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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA



Thursday, July 13, 2006 - 12:00 PM
13-21

An Interdisciplinary Approach to Smoking Cessation at a Veterans Administration Hospital

Cynthia A. Mascarenas, PharmD, MS, BCPP, Pharmacy (119), South Texas Veterans Health Care System, 7400 Merton Minter Blvd, San Antonio, TX 78229, Mary Wooldridge, MSN, APRN, BC, Nursing (118), South Texas Veterans Health Care System, 7400 Merton Minter Blvd, San Antonio, TX 78229, Anna Dematatis, Psychology, South Texas Veterans Health Care System, 7400 Merton Minter Blvd, San Antonio, TX 78229, Iva Timmerman, Psychiatry, South Texas Veterans Health Care System, 7400 Merton Minter Blvd, San Antonio, TX 78229, and Bertram H. Lindo, Social Work, South Texas Veterans Health Care System, 7400 Merton Minter Blvd, San Antonio, TX 78229.

Objective: To combat tobacco use at the Audie Murphy Veterans Hospital, an interdisciplinary team was formed to assist with smoking cessation at the facility. The goals were to (1) increase patient, physician, and employee awareness of available assistance for smoking cessation and (2) decrease tobacco use by both patients and employees at the hospital.

Methods: Patients and employees were made aware of the program through various modalities, including flyers, electronic postings, and word of mouth. Anyone interested in smoking cessation was invited to participate. Education and group therapy was provided in cooperation by both Psychology and Social Work services. Four educational seminars were created in a collaborative effort, designed to run each week for participants to attend in sequential order. The topics covered included physiologic effects of smoking, approaches to quitting, strategies to combat cravings, and relapse prevention. Participants who completed the second class were referred to a smoking cessation clinic run by a psychiatric nurse practitioner and a board-certified psychiatric pharmacist. Each provided individualized counseling and medication management for smoking cessation, including bupropion and nicotine patches, in addition to supportive therapy.

Results: Since January 2005, approximately 150 individuals attended the educational seminars provided by Psychology and Social Work services. Of those, nearly 145 participants scheduled appointments with one of the Smoking Cessation Clinic providers. Overall, there were over 360 participant-clinician contacts performed in the smoking cessation medication management section of the program. The impact of this program has demonstrated the positive effects of an interdisciplinary approach to smoking cessation.