Canadian Smoking Cessation Clinical Practice Guideline

More documents

Recommendations

Info

CANADIAN SMOKING CESSATION GUIDELINETOOLS/RESOURCESTITLE DESCRIPTION RESOURCECouples and Smoking:What you need to knowwhen you are pregnantHelping Women QuitPREGNETSTEACH training course:Helping PregnantSmokers Stop Smoking:An Interactive CaseBased CourseMotheriskThe Right Time...TheRight Reasons...Dadstalk about Reducing andQuitting Smoking.This is a self-help booklet for pregnant women who smoke. Inthis booklet you will learn how routines, habits, and ways ofinteracting with your partner influence smoking.Understanding how smoking is influenced by others andeveryday routines is an important first step in changingsmoking behaviours. If you decide to reduce or stop smoking,you can use this booklet along with other resources tosupport you in reaching your goals.A guide giving background on tobacco cessation for women,and step by step instructions to helping women quit smoking.It tells you what questions to ask to identify a cessationapproach for each woman, and it points you to resources toaddress her needs.Website with the mission to improve the health of mothers,fetuses, babies and children.Goals: To eliminate smoking in pregnant and postpartumwomen by increasing the capacity to quit and stay quit usinga woman centred model of care.This specialty course manual will allow clinicians to increasetheir knowledge about tobacco use, screening, assessment,and interventions with pregnant and postnatal women. Theprice of this manual reflects only the development and laborcosts associated with its production.Connected to Sick Children’s Hospital in Toronto, Motheriskprovides online information on the risks of using substances(including tobacco) while pregnant. It also offers telephonecounselling for women, and consultation for serviceproviders.This booklet is based on fathers’ experiences of reducing andquitting smoking. The quotes in the booklet are fromexpectant and new dads who smoke or have recently reducedor quit and offer their thoughts and ideas. This booklet is formen who identify with the challenges around being anexpectant or new dad who smokes.Self-help bookletGuide – Alcohol,Drug andEducationService, BCOnline resource,discussion boardCourse manualand in-persontrainingWebsite,telephonecounselling1-877-327-4636Self-help bookletRESEARCH GAPSRelationship between smoking and infertilityUse of bupropion and varenicline as asmoking cessation aid – need more researchon the effectiveness and safetyNeed more evidence of risk/benefit analysisof various smoking cessation aidsPREGNANT & BREASTFEEDING WOMEN 35
CANADIAN SMOKING CESSATION GUIDELINEOVERVIEW OF EVIDENCEThe following recommendations, and supportingevidence, have been extracted from existing clinicalpractice guidelines to inform the development of the CAN-ADAPTT Summary Statements.• SPECIFICPOPULATIONS: Youth(Children andAdolescents)CAN-ADAPTT’s Clinical Practice GuidelineDevelopment Group;Section Lead: Jennifer O'Loughlin, PhD, CRC,CAHS fellowCAN-ADAPTT worked with the Guidelines AdvisoryCommittee (GAC) to conduct a literature search(years: 2002-2009) to identify existing clinical practiceguidelines (CPGs). Five existing clinical practiceguidelines were identified as meeting the high qualitycriteria set out in the AGREE Instrument. Therecommendations contained in these high qualityCPGs have been used as the evidence base for theCAN-ADAPTT guideline development process.The strength of evidence classification for each ofthese existing CPGs can be found in Appendix F.Note that the grade of recommendation/strength ofevidence summary table for CAN-ADAPTT’ssummary statements can be found in Appendix B.U.S. Department of Health and Human ServicesPublic Health Service (2008) 13Clinicians should ask pediatric and adolescentpatients about tobacco use and provide astrong message regarding the importance oftotally abstaining from tobacco use. (Strengthof Evidence = C)Counselling has been shown to be effective intreatment of adolescent smokers. Therefore,adolescent smokers should be provided withcounselling interventions to aid them inquitting smoking. (Strength of Evidence = B)Secondhand smoke is harmful to children.Cessation counselling delivered in pediatricsettings has been shown to be effective inincreasing abstinence among parents whosmoke. Therefore, to protect children fromsecondhand smoke, clinicians should askparents about tobacco use and offer themcessation advice and assistance. (Strength ofEvidence = B)Institute for Clinical Systems Improvement (2004) 40(Birth to 10 years): Smoke exposure (in home,at day care, etc.) should be established atnearly every visit. Tobacco use status of allpatients (and in the case of infants andchildren, the use status of everyone in thehome) should be established. (Class ofEvidence = D, M, R, X)YOUTH (CHILDREN AND ADOLESCENTS) 36
Page 1: CANADIANSMOKING CESSATIONCLINICAL P
Page 4 and 5: CANADIAN SMOKING CESSATION GUIDELIN
Page 64: Canadian Action Network for the Adv

Canadian Smoking Cessation Clinical Practice Guideline

Create successful ePaper yourself

Delete template?

Save as template?