Granite Peaks Tobacco Prevention By: Morgan Marietti
Literature Review- Motivations ofBehaviors● Counseling about smoking can help adolescents quit smoking● Adolescents smoke for the same reasons adults do: ○ Nicotine Dependence ○ Affective Control (Interpretations of stress) ○ As adolescents take on their role as adults, they are more likely to succeed in quitting smoking (Singleton & Pope, 2000)
Literature Review Contd- Similiar StudyStages of Change Model Program Outcomes: ● Adolescents were placed in ● Adolescent smokers are groups. less likely to quit ● Each group was educated by ● Smoking cessation is rare either a Nurse or a Dentist among adolescents when ● Three Groups were formed: Nurse, Dentist and Control parents smoke as well. ● A video was shown to the ● Adolescents who were Nurse and Dentist group as counseled by health well as a survey was given to professionals had the nurse and dentist group. an increased ● The control group was given a rate in smoking single leaflet on quitting cessation. smoking (Heikkinen, Broms, Pitkaniemi, Koskenvuo, & Meurman, 2009)
N.O.T. Program ● From the American Lung Association Not On Tobacco (N. O.T.) is a state-of-the-art, school-based program that provides assistance to teens who wish to quit smoking. ○ 10-sessions focusing on: ■ The quitting process ■ Preventing relapse ● A gender-sensitive program implemented by teachers, counselors, nurses or health educators.Outcome: Early findings show significant reduction and cessation among teens, as well as higher school grades and enhanced self-esteem and a 21% quit rate. (American Lung Association, 2008)
E.N.D. Program-Overview ● E.N.D. is a tobacco cessation program developed by the Utah Department of Health (UDH) for teens, and it focuses on: ○ Benefits of tobacco cessation ○ Quitting skills ○ Healthy lifestyle skills ○ Skills to maintain tobacco reduction/cessation status ○ Information on the dynamics of addiction ○ Peer support ● An 8-session curriculum that is not gender specific and is usually implemented by health educators in various settings.(Utah Department of Health, 2007)
E.N.D. Program- Effectiveness ● The E.N.D. Program is effective not only with youth who want to quit, but also with those who enter the program involuntarily. ■ Youth are learning skills they can draw upon when they are ready to quit. ■ As of 2007, over 6,000 Utah youth have been E.N.D. participants. ● Annual E.N.D. evaluations show that the program is effective in meeting its designated goals. ■ Average reduction rate: 50.1% ■ Tried to quit since starting the E.N.D. program- 49% ■ Recommendation rate: 64.6%(Utah Department of Health, 2007)
Program Goals ● Increase program participants knowledge and awareness of immediate and long term health and social effects of tobacco use. ■ After the program 100% of the program participants will understand the risk factors associated with tobacco use. ● Improve the life-skills functioning of youth through skill building in the areas of: ○ Stress management ○ Communication and refusal skills ○ Identifying and seeking social support ○ Goal setting ■ After the program 80% of students will have the knowledge to make improved life decisions.(Utah Department of Health, 2007)
Program Goals Contd ● Improve skills to help participants quit tobacco use and remain tobacco free. ○ After our program 60% of participants will have increased their number of attempts to quit using tobacco. ● Parents will walk away from parent teacher conferences with educational resources to help the parents and their students prevent or reduce the use of tobacco. ○ 40% of parents will have the knowledge to take the steps to prevent or reduce their use of tobacco.(Utah Department of Health, 2007)
Our Program● We will partner with The South Salt Lake Coalition for Drug Free Youth(SSL-Drug Free) to implement the E.N.D. curriculum.● 8 week course: ○ 1 hour sessions (7:30am-8:30am) ○ Every Monday beginning February 14th ○ Held at Granite Peaks High School ○ Classroom setting● By partnering with the SSL-Drug Free, we will share responsibility of teaching 4 of the 8 modules.
Our Program ContdParent Teacher Conferences: ● February 17th from 4-7pm ● Held at Granite Peaks High School ● Our booth: ○ Visuals ○ Handouts ○ Resources for them to take home
What Topics will be Covered? ● Module 1: Introduction and Getting to Know Each Other ○ Distribute pre-test questionnaire and describe the program. ● Module 2: Moving Closer to Quitting ○ Discuss what is in cigarette smoke, and different quitting methods. ● Module 3: Dealing With My Stress ○ Discuss consequences of using tobacco, the high cost of smoking, benefits of quitting and coping and stress management. ● Module 4: Communicating Effectively ○ Discuss communication styles and ways to communicate more effectively(Utah Department of Health, 2007)
What Topics will be Covered Contd ● Module 5: Making Tough Decisions ○ Discuss decision making and problem solving, and coping with triggers. ● Module 6: Understanding Media Messages ○ Discuss media literacy and show examples of how tobacco companies target youth. ● Module 7: Nutrition and Exercise ○ Introduction to nutrition and physical activity ● Module 8: Remaining Tobacco Free ○ Tips to avoid relapse and post-test questionnaire.(Utah Department of Health, 2007)
Supplies and Resources Needed● Supplies: ○ Copies of the E.N.D. Pre and Post Test Questionnaires, a laptop, E,N.D. PowerPoint presentation slides, a projector, and any supplies needed for E.N.D. related activities.● Resources: ○ South Salt Coalition for Drug Free Youth ○ Kathy Baebler from the SLVHD ○ Principal Callahan at Granite Peaks High ○ E.N.D. Facilitator Manual ○ Utah Quit Line
Evaluation Plan● The E.N.D. Program pre-class questionnaire will be completed in the 1st module. ○ 34 questions● The E.N.D. Program post-class questionnaire will be completed in the 8th module. ○ 21 questions● The E.N.D. Program also includes a 3 and 6 month follow up questionnaire. ○ These questionnaires include: ■ Background information, questions regarding cigarette smoking, quit attempts, smokeless tobacco, cigars, support for quitting, exposure to tobacco use and opinions about tobacco use.
Evaluation Plan ContdQuestionnaires will be completed in a classroom setting: ○ Each student will be assigned a number ○ We will fill out the top corner box of each pre-test and post-test prior to passing out surveys to students ■ Pass surveys out, the number on the survey should match the students number ○ Explain the survey ○ Allow time for participants to complete the survey ○ Collect the completed surveyWe will use the statistical database SPSS to analyze ourfindings. ○ We will compare the results of pre and post test to analyze if the students changed their opinions and habits involving tobacco use.
References● American Lung Association. (2008). Not On Tobacco. Washington DC.● Heikkinen, A., Broms, U., Pitkaniemi, J., Koskenvuo, M., & Meurman, J. (2009). Key Factors in Smoking Cessation Intervention among 15-16-Year-Olds. Behavioral Medicine, 35(3), 93-99. Retrieved from EBSCOhost.● Singleton, M. G., & Pope, M. (2000). A Comparison of Successful Smoking Cessation Interventions for Adults and Adolescents. Journal of Counseling & Development, 78(4), 448-53. Retrieved from EBSCOhost.● Utah Department of Health. (2007). End Nicotine Dependence. Salt Lake City.