2. Session 1 – Objectives
• Introduction to Freshstart
• Nicotine addiction
• Health concerns related to smoking
• Immediate benefits of quitting
• Behavior change models and ambivalence
3. • Quit Smoking Now Podcast
• Program structure
• Get to know your group
Session 1 - Introduction to Freshstart
4. Session 1 – Quitting Smoking
1. What you need to know about quitting
2. Why is quitting smoking so hard?
6. Session 1 – Why Quit?
• Health of others
• Setting an
example
7. Others may want you to quit, but the real
commitment must come from you.
Session 1 – Making the Decision
1. The Health Belief Model of behavior change
2. Stages of Change Model of behavior change
8. You are more likely to quit smoking if you:
Session 1 – Health Belief Model
Believe you can get a smoking related disease and this
worries you.
Believe that you can make an honest attempt at quitting
smoking.
Believe that the benefits of quitting out weigh the benefits of
continuing to smoke.
Know someone who has health problems as a result of their
smoking.
9. The stages a person goes through in making a
behavior change.
Session 1 – Stages of Change Model
Pre-contemplation
Contemplation
Preparation
Action
Maintenance
10. Managing mixed emotions and feelings.
Session 1 – Managing Ambivalence
1. Think of reasons you should quit
- I will feel healthier right away
- I will be healthier the rest of my life
- I will make family/friends proud of me
- I will be proud of myself
- I will have more money to spend
- I will worry less
11. Session 1 – Activity
1. List your reasons for quitting smoking
and to keep smoking
2. Review lists and circle more important
items
3. Place a star next to the most important
reason (from either list)
“What do I want to do most – quit
smoking or keep smoking?”
If your answer is quit smoking, you are
ready to quit!
12. • There are numerous
reasons to quit
smoking
• Ambivalence is
normal
• Remind yourself of
your reasons for
quitting to handle
ambivalence
Session 1 – Summary
13. Session 2 – Plan to Quit
• Picking a Quit Day
• Assessing previous quit attempts
• Making a plan to quit
Editor's Notes
This PowerPoint is a tool available to assist you in facilitating the four Freshstart sessions.
The information in this PowerPoint is presented in the same order as the information in the Participant Guide.
There are notes for you as a facilitator in the notes section, but you will need to refer to the Participant Guide and Lesson Plans to prepare for each session.
More information for this slide is in the Session 1 Outline in the Facilitator Notes section.
The American Cancer Society Powerful Choices, ‘Quit Smoking Now’ podcast is located in the Freshstart Facilitators Corner on the Freshstart Materials page.
Introduce the Freshstart program, including the length, days/times, and locations of future sessions. Distribute the Freshstart participant guides.
Provide an opportunity for participants to introduce themselves and share smoking history/background (e.g., include an ice breaker activity, if desired and time allows).
Click on the green light (circle) to play the podcast.
The url is: http://www.youtube.com/watch?v=-1LmSAkThk4
Click ‘enter’ to advance and display the pictures that support points 1 and 2.
Talk about each point as the picture is being displayed.
What you need to know about quitting
The US Surgeon General says, “Smoking cessation represents the single most important step smokers can take to enhance the length and quality of their life.”
Quitting smoking is not easy, but you can do it. You have to acknowledge what you are up against, what your options are and where to go for support. You can find that information in the Freshstart program.
Why is quitting smoking so hard?
Nicotine is a highly addictive drug found in tobacco. Overtime a person becomes physically and mentally addicted to nicotine. Therefore, to quit and stay quit, one has to address the psychological and physical dependence.
When a smoker inhales smoke it is carried deep in their lungs and carried through the blood stream. It ones heart, blood vessels, hormones, metabolism and brain. In most cases, it takes about four days for nicotine and its by products to exit the body after quitting.
Nicotine hooks smokers by producing the desire to smoke more, as the nervous system adapts to the nicotine, a smoker tends to smoke more cigarettes, increasing the amount of nicotine in the body. After a while, the body develops a tolerance to the nicotine which means it needs more to feel the effects. This leads to an increase in smoking over time.
Health concerns usually top the list for why people want to quit smoking. About half of smokers who continue smoking with die from smoking related diseases.
Cancer – Smoking not only causes lung cancer, but cancers of the mouth, voice box, throat, bladder, kidneys and some leukemias.
