A Fresh Start for WIC: Tailoring Smoking Cessation for WIC Participants and Their Families Laura A.Van Dyke, CSW Saint Vincent Catholic Medical Centers New York City (212)604-7572 - PowerPoint PPT Presentation

Loading...

PPT – A Fresh Start for WIC: Tailoring Smoking Cessation for WIC Participants and Their Families Laura A.Van Dyke, CSW Saint Vincent Catholic Medical Centers New York City (212)604-7572 PowerPoint presentation | free to download - id: 5ac3c-ZDc1Z



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

A Fresh Start for WIC: Tailoring Smoking Cessation for WIC Participants and Their Families Laura A.Van Dyke, CSW Saint Vincent Catholic Medical Centers New York City (212)604-7572

Description:

Three staff hired to implement smoking cessation program at system's 9 WIC sites ... WIC sites (nutrition month and breastfeeding fairs) Attendance at WIC ... – PowerPoint PPT presentation

Number of Views:23
Avg rating:3.0/5.0
Slides: 18
Provided by: acs88
Learn more at: http://ncth.confex.com
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: A Fresh Start for WIC: Tailoring Smoking Cessation for WIC Participants and Their Families Laura A.Van Dyke, CSW Saint Vincent Catholic Medical Centers New York City (212)604-7572


1
A Fresh Start for WIC Tailoring Smoking
Cessation for WIC Participants and Their
FamiliesLaura A.Van Dyke, CSW Saint Vincent
Catholic Medical CentersNew York
City(212)604-7572
2
Background Information
  • Saint Vincent Catholic Medical Centers (SVCMC)
    received a three-year grant from NYS DOH
  • Three staff hired to implement smoking cessation
    program at systems 9 WIC sites
  • WIC is a supplemental nutrition program for
    qualified women, infants and children

3
Program Planning
  • Met with WIC site directors in each region
    (Brooklyn/Queens, Manhattan and Staten Island)
    and conducted needs assessment
  • Researched perinatal smoking cessation techniques
  • Partnered with American Cancer Society to receive
    training in Make Yours A Fresh Start Family
    (MYFSF) model and ongoing technical assistance
    throughout the year

4
MYFSF Program Description
  • MYFSF is a comprehensive package for health care
    providers to assist them in counseling their
    pregnant and parenting clients to stop smoking
  • Based on U.S. Public Health Service Clinical
    Practice Guidelines for Treating Tobacco use and
    Dependence

5
Adaptation of MYFSF for WIC Population
  • Met with WIC directors and nutritionists
    regarding capacity to implement brief cessation
    counseling
  • Collaborated with WIC staff on the development of
    data collection tools
  • Developed brochure to introduce program for WIC
    participants and offer phone counseling

6
Provided 3 MYFSF Training Sessions to WIC Staff
in each region
  • Smoking facts and figures
  • Smoking cessation and the process of behavior
    change
  • The 3-5 minute brief counseling technique (based
    upon stage of change theory and 5As of
    intervention)
  • Use of progress chart to track smoking behavior/
    exposure to ETS
  • System of chart identification (red dots or log)
  • Role Plays

7
Program Implementation
  • By Feb.1, 2002 all sites trained and ready to
    implement MYFSF program

8
Expectations
  • Smoking status asked at every visit and an
    intervention offered based on stage of smoking
    behavior
  • Materials/magazines offered to all smokers and
    those exposed to ETS
  • Efforts documented and filed in participants
    chart
  • Red dots used to flag charts
  • Follow-up at subsequent visits to facilitate
    movement along stages of change

9
Technical Support Provided by Tobacco Cessation
Program
  • Phone support to all WIC staff
  • Phone counseling to WIC participants seeking
    additional support
  • Participation in health fairs at WIC sites
    (nutrition month and breastfeeding fairs)
  • Attendance at WIC staff meetings
  • Provide educational materials (brochures,
    literature, videos) and varied incentives to quit
    smoking

10
Relationship Building Creating a Partnership
Between WIC Staff and our Tobacco Cessation
Program
  • Enhanced by our status as employees of SVCMC
  • Involved WIC directors and staff in every step of
    program development
  • Encouraged environment for open discussion of
    concerns
  • Prioritized staff recognition luncheons
  • Identified environmental barriers to program
    success (i.e. facilitated child-friendly
    environments)

11
Program Assessment and Evaluation
  • Conducted process evaluation with nutritionists
    via focus groups and surveys
  • Conducted chart review to determine utilization
    of progress charts and assess follow-up

12
Our Findings
  • 8 of 9 sites implemented program
  • 90 of nutritionists think they can have positive
    effect on smokers behavior
  • 60 think brief cessation counseling is an
    important part of their job
  • the other 40 indicated that it is important, but
    need more strategies for making time
  • 292 charts (of women, infants and children) were
    flagged as smokers or as exposed to second-hand
    smoke

13
Findings (continued)
  • Chart review conducted on 122 of the total 292
    charts
  • 52 asked about smoking status at subsequent
    visits
  • 48 documented that materials were provided
  • 56 of charts revealed some movement
    (micro-movement) along the stages of change (this
    figure includes women who spontaneously quit due
    to pregnancy)

14
Barriers to Program Implementation
  • Limited time for counseling patients and
    documenting efforts due to high caseloads (1890)
  • Lengthy waiting period in often crowded and
    chaotic environment
  • Nutritionists personal views about smoking
  • Introduction of new computer system (WICSYS)
    impedes counseling process

15
Strategies
  • Modify intervention to core elements ask, offer,
    document
  • Create child-friendly environments
  • Empower nutritionists
  • Meeting with WIC at state level to discuss
    problems with computer tobacco screen

16
Ongoing Improvements
  • Maintain the partnership with ACS that has
    enabled us to achieve our success to date
  • Continue to build relationship with WIC staff and
    be responsive to their suggestions
  • Consultation with NYS WIC department as they
    pilot the MYFSF model in two WIC sites in NYS
  • Expansion into SVCMC outpatient clinics

17
Special Thanks
  • Elena F. Deutsch, MPH, Director, Tobacco Control,
    American Cancer Society, NYC
  • Patricia M. Lamberson, MPH, Senior Health
    Educator, SVCMC
  • Lupe Flores, BA, Health Educator, SVCMC
About PowerShow.com