Research suggests that although most patients want to quit tobacco, they are uncertain or fearful of the process and doubtful that they’ll succeed. Many have trouble knowing where to start. As a provider, you have more influence on a patient’s decision to quit tobacco than any other source. Your patients trust you and look to you for guidance and direction when it comes to leading healthier lives. Below are several tools and resources to help you support your patients in their efforts to quit tobacco.
Brief Intervention Using 2As & R
Following the 2As & R approach, health providers who ASK about tobacco use, ADVISE patients to quit and REFER the patients to resources, are a powerful source of motivation for patients. Referring often goes hand-in-hand with recommending nicotine replacement therapy and prescribing quit medications like Zyban® (Bupropion), which are low-cost or free in Vermont.
Use the 2As & R method as an efficient brief intervention with every tobacco or e-cigarette user.
- For more details on this method, watch QuitNow New Hampshire’s Module on 2As & R. (0:13:30)
- Download the American Academy of Pediatrics presentation (PPT) on how to use 2As & R in your practice.
- Download 2As & R info cards (PDF) for you and your practice.
- Learn how to get reimbursed for using this method.
E-Cigarettes, also referred to as electronic nicotine delivery systems (ENDS), are battery-powered devices that provide doses of nicotine and other additives to the user in an aerosol. In addition to e-cigarettes, ENDS products include personal vaporizers, vape pens, e-cigars, e-hookah and vaping devices. According to the CDC, e-cigarettes are not safe for youth, young adults, pregnant people or adults who do not currently use tobacco products.
- NOT regulated by the U.S. Food and Drug Administration (FDA)
- NOT approved by the FDA as a cessation aid
The long-term health effects of e-cigarettes are unknown. Most e-cigarettes contain nicotine, which has known health effects (CDC):
- Nicotine is highly addictive.
- Nicotine is toxic to developing fetuses.
- Nicotine can harm adolescent brain development, which continues into the early to mid-20s.
- Nicotine is a health danger for pregnant women and their developing babies.
Resources to Support Tobacco Cessation Conversations
- Smoking’s effects on the body: Explore with your patient how smoking impacts the entire body with this interactive graphic.
- Local leaders on tobacco cessation: Watch videos of Vermont providers discussing providers’ roles in tobacco cessation.
- Dr. Jaskanwar Batra speaks about the abnormally high incidence of smoking related illnesses compared to complications from mental health. (0:04:22)
- Dr. Harry Chen reminds physicians of the powerful role they play when they refer patients to 802Quits.org. (0:02:46)
- Dr. Walter Gundel highlights that a simple patient referral to 802Quits.org can be done in less than a minute. (0:05:10)
- Order materials for your patients to take home.
Resources on Tobacco and Special Topics
1-800-QUIT-NOW has a special program for Vermonters who are pregnant and use tobacco. Your patient will work with a supportive Pregnancy Quit Coach during and after their pregnancy.
The program includes:
- 9 calls with a personal coach
- Text messaging support available for free
- Free nicotine replacement therapy with a prescription
BEHAVIORAL/MENTAL HEALTH & SUBSTANCE USE DISORDER
ALZHEIMER’S AND BRAIN HEALTH