Published

Volume-Issue

Title

Total: 26

02/2010

3-6

Quitlines for Smoking Cessation: An Effective and Available Referral Option for Healthcare Providers
By Scott McIntosh, PhD, and Deborah J. Ossip, PhD
Smoking remains the leading cause of morbidity and mortality in Canada, and smoking cessation is an effective prevention in disease and early death. To reach the Federal Tobacco Control Strategy goal of reducing smoking prevalence in Canada from 19% to 12% by 2011, several Canadian healthcare organizations have developed the following recommendations: improved access to affordable pharmacotherapies and behavioural counselling; better training of healthcare professionals; and the addition of system-wide implementation of cessation strategies.

12/2009

3-5

Duties and Opportunities for Healthcare Providers when Mental Health Facilities Ban Smoking
Diane Kunyk, RN, BScN, MN, PhD(c), SSHRC Doctoral Fellow and Charl Els, MBChB, FCPsych, MMedPsych, ABAM, MROC
Progressively more psychiatric facilities are becoming smoke-free, and mental health professionals often find themselves ill-equipped to deal with the emerging challenges. The primary
goal of smoke-free policies (SFPs) is to protect individuals (patients and staff) from the
harmful effects of second-hand smoke.

10/2009

3-4

Benefits and Risks of Tobacco Cessation:
The Fundamental Importance of Cessation Must Be Recognized
Charl Els, MBChB, FCP sych, MMed Psych,
Diane Kunyk, RN, BScN, MN, PhD(candidate), and Logan McColl
The motto, “United we stand, divided we fall” has become progressively more relevant in our approach to smoking cessation; a variety of diverse philosophical approaches to the tobacco epidemic have emerged from different pillars of the tobacco control (TC) community. Even a simple issue like using the term “quit” as opposed to a semantic alternative like “stop smoking” can be contentious.

10/2009

3-3

Fundamentals of Smoking Cessation
in the Management of Heart Failure
Candi Flynn , BSc , and Neville Suskin, MB, BCh, FRCPC
Cigarette smoking has been identified as a major risk factor for heart failure (HF); it is
further associated with an increased risk of morbidity and premature mortality in patients already diagnosed with HF. Smoking cessation appears to greatly reduce the risk of recurrent HF, myocardial infarction (MI), and premature death.

08/2009

3-2

Keeping Smoking-Cessation Interventions
Brief and Effective
Paul Aveyard, PhD, MRCP, MRCGP
Most physicians agree that they should intervene with smokers to encourage them to stop smoking and to assist in the process. Physicians also recognize that they do not intervene as often as they could, most commonly because it is perceived as time consuming.

07/2009

3-1

Teaming Up in Smoking Cessation:
Practical Considerations for
a Multidisciplinary Strategy
By Debra Aitken, RN, BScN, Sophia Papadakis, MHA, and Andrew Pipe, CM, MD
Smoking-cessation interventions are more likely to be successful when delivered as part of a
multidisciplinary team approach. In the primary-care setting, the introduction of a systematic
approach to smoking cessation that involves all healthcare professionals (ie, physicians, nurses,
and other staff members) provides new opportunities to efficiently and effectively intervene with smokers.

06/2009

2-10

Smoking Cessation In Patients With Substance-Use Disorders: Practical Considerations for the Clinician
By Milan Khara, MBChB, CCFP, cert. ASAM, and Chizimuzo T.C. Okoli, PhD, MPH
Tobacco dependence in those with alcohol or other substance-use disorders is both highly
prevalent and deadly. Although smoking prevalence in Canada has decreased from 50% in
1965 to around 19% today, many cigarette smokers have been unable to quit.

05/2009

2-9

The Benefits of Smoking Cessation in Oncology
Patients: Is the Horse Out of the Barn?
By Jerry M. Maniate, MD, MEd, FRCPC
Noticeable declines in the overall prevalence of smoking and tobacco use in North America, have occurred recently through increased public education and awareness of the deleterious effects of tobacco on the health of individuals, as well as through improved smoking cessation interventions (pharmacological and nonpharmacological).

