DoD/VA Tobacco DoD/VA Tobacco Cessation Clinical Cessation Clinical Practice Guideline Practice Guideline

(CPG)(CPG)

Captain Larry N Williams, DC, USN

DoD Tobacco Cessation SME

DoD/VA Tobacco DoD/VA Tobacco Cessation CPG Update Cessation CPG Update InfoInfo

Evidence based Population health focus Special populations recognized Multi-tiered approach

Guiding PrinciplesGuiding Principles “We have to make cessation

support as accessible as buying cigarettes for those patients who want to quit.”

62% of active duty tobacco users want to quit in the next 6 months

Cessation support should have a range of intensity

One size does not fit all

DoD/VA CPGDoD/VA CPG

DoD/VA CPGDoD/VA CPG

Brief MessagingBrief Messaging ““Brief Messaging” is a Brief Messaging” is a

must!!!!!must!!!!! Look for the teachable Look for the teachable

momentmoment 5% will change behavior5% will change behavior You don’t know which 5%You don’t know which 5% Apply to personal issues and Apply to personal issues and

needsneeds Also seek application to familyAlso seek application to family

Dynamics

Only a 2 to 3 minute message Use every

opportunity Short but sweet Personalize Make it pertinent

to visit if possible

Brief MessagingBrief Messaging 5 categories5 categories

No tobacco use age 10 to 25No tobacco use age 10 to 25 + Tobacco use, wants to + Tobacco use, wants to

quitquit + Tobacco use, uncertain + Tobacco use, uncertain

about quittingabout quitting + Tobacco use, does not + Tobacco use, does not

want to quitwant to quit Former userFormer user

““Brief Messaging” is a Brief Messaging” is a must!!!!!must!!!!!

Additional ResourcesAdditional Resources

www.smokefree.gov 1-800-quit-now

Additional ResourcesAdditional Resources

www.smokefree.gov/ www-nehc.med.navy.mil