Lung diseases – Smoking causes pneumonia and diseases like chronic bronchitis and emphysema. These diseases are grouped together in a disease called COPD (Chronic Obstructive Pulmonary Disease). Symptoms of COPD get worse later in life, but can lead to chronic illness, disability and it can be fatal.
Heart attacks, strokes and blood vessel disease – Smokers are twice as likely to die from heart disease then non smokers. Smoking affects the walls of vessels that carry blood to the brain which can cause strokes. Men can develop erectile dysfunction because of blood vessel disease.
Blindness and other problems – Smoking can cause macular degeneration, a common cause of blindness in older people, and premature wrinkling of the skin, bad breath, yellowing of finger nails, and bad smelling hair and clothes.
Risk to women and babies – Women over 35 who smoke and use birth control are at higher risk for heart attack, stroke, and blood clots of the leg. Women who smoke are more likely to miscarry, and have low weight babies.
Years of life lost from smoking – Make smokers lose an average of 13.2 years of their life, and women 14.5 years because of their smoking.
Immediate rewards of quitting – better smelling breath, whiter teeth, finger nails return to natural color, food tastes better, sense of taste returns
Cost – Quitting can save one $1800 - $5400 a month.
Social Acceptance – Smoking is less socially acceptable than in the past. Employees who smoke cause organizations more money, landlords may choose not to rent to smokers, romantic involvement and marriage for smokers can be impacted, and friendships can be negatively impacted.
Health of others is also a motivating factor for quitting smoking.
Exposure to second hand smoke includes exhaled smoke and smoke from burning cigarettes.
Second hand smoke causes thousands of deaths each year from lung cancer and heart disease in non smokers.
If a mother smokes, there are higher chances of her child developing asthma in his/her childhood, especially if she smoked when pregnant.
Babies and children raised in a household with smokers experience more ear infections, colds, bronchitis and have a higher rate of Sudden Infant Death Syndrome.
Setting an Example – Nearly all smokers say they do not want their children to smoke. However, children who’s parents smoke are more likely to become smokers. Quitting now will help you become the role model you want to be to your children.
Researchers have studied how and why people stop smoking. While they have some ideas, they know that the decision has to be yours as a person who smokes. It’s a decision only you can make.
Others may want you to quit, but the commitment is yours to make.
Advance the presentation to reveal and introduce the two behavioral change models. Each will be discussed individually in the next 2 slides.
Do any of these beliefs apply to you?
The Stages of Change Model explains the stages of change one experiences when changing a behavior.
Click ‘enter’ to reveal each stage of change.
Pre-contemplation – At this stage the smoker is not seriously thinking of quitting
Contemplation - At this stage the smoker is actively thinking about quitting but not at the point to make a serious quit attempt. They may be saying, “Yes, I want to quit, but the stress at work is to much to do it right now.”
Preparation - Smokers in this phase are ready to quit in the next month, have tried to quit in the last 12 months, and have a plan to quit.
Action – This is the first 6 months when a smoker is actively quitting.
Maintenance – this is the period of 6 months to 5 years when an ex-smoker is aware of dangers and triggers and takes steps to avoid relapse.
When you are finished explaining the Stages of Change Model, click ‘enter’ once more to introduce the concept of Ambivalence.
Having mixed emotions and feelings about quitting is normal. You may have debating whether or not to join this group, you may have questioned your desire and commitment to quitting this time. This is all normal, and is called ambivalence.
The next slide will discuss managing Ambivalence.
To counter act any feelings of ambivalence, think about the reasons for quitting and remind yourself why you want to quit.
Click ‘enter’ to reveal reasons for quitting and ask the participants to think of specific positive statements they can tell themselves within each example (as in their participant guide).
As the group completes the activity, click ‘enter’ to reveal the final question and final point to the participants: “What do I want to do most – quit smoking or keep smoking?” If the answer is quit smoking, you are ready to quit!
Decide if you will quit smoking or keep smoking (pages 8-9 of participant guide).
During this activity, participants will look at their reasons to stop smoking. The goal of this activity is to help participants weigh the pros and cons of quitting and make a commitment to take action, if they decide it is their time to quit. Remember, even though the goal of Freshstart is to make a quit attempt, if someone decides they are not ready to quit, he/she can still participate in the remaining Freshstart classes.
These are the main topics for Session 2, elaborate as necessary.
Inform the group of the session time and place
Overview & Purpose
This session of the American Cancer Society FreshStart® program includes several activities to help participants prepare for a quit attempt, including learning from past attempts, learning about pharmacotherapies, understanding social support, and creating a quit plan.