03/2009

2-8

Smoking and the Lung
By Natya Raghavan, MDCM, and Andrew McIvor MD, MSc, FRCP
Canada has been successful in reducing tobacco use over the last 4 decades. Despite recognition as a world leader in the adoption of population-based smoking-cessation approaches, cigarette smoking continues to be the leading preventable cause of death and disease.

02/2009

2-7

A Step-wise Approach to Assessment:
Informing About Cessation and Optimizing Outcomes
By Charl Els, MBChB, FCPsych, MMedPsych and Peter Selby, MBBS, CCFP, MHSc, FASAM
Like other addictions, tobacco dependence is a chronic disease that often requires repeated interventions and multiple attempts to quit. When treating any addiction, clinicians are faced with a host of decisions, many of which will unequivocally impact outcomes. The assessment of addictive disorders, including tobacco addiction, is considered a dynamic and iterative process that consists of multiple stages with several goals.

12/2008

2-6

Five Recent Tobacco-Related Publications You Should Know About
By Robert D. Reid, PhD, MBA; Dana L. Riley, MA, and Andrew L. Pipe , CM, MD
With more than 400,000 articles added to the biomedical literature every year, healthcare professionals are inundated with medical information. This edition of Smoking Cessation Rounds highlights 5 recent publications about smoking cessation and tobacco dependence treatment that we believe will have a significant impact on clinical practice.

12/2008

2-5

Smoking Cessation and the Workplace:
What Physicians Need to Know
By Diane Kunyk, RN, MN, PhD (candidate); Charl Els , MBChB, FCPsych, MMedPsych; and Peter Selby, MBBS, CCFP
The opportunity to increase rates of smoking cessation in the community can be enhanced by encouraging others to develop and deliver innovative approaches to cessation. The workplace is recognized as an ideal location for health promotion, given the large number of adults who spend several hours each day at work, the opportunity to deliver uniquely tailored programs in such environments, and the benefits that accrue to both participants and providers of such programs.

10/2008

2-4

Smoking Cessation and Weight Gain: A Common Challenge and a Unique Opportunity
By Danielle Simpson, BA, BPHE
A female patient once told a physician, “Doc, the cheapest lunch I can buy is a cup of coffee and a cigarette. The coffee helps keep me awake and the cigarette gets rid of my hunger and keeps me slim!”

09/2008

2-3

Smoking and Cardiovascular Disease Risk
Factors: What a Tangled Web We Weave
By Curtis Handford, MD, CCFP, MHSc
It has been over 50 years since the landmark prospective cohort study by Doll and Bradford-Hill1 first firmly identified tobacco smoking as a cause of cardiovascular disease (CVD). Today, there is no doubt that a causative relationship exists between smoking tobacco and the development of CVD.

07/2008

2-2

Management of Tobacco Addiction
in Patients with Mental Illness
By Charl Els, MBChB, FCPsych, MMedPsych, Cert. ASAM, MROCC, and Diane Kunyk, RN, MN, PhD (Student), CIHR Strategic Training Fellow
Tobacco addiction is widely recognized as a bona fide chronic, relapsing mental disorder, disproportionately affecting persons with existing other mental illnesses. Tobacco addiction is the leading preventable cause of death and disease in Canada, costing more than all other mental illnesses combined.

05/2008

2-1

Motivating Smokers to Quit: The Role of Motivational Interviewing
By David Davidson, BSc, MDCM, CCFP(EM), FCFP, and Andrew Pipe, CME, MD, LLD (Hon)
Have you experienced the frustration of an inability to convince someone to quit smoking? Your passion for helping, combined with your training and experience, has taught you that your medical treatments will be in vain unless your patient stops smoking.

12/2007

1-10

Alcohol and Tobacco: Rethinking the Association and its Implications
By Charl Els, MBChB, FCPsych, MmedPsych, ASAM, MROCC, and Peter Selby, MBBS , CCFP, FASAM
Tobacco use is the leading preventable cause of death and disease in both the chemically dependent and the general population. Addiction to tobacco and alcohol frequently cooccur, supporting the basic premise that “smokers drink and drinkers smoke.”

