Overview:

Despite the availability of tobacco cessation services, many patients with trauma find difficulty in quitting tobacco use, and may rely on tobacco to regulate negative emotions or cope with trauma. Many providers are unaware of the link between trauma and tobacco use--some may perceive this as a lack of motivation from patients. Other providers may be concerned about upsetting patients, or may not have the capacity to address trauma during interactions with patients. This may prevent patients with trauma from exploring healthy coping mechanisms or accessing tobacco cessation services. In order to improve tobacco cessation outcomes, providers must adopt a trauma-informed approach and be equipped with the knowledge and strategies to collaborate with patients who have a history of trauma. Ideally, providers will foster mutuality and address patients' challenges with cessation in an affirming and motivational manner. 

The gap in integrating a trauma-informed approach to tobacco cessation arises from several factors. Healthcare providers often face time constraints, limiting their ability to fully acknowledge the needs of their patients and address trauma. Furthermore, providers' bias can hinder their effectiveness--there may be a tendency to refer patients who appear more motivated to quit tobacco use or more likely to succeed, overlooking those with increased difficulty and trauma. Providers may be unaware of potential treatments such as nicotine replacement therapy, and cannot share information about how to access and use these safely. Some health agencies may not prioritize tobacco use cessation efforts, and providers may not see this as a primary medical concern when working with patients. Healthcare systems may also lack the resources, engagement, and finances to implement a trauma-informed approach. Addressing these issues requires engaging with healthcare providers and prioritizing trauma-informed approaches to tobacco use cessation.   
 

TARGET AUDIENCE:

Healthcare professionals, including physicians, nurses, advanced practice providers, respiratory therapists, behavioral health specialists, and allied health staff, who are engaged in tobacco cessation efforts and work directly with patients. 

    LEARNING OBJECTIVES:

    • Integrate a trauma-informed approach and motivational interviewing techniques with individuals considering tobacco cessation.
    • Identify patient strengths and potential alternative behaviors/healthy coping strategies.
    • Support patient self-efficacy and establish trust.
    • Share tobacco cessation resources and information about NRTs (nicotine replacement therapy). 
    • Discuss culturally responsive and trauma-informed communication strategies to engage underserved and high-risk populations in tobacco cessation efforts.

    The following faculty have indicated no relevant financial relationships with ineligible companies. 

    Presenter:

    Alicia O. Carranza, MPH, MCHES®, NBC-HWC, CTSS, DrPH   Health Educator, Tobacco Use Prevention Program, OC Health Care Agency

    Moderators: 

    Sophia Yeung, MHA   Administrative Program Manager, Tobacco Cessation and Lung Cancer Screening Programs, City of Hope

    Brenda Gascon  

    Safa Mohammed, BS   Project Coordinator, Tobacco Cessation Program, City of Hope

    Bennet Tseng, OMS4   Western University of Health Sciences, MPH Candidate, Claremont Graduate University

    Method of Participation

    • Participation in Live Session via Webinar. You can pre-register here. 
    • Completion of Course Evaluation, which will be available to course participants after the session. 

    CME Credit:

    Clinicians interested in claiming CME credit must: 

    1. Have an account in the City of Hope CME system. 
    2. Be prepared to record their attendance by texting in an Attendance Code to the CME System via their registered mobile number. 

    If you do not have an account in the City of Hope CME System and/or are not familiar with the Attendance Code text-in method, please take a moment now to complete the following steps:

    1. Create account here!
    2. Save the City of Hope CME Text-in number in your cell phone contacts
      • City of Hope CME Attendance Text-in number is: (626) 314 - 7448 

    ACCREDITATION:

    ACCREDITATION STATEMENT: City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    CREDIT DESIGNATION: City of Hope designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

    The following credit type(s) are being offered for this course:

    •  AMA PRA Category 1 Credit™  1.5

    The following may apply AMA PRA Category 1 Credit™ for license renewal:

    Registered Nurses: Nurses may report up to 1.5 credit hours toward the continuing education requirements for license renewal by their state Board of Registered Nurses (BRN). AMA PRA Category 1 Credit™ may be noted on the license renewal application in lieu of a BRN provider number.

    Physician Assistants: The National Commission on Certification of Physicians Assistants states that AMA PRA Category 1 Credit™ accredited courses are acceptable for CME requirements for recertification.

    Register to Participate!

    This activity is free of cost. Click here to register.