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Integrating Tobacco Cessation Support Resources to Improve Patient Access

Texas Oral Health Coalition

Presented by Ashley LeMaistre, MPH

Patients are 66% more likely to successfully quit tobacco when healthcare providers actively intervene to connect them with FREE services. The UT Tobacco Research & Evaluation Team provides support to healthcare systems for the implementation of tobacco cessation support strategies, by referring patients who use tobacco and wish to quit, to the Texas Quitline. Referrals can be made by fax, app or through the electronic medical record using the eTobacco Protocol (electronic tobacco cessation referral protocol). When a patient is referred to the Quitline by a healthcare professional, the patient can receive up to 5 counseling sessions and approximately 2 weeks of nicotine replacement therapy if they are 18 or older. Services are confidential, HIPAA-compliant and free. Our team can provide assistance to healthcare systems, including clinics and health departments with an EMR/EHR, to help them explore and leverage any referral method that is appropriate for them, and especially for the eTobacco Protocol.

Learning Objectives:
  1.  Attendees will be able to describe the Ask Advise-Refer workflow.
  2. Attendees will be able to identify benefits of integrating the eTobacco protocol into an electronic medical record.
  3. Attendees will be able to summarize the process of utilizing the Quitline app.

ASHLEY LEMAISTRE, MPH

Ashley LeMaistreAshley is a Senior Outreach Program Coordinator for the Tobacco Research & Evaluation Team with the University of Texas at Austin, Kinesiology and Health Education Department. She works with healthcare systems across Texas to help integrate the electronic tobacco cessation referral tool (eTobacco protocol) into electronic medical records/electronic health records and connects them with the Texas Quitline. She also works on the Texas College Tobacco initiative, working with community/junior colleges and trade schools to incorporate Peers Against Tobacco programming on their campus. Ashley received her MPH from Texas A&M University, where she also worked on the Texas Youth Tobacco Awareness Program (TYTAP). She has extensive experience in tobacco policy work and chronic disease media campaigns at the local public health level. She has presented at numerous conferences and on several webinars regarding tobacco and co-authored several publications regarding tobacco prevalence and cessation.

Presenter Contact Information:
Ashley LeMaistre: ashley.lemaistre@austin.utexas.edu

Financial Disclosure

Ashley LeMaistre, MPH disclosed that they have grant funding from the Texas Department of State Health Services to work with healthcare entities to integrate the eTobacco protocol with a direct referral to the State’s Texas Quitline. All services are free to patients, and our team’s technical assistance is also at no cost.

Credit hours: 1.0 CEU 

Teaching Method: Self-Instructional (recorded live webinar lecture)

Cost: Free
Edification and continuing dental education is complimentary to all attendees.


AGD Subject Code:158 – Tobacco Cessation

Date of Original Presentation: February 9, 2024
Date Released: February 28, 2024
Date of Expiration: March 1, 2025