11/2007

1-9

Integrating Smoking Cessation into Routine Primary Care Practice: Identifying Effective Strategies for your Practice
By Sophia Papadakis, MHA, PhD candidate
Smoking cessation is the most important intervention that clinicians can offer their smoking patients. Among preventative healthcare interventions in the primary care setting, smoking cessation is recognized as the gold standard intervention with respect to its efficacy and cost-effectiveness.

10/2007

1-8

Pragmatic Strategies to Help Pregnant Smokers Quit
By PETER SELBY MBBS, CCFP, and ROSA DRAGONETTI, MSc
Maternal smoking is the leading cause of poor pregnancy outcomes, including neonatal morbidity and mortality. However, the behavioural effects on the baby often manifest later in life.

09/2007

1-7

Smoking Cessation and Youth:
It’s never too early to help patients quit!
By Jane Brownrigg, RN, BScN, and Andrew Pipe, CM, MD
Cigarette smoking is often described as a rite of passage for teens, since it involves
the illusion of looking “cool” and a rebellion against authourity. Hollywood has reinforced
the association between youth, cigarettes, and sex appeal.

08/2007

1-6

Using Information Technology to Support Smoking-related Behaviour Change: Web-Assisted Tobacco Interventions
By CAMERON NORMAN, PhD
Probably, like the majority of Canadians over the age of 12, you regularly use the internet – email, the World Wide Web, interactive chatlines, and other features – and you have also sought out health information online for yourself or family members that extends beyond your clinical practice.

07/2007

1-5

Women and Smoking Cessation
By HEATHER TULLOCH, PhD, BONNIE QUINLAN, BSc, RN, APN, and ELAINE JOLLY, OC, MD, FRCSC
Smokers are at an increased risk for developing diseases such as lung cancer, chronic pulmonary disease, emphysema, and cardiovascular disease. Smoking has additional health risks for women, including increased risk for breast and cervical cancer, osteoporosis, reduced fertility, and poor pregnancy outcomes and menstrual function.

06/2007

1-4

The Role of Depression in Tobacco Dependence and Smoking Cessation
By LAURIE A. ZAWERTAILO, PhD, and PETER SELBY, MBBS, CCFP
Epidemiological studies indicate that smokers are more likely to suffer from at least one episode of depression in their lifetimes than nonsmokers. It has also been shown that a history of depression, current depression, or the emergence of a depressive episode or significant depressive symptoms during a quit attempt significantly decreases the possibility of quitting smoking successfully.

05/2007

1-3

Tobacco Dependence Treatment for Hospitalized Smokers: “The Ottawa Model”
By ROBERT D. REID, PhD, MBA; ANDREW L. PIPE, CM, MD; BONNIE QUINLAN, BSc, RN, APN; MONIKA SLOVINEC, PhD; JANA KOCOUREK, BSc; DANA L. RILEY, MSc; SOPHIA PAPADAKIS, BSc, MHA
Tobacco use causes numerous health problems and leads to hospitalization, particularly for cardiovascular disease, respiratory illness, and cancer. Not surprisingly, tobacco users have higher hospitalization rates than nonusers.

04/2007

1-2

Getting beyond
“Now is not a good time to quit smoking”
Increasing motivation to stop smoking
By MARILYN HERIE, PhD, RSW, and PETER SELBY, MBBS, CCFP, MHSC, FASAM
Motivational interviewing (MI) is an evidence-based approach to working with patients who are ambivalent or reluctant about changing their use of tobacco. Using the “Stages of Change” model as a framework, MI suggests specific therapeutic strategies that are dependant on a patient’s readiness to change.

03/2007

1-1

Systematic Approaches to Smoking Cessation
By ANDREW PIPE, CM, MD; ROBERT D. REID, PhD; and
BONNIE QUINLAN, RN, APN
Welcome to the inaugural issue of Smoking Cessation Rounds. The importance of smoking cessation cannot be overemphasized. It has been termed the “gold standard” of all preventive strategies, and yet, it has been noted that although there are now effective interventions, there has until recently been a disinclination on the part of many clinicians to involve themselves in this important area of preventive practice.

Total: 26