Partner Training and Systems Change Materials, Curricula, and Model Programs

In addition, we've included samples of selected patient education materials used by the programs.

We encourage you to visit each organization’s website for contact information and full details about their training program. If you would like to showcase your training program here, please email the Partnership at mail:feedback:helppregnantsmokersquit.org

Agency for Health Care Research and Quality:
New Tools For Handheld Computers

The Agency for Healthcare Research and Quality (AHRQ) has released a new tool for Palm^TM and Pocket PCs users who smoke and want to quit. The application enables smokers to set up a program tailored to meet their individual needs. Quit Smoking: Consumer Interactive Tool, is drawn from the evidence-based recommendations of the Public Health Service Guideline, Treating Tobacco Use and Dependence. To use the application, the smoker plugs in the date he or she wants to quit and the program counts back 5 days leading up to the quit date. It then offers a 5-day countdown of daily practical steps to help the smoker quit, such as identifying reasons to quit smoking; talking to the health care professional about medications, including the nicotine patch or gum; and, getting support from family and friends. This tool can be downloaded from the AHRQ Web site at http://pda.ahrq.gov/. Go to Consumer Health, and click on "Quit Smoking: Consumer Interactive Tool."

American College of Obstetricians and Gynecologists:
Clinical Training Manual and Self-Assessment

The American College of Obstetricians and Gynecologists has produced a training manual called "Smoking Cessation During Pregnancy: A Clinician's Guide to Helping Pregnant Women Quit Smoking." This new educational program provides the background and tool necessary for clinicians to implement an effective, evidence-based intervention, called the "5 A's" in the office. The manual includes:

• A monograph that describes the "5 A's" and how to integrate the "5 A's" into routine prenatal care.
• Photocopy-ready office tools, such as an intervention documentation flow sheet for a patient's medical record, a quick-reference card on how to ask about smoking status, and checklist and role assignment chart for launching the "5 A's" in any practice setting.
• Case studies that lay out eight clinician/patient scenarios. Each interaction includes dialogue and key points to consider when counseling women who smoke.
• Patient education workbook, Need Help Putting Out that Cigarette. Developed by the Smoke-Free Families national program, this 28-page pregnancy specific self-help booklet includes benefits of quitting for you and your baby, ways to prepare to quit, setting a quit date, how to handle "slips" and tips for after the baby is born.
• A laminated pocket card with the questions and responses to ask pregnant smokers; counseling cues, and national resource information with a place to list local help lines or other resources.
• A slide presentation in PowerPoint, along with lecture notes as a PDF may be downloaded from the ACOG web site (http://acog.org/, click on "women's health issues", click on "smoking cessation")

Three hours of CME are available through ACOG for completion of the program. To order a single copy of the guide: e-mail smoking@acog.org. Please include your name, affiliation, and mailing address with your request. To order multiple copies: email smoking@acog.org. Please type "PROGRAM" in the subject line of the email and include a summary of the training or dissemination activity, target audience, faculty, and date/location of the event. Due to a limited supply, bulk orders will be reviewed and fulfilled on a case-by-case basis. You may also fill out and mail or fax an order form.

Association of Women's Health Obstetric and Neonatal Nurses:
Evidence-Based Clinical Practice Guideline

The Association of Women's Health Obstetric and Neonatal Nurses (AWHONN) has created a program to develop and test an evidence-based clinical practice guideline, and to promote healthier pregnancies and families by the consistent implementation of smoking cessation interventions in primary perinatal care. The program is called SUCCESS: (Setting Universal Cessation Counseling, Education, and Screening Standards): Nursing Care for Pregnant Women Who Smoke. The purpose of this research, utilization and dissemination project is to implement an educational, counseling, and referral smoking cessation counseling strategy-delivered by nurses and other professionals in health care settings-that will increase the likelihood of successful tobacco smoking cessation among childbearing women.

AWHONN completed the SUCCESS project in March 2004. Over 300 pregnant women were screened from 10 sites on the east coast. Change in clinical practice and health outcomes for women and newborns were measured. This project was generously funded with a community grant from the March of Dimes.

For more information, visit AWHONN'S web site at http://www.awhonn.org/ or contact Daniella McCarthy, MBA, Research Program Manager at daniellam@awhonn.org

CJ Foundation for SIDS:
Culturally-Appropriate Educational Materials

American Indian organizations serving populations that suffer some of the highest SIDS (Sudden Infant Death Syndrome) rates in the country joined forces with the CJ Foundation to develop culturally appropriate educational materials to help reduce the risk of SIDS.

Sample materials available for download include:

• Refrigerator magnet
• Poster
• Brochure

  Visit the CJ SIDS Foundation web site for details or ordering information.