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Presentation Resources
Presenter Slides
Resources:
References from slides
  • American Cancer Society. Health Benefits of Quitting Smoking Over Time. https://www.cancer.org/cancer/risk-prevention/tobacco/benefits-of-quittingsmoking-over-time.html
  • American Lung Association. Billing Guide for Tobacco Screening and Cessation. https://www.lung.org/getmedia/08ed3536-6bab-48a6-a4e4-e6dbccaea024/billing-guide-for-tobacco-1.pdf.
  • Bryan Gibson, Heidi Kramer, Charlene Weir, Guilherme Fiol, Damian Borbolla, Chelsey R Schlechter, Cho Lam, Marci Nelson, Claudia Bohner, Sandra Schulthies, Tracey Sieperas, Alan Pruhs, Inbal Nahum-Shani, Maria E Fernandez, David W Wetter, Workflow analysis for design of an electronic health
    record-based tobacco cessation intervention in community health centers, JAMIA Open, Volume 4, Issue 3, July 2021, ooaa070,
    https://doi.org/10.1093/jamiaopen/ooaa070
  • Campaign for Tobacco Free Kids. The Toll of Tobacco in Texas, 2022. www.tobaccofreekids.org/problem/toll-us/texas.
  • Centers for Disease Control and Prevention. Oral Health Surveillance Report: Trends in Dental Caries and Sealants, Tooth Retention, and Edentulism,
    United States, 1999–2004 to 2011–2016. Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2019.
  • Centers for Disease Control and Prevention. Public Health Image Library: https://phil.cdc.gov/.
  • Fiore MC, Jaén CR, Baker TB, et al. Treating Tobacco Use and Dependence: 2008 Update. Quick Reference Guide for Clinicians. Rockville, MD: U.S.
    Department of Health and Human Services. Public Health Service. April 2009.
  • Ford PJ, Rich AM. Tobacco Use and Oral Health. Addiction. 2021 Dec;116(12):3531-3540. doi: 10.1111/add.15513. Epub 2021 Apr 25. PMID: 33822437.
  • Girvalaki, C., Mechili, E. A., Papadakis, S., Nikitara, K., Demin, A., Trofor, A., Lila, A., Harutyunyan, A., Saliaj, A., Dimitrievska, D., Lozano, F. R., BakhTuridze, G., Ayesta, J., Przewozniak, K., Cattaruzza, M. S., Zdraveska, M., Lovše, M., Kilibarda, B., Stoyka, O., Behrakis, P., … Vardavas, C. I. (2020).
    Current practices and perceived barriers to tobacco-treatment delivery among healthcare professionals from 15 European countries. The EPACTT Plus
    project. Tobacco prevention & cessation, 6, 6. https://doi.org/10.18332/tpc/115033
  • Graham AL, Amato MS, Cha S, Jacobs MA, Bottcher MM, Papandonatos GD. Effectiveness of a Vaping Cessation Text Message Program Among Young Adult e-Cigarette Users: A Randomized Clinical Trial. JAMA Intern Med. 2021 Jul 1;181(7):923-930. doi: 10.1001/jamainternmed.2021.1793. PMID:
    33999133; PMCID: PMC8129897.
  • Hall SM, Prochaska JJ. Treatment of smokers with co-occurring disorders: emphasis on integration in mental health and addiction treatment settings. Annu
    Rev Clin Psychol. 2009;5:409-431.
  • NIDA. 2020, January 8. Vaping Devices (Electronic Cigarettes) Drug Facts. Retrieved from https://nida.nih.gov/publications/drugfacts/vaping-deviceselectronic-cigarettes on 2023, November 30
  • Precker, Michael. “Need another reason not to vape? Your oral health is at risk.” American Heart Association News, August 26, 2020,
    https://www.heart.org/en/news/2020/08/26/need-another-reason-not-to-vape-your-oral-health-is-at-risk [accessed 2024 Jan 19]
  • Smith TT, Nahhas GJ, Carpenter MJ, et al. Intention to Quit Vaping Among United States Adolescents. JAMA Pediatr. 2021;175(1):97–99.
    doi:10.1001/jamapediatrics.2020.2348
  •  Texas Department of State Health Services. Behavioral Risk Factor Surveillance System (2017-2021).
  • Park-Lee E, Ren C, Cooper M, Cornelius M, Jamal A, Cullen KA. Tobacco Product Use Among Middle and High School Students — United States, 2022. MMWR Morb Mortal Wkly Rep 2022;71:1429–1435
  • U.S. Department of State Health Services National Institutes of Health. Reasons to Quit: Smoking and the Management of Chronic Health Conditions.
    Retrieved from https://veterans.smokefree.gov/reasons-quit/smoking-chronic-health-conditions on 2024, January 10
  • U.S. Department of Health and Human Services. Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General. Atlanta: U.S.
    Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health
    Promotion, Office on Smoking and Health, 2012 [accessed 2019 Feb 28].
  • U.S. Department of Health and Human Services. Smoking Cessation: A Report of the Surgeon, 2020.
  • U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. Atlanta:
    U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health
    Promotion, Office on Smoking and Health, 2014 [accessed 2019 Feb 28].
  • U.S. Department of Health and Human Services. What to Tell Patients About Smoking: A Report of the Surgeon General: How Tobacco Smoke Causes
    Disease, 2010. https://www.cdc.gov/tobacco/sgr/2010/clinician_sheet/pdfs/clinician.pdf
  • Winn DM. Tobacco use and oral disease. Journal of Dental Education 2001;65:306-312.

Additional resources on tobacco use and quitting may be found on the TxOHC Drug and Tobacco Use Resource Page.


Texas Oral Health Coalition
Nationally Approved PACE Program Provider for FAGD/MAGD credit.
Approval does not imply acceptance by any regulatory authority or AGD endorsement. 
7/1/2021 to 6/30/2024.
Provider ID# 346144

This activity has been planned and implemented in accordance with the standards of the Academy of General Dentistry Program Approval for Continuing Education (PACE) through the joint program provider approval of the (Texas Oral Health Coalition, Inc.) and (The University of Texas at Austin | Dept. of Kinesiology & Health Education, Tobacco Research and Evaluation Team). The (Texas Oral Health Coalition, Inc.) is approved for awarding FAGD/MAGD credit. (Texas Oral Health Coalition, Inc. AGD ID # 34614).


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