page, using the long, yellow-orange clickable button above, and look for a similar button for the next instructions.Reminder: Spending more than 15 minutes on any page will result in being logged out. To keep from being automatically logged out, avoid bookmarking module pages. Instead, please be sure to always access the activity through the activity homepage, to ensure being able to progress through the modules correctly.
Goal: Physicians will screen for tobacco use and conduct tobacco cessation interventions among specific patient populations, including children, adolescents, pregnant women, and elderly patients.Tobacco use is always a concern, but needs extra attention in certain specific populations. The 2009 NSDUH reports that more than 15% of pregnant women, 11% of children age 12-17, and 8% of people over 65% (CDC, 2008) use tobacco. All of these groups should be urged to quit tobacco use to prevent delayed growth and development (for both children and children-in-utero), cause exacerbation of existing health problems, affect efficacy of medications (USPSTF, 2009; Drug Facts and Comparisons, 2008; USDHHS 2014). Physicians need to do a better job screening and providing interventions for these patient groups.
Educational Objectives:After completing this activity participants will be able to:
Conduct evidence-based, age or life-stage appropriate tobacco use prevention and cessation interventions for specific populations in a primary care practice.
Implement the current recommendations -- including indications and contraindications, special precautions, and warnings --- regarding use of nicotine replacement and other pharmacological therapies to treat different specific populations who are quitting tobacco use.
Utilize knowledge of the extent of tobacco dependence, the level of interest in quitting, and success rate for quitting among specific populations to guide tobacco interventions.
Apply motivational interviewing techniques in typical circumstances encountered in primary care with child, adolescent, pregnant, and elderly patients who have alcohol, tobacco, or other substance use problems.
Modules in this Training Activity
Tobacco: Children and Tobacco: Three Cases
SP: Julie: Pregnancy and Smoking
Tobacco in Teens: A Case
Tobacco in Older Adults
Audience and Accreditation
Physicians and other health care providers
Activity Credit: Obtaining credit for participation in this activity requires that you complete the pre-assessments, work through the modules (including all in-module interactive activities), complete the post-assessments with a 70% score on the post-test, and then request credit. At the end of the activity, you will be instructed on how to print out a certificate for your records.
Time Requirement: Keep track of the amount of time it takes you to complete this activity. You will be required to spend a set amount of time in order to claim credit. You should claim credit only for the time actually spent in the activity.
Technical Requirement: To participate in this activity, you will need a computer, an Internet connection, and a Web browser. This activity requires Chrome, Firefox, and IE7 or higher.