1. d
Purpose
• The
purpose
of
this
Educa2onal
Ini2a2ve
(EI)
is
to
increase
knowledge
and
awareness
about
the
adverse
effects
of
tobacco
use,
while
also
iden2fying
an
effec2ve
venue
of
delivering
such
messages.
Significance
Outcomes
Evalua2on
Methodology
• According
to
the
CDC,
tobacco
use
prevalence
is
higher
among
popula2ons
with
a
mental
health
diagnosis,
a
substance
abuse
history,
or
a
posi2ve
HIV/AIDS
diagnosis.1
• 60%
of
the
Broadway
House
pa2ent
popula2on
were
tobacco
users
at
the
2me
of
the
EI.2
• 100%
of
the
Broadway
House
pa2ent
popula2on
have
a
HIV/AIDS
diagnosis,
and
91%
have
a
mental
health
and/or
substance
abuse
diagnosis.2
• Studies
have
shown
that
the
adverse
health
effects
of
smoking
is
greater
among
HIV-­‐
posi2ve
pa2ents.3
• Moreover,
smoking
can
interfere
with
the
effec2veness
of
an2retroviral
medica2ons
and
influence
pa2ents’
compliance
and
adherence
to
HIV
treatment
plans.3-­‐4
Pre-­‐lesson
test
15-­‐minute
educa2onal
lesson
Post-­‐lesson
test
given
on
next
mee2ng
A
special
thank
you
to
Nestor
Beard,
Cheryl
Gould,
the
staff
at
Broadway
House
for
Con2nuing
Care,
Ann
Marie
Hill,
Tamara
Swedberg,
and
Dr.
Tefera
Gezmu,
for
all
their
invaluable
help,
guidance,
and
encouragement.
References:
1. Center
for
Disease
Control
and
Preven2on.
Web.
2
December
2014
Retrieved:
h`p://www.cdc.gov/features/vitalsigns/smokingandmentalillness/
2. Broadway
House
for
Con2nuing
Care
Award
Proposal.
3. Benowitz,
N.L
(2008).
Clinical
pharmacology
of
nico2ne:
Implica2ons
for
understanding,
preven2ng,
and
trea2ng
tobacco
addic2on.
Clinical
Pharmacology
&
Therapeu4cs,
83(4),
531-­‐541.doi:
10.1038/clpt.2008.3
4. AIDS.gov.
Web.
2
December
2014
Retrieved:
h`p://www.aids.gov/hiv-­‐aids-­‐basics/staying-­‐healthy-­‐with-­‐hiv-­‐aids/taking-­‐care-­‐of-­‐yourself/smoking-­‐tobacco-­‐use/
5. Photo
by
h`p://jamesfamilyden2stry.com/wp-­‐content/uploads/2014/04/smoking-­‐woman-­‐photography-­‐free-­‐desktop-­‐girls-­‐wallpaper-­‐1920x1080.jpg
Variables Percent/Count
Race/Ethnicity, % (n)
African American 67 (4)
Hispanic/Latino 33 (2)
Gender, % (n)
Male 83 (5)
Age, Years
Mean (±SD) 53 (±7)
Health Status, % (n)
HIV (+) 100(6)
Smoking (Yes) 100(6)
• We
aimed
to
show
the
EI’s
effec2veness
in
increasing
knowledge
and
awareness
about
the
harmful
effects
of
tobacco
use
and
to
determine
if
one
of
the
two
delivery
methods
used
was
sufficiently
be`er
than
the
other.
• There
was
no
substan2al
evidence
to
suggest
that
one
delivery
method
was
sufficiently
be`er
than
the
other.
• This
may
be
due
to
the
fact
that
the
types
of
lessons,
for
which
each
approach
was
u2lized
for,
were
different.
Fig.1 Average Overall EI Pre/Post Lesson Test
Scores
Table 1. Descriptive Characteristics of
Education Initiative Participants
• Pre/post
lesson
tests
and
par2cipants’
aetude/interest
towards
a
smoking
cessa2on
program
were
used
to
evaluate
the
effec2veness
of
the
EI:
• Pa2ents,
who
were
ac2ve
smokers,
were
given
8
educa2onal
lessons
about
the
adverse
effects
of
tobacco
use
in
a
nursing
home
seeng
over
the
course
of
a
month
period.
• 4
lessons
presented
in
a
PowerPoint
format
• 4
lessons
presented
in
an
audiovisual
format
• A
pre/post
lesson
test
was
administered
to
assess
the
effec2veness
of
each
lesson.
Educa2onal
Ini2a2ve:
Knowledge
and
Awareness
About
Tobacco
Use
Among
HIV/AIDS
Pa2ents
Perla
Esquivel,
Broadway
House
for
Con2nuing
Care
Acknowledgments
+
23%
Average
overall
increase
of
post
lesson
tests.
[Fig.1]
• Limita2ons:
• This
EI
may
have
been
limited
due
to
its
small
sample
size,
low
literacy
rate,
and
difference
in
the
lessons,
presented
in
the
two
formats.
• However,
since
this
is
a
pilot
program,
future
efforts
should
consider
these
limita2ons
in
their
designs.
25%
Of
par2cipants,
that
previously
stated
they
would
not
par2cipate
in
a
smoking
cessa2on
program,
expressed
interest
in
par2cipa2ng
in
a
smoking
cessa2on
program.
+
Pre/post
lesson
test
• The
outcomes
suggested
that
overall,
par2cipants
gained
knowledge
and
awareness,
as
demonstrated
by
the
remarkable
increase
in
the
post
lesson
test
results.
Aetude/
Interest
• Post
EI,
par2cipants
were
asked
how
likely
they
were
to
par2cipate
in
a
smoking
cessa2on
program.
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
COPD Nicotine Throat
Cancer
Cigarette
Chemicals
Oral
Thrush
HIV &
Tobacco
Stroke E-Cig
Score
Lessons
PRE
POST