Promoting Clinical Tobacco Interventions To Physicians, Pharmacists and Dentists National Conference on Tobacco or Health Boston MA, December 10-12, 2003 Jennifer Hart, Ontario Medical Association Sherrie Hertz, Ontario Pharmacists’ Association Linda Samek, Ontario Dental Association

Presentation Goal Describe the development and growth of CTI. Describe strategies used to facilitate sustainable behaviour change. Discuss outcomes.

To mobilize physicians, pharmacists and dentists to perform tobacco cessation and prevention interventions. Target population of approximately 35,000 practitioners serving the Ontario population of 12 million persons. CTI is funded, in part, by the Government of Ontario as part of the Ontario Tobacco Strategy.

Key Strategies Make it EASY! Repeated contacts with practitioners

Make it Easy!!! Education Kits Training Programs Compendium

Repeated Contacts with Practitioners Recruitment and Promotion Follow-up and Support

Recruitment and Promotion Strategies Journal articles Training program invitations Conference and meeting participation Website Promotional items

Follow-up and Support CTI Bulletin Compendium Website Journal Articles Conferences EAC

Outcomes 88 training programs >3,600 health care professionals trained >6,900 education kits requested Practitioners receiving newsletter increased from approx 4,000 in 2001 to 8,000 in 2003

Activity Survey All three provider groups are actively engaged in discussing smoking and tobacco use with their patients. –Dentists 89% –Physicians 84% –Pharmacists 95% Patient information is cited most frequently as the resource found most useful in all three practice situations.

Activity Survey Highlights 81% of dentists ‘Congratulate non-smokers’ for remaining smoke-free. (65% in 2000) 76% of physicians ‘Ask all patients about tobacco use’. (63% in 2000) 54% of pharmacists reported ‘Discussing setting a quit date’. (29% in 2000)

Activity Survey (cont’d) Time spent on smoking cessation activities (in minutes) No TrainingAverageTrained Dentists23 Physicians567 Pharmacists667