Clean Air for Healthy Children:
Train-the-Trainer Smoking Cessation Curriculum

The Clean Air for Healthy Children program, supported by the American Academy of Pediatrics, Pennsylvania chapter, is a smoking cessation counseling training program primarily targeted to healthcare professionals that care for pregnant women, mothers and caregivers of young children, and teens. The goals of the program are to:

1. Increase the number of clinicians who routinely counsel smokers to quit.
2. Increase cessation attempts and rates by pregnant women, mothers and caregivers of young children, and teen who smoke.
3. Reduce the proportion of children who are regularly exposed to tobacco smoke pollution in their home.

There are 230 active trainers in Pennsylvania; more than 700 provider practices use the program. The program's reported quit rate is 20 percent, based on 8,000 patient surveys.

Training and evaluation tools used by the program are available for download:

• Smoking Cessation Counseling Training for Health Care Professionals
  who Care for Pregnant Women, Children and Adolescents: Descriptive Flyer
• Explanation of Training Prototocol
• Tobacco use status chart sticker
• Patient survey to assess tobacco use
• Smoking Cessation Counseling Documentation form
• "5 A's" implementation plan for practice setting
• Follow-up form to track care professional use of the "5 A's"

A manual accompanies the program. Trainers will receive a copy; a limited number are available for those who wish to preview the curriculum. Call 484-446-3002 to request a copy. Training lasts from 1-3 hours, based on intensity. CEUs are available for completion of the program.

Patient education tools include:

Three patient education posters, available for download in pdf format, in English, Spanish, and a version to specifically target African-Americans.

A Smoke-Free Office Pledge that describes the clinic protocol for encouraging staff and patients not to smoke, and the services that a pregnant smoker can expect to receive as part of routine prenatal care. View pdf version.

An advice sheet for partners of pregnant women who want to quit smoking, signed by the prenatal care professional. View pdf version.

Visit Clean Air for Healthy Children web site

First Breath, Wisconsin Women’s Health Foundation:
Integrating Cessation and Prenatal Care

Visit First Breath web site

Mom’s QUIT Connection:
Services for a Variety of Audiences

Mom’s Quit Connection is a program of the Southern New Jersey Perinatal Cooperative which provides services for pregnant and parenting women who smoke, their providers, and communities. Staff provide case management, support groups, and waiting room demonstrations, as well as health fairs, conferences, and school-based health education. Services for health care professionals include information sessions for hospital and office staff, and smoking cessation information and referral materials. The project has created an obstetrical office protocol to guide healthcare professionals in using Mom’s Quit Connection materials and referral service. Mom's Quit Connection also conduct training on the "5 A's" for health care providers. These sample patient -level documentation forms are available for download:

To obtain additional materials or services, visit Mom’s Quit Connection web site

North Carolina Department of Health and Human Services: Guide for Counseling Women Who Smoke

North Carolina's Guide for Counseling Women Who Smoke is a training manual for health and human service providers that incorporates the "5 A's" best practice approach for smoking cessation counseling. The guide was developed in 1995 and revised in May 2003. The Guide includes sections on pregnancy and smoking, the "5 A's", secondhand smoke, pharmacotherapy, withdrawal symptoms, handling difficult questions, smokeless tobacco, facts and counseling suggestions for different population groups, provider and patient educational materials, and state and national resources. To obtain a copy of the Guide, contact the North Carolina Department of Health and Human Services, Division of Public Health, Women's and Children's Health Section, Women's Health Branch at 919-733-7791.

Partnership for Smoke-Free Families:
Technical Assistance Manual

The Partnership for Smoke-Free Families Program (PSF) has created a technical assistance manual for healthcare organizations considering the implementation of pregnancy-specific guidelines for smoking cessation. The manual outlines the development and implementation of PSF, a collaborative effort among three large health care systems in San Diego, California. PSF is focused on smoking cessation for pregnant women and the reduction of environmental tobacco smoke exposure among infants and young children. The manual contains valuable lessons learned, recommendations for program implementation, and samples of program materials. It is designed to provide other organizations with the information they need to create similar programs in their own unique health care settings.

View pdf files: Executive Summary. Full Text. You can also order copies (one full manual per organization, please) by calling the Smoke-Free Families National Dissemination Office at 919-843-7663 or emailing them at smokefreefamilies@unc.edu.

Prescription Pads
The Partnership for Smoke-Free Families has developed prescription pads in English and Spanish for prenatal care professionals that contain the California Smoker’s Helpline number.
View pdf version.

Smoke-Free Families Prenatal Demonstration Projects:
Tools and Models for Building Systems Change

Smoke-Free Families Prenatal Demonstration Projects are putting best-practice interventions to work in a variety of prenatal care settings – in Oregon’s state health department, at a large integrated health plan in Maine, and a medical association in Oklahoma. These systems-level interventions are working to incorporate smoking cessation services across large provider networks.

For more information about these projects, and selected tools for download, visit:

• Maine Prenatal Demonstration Project
• Oklahoma Prenatal Demonstration Project
• Oregon Prenatal Demonstration Project

You can also visit the CDC’s Program on Tobacco Use and Pregnancy to research additional training materials.