1. C ERTIFIED T OBACCO E DUCATOR C OURSE Maureen Black BSC RRT COPD Coordinator, Health PEI Anja Salijevic BSC CHES Health Promotion Assistant, Canadian Cancer Society

2. P URPOSE OF THE COURSE The Certified Tobacco Educator (CTE) credential recognizes healthcare professionals who provide excellence in tobacco prevention and cessation services to their clients. This new internationally recognized credential demonstrates to clients, peers and supervisors that you have the competencies to provide comprehensive, evidence-informed tobacco education in health promotion and care.

3. C ONTINUED … The CTE program trains healthcare professionals to use a disease management approach to tobacco use disorder. Empower clients to manage their own health goals and quit smoking successfully. Certification exam was written June 05, 2015 results are pending.

4. C OURSE FUNDING RECEIVED FROM PETRA Four health professionals from PEI attended: Maureen Black B Sc. RRT Katelyn Mahar RRT Wade Norquay RRT Anja Salijevic B Sc. CHES Course divided into two main components:  Days 1-2 Health Education  Days 3-4 Tobacco Education

5. M OTIVATIONAL I NTERVIEWING (MI) 4 Processes vs Righting Reflex PACE OARS Change Talk

6. S TATISTICS

7. A DAPTING A PPROACH TO C LIENT C HARACTERISTICS Aboriginal People Youth Mental Health and/or other Addictions Pregnant and breastfeeding women

8. CAN ADAPTT G UIDELINES Combining counselling and smoking cessation medication is more effective then either alone. Both should be provided to clients who are trying to stop tobacco use, where feasible. Health care providers are encouraged to provide counselling that supports abstinence from tobacco and/or cessation to youth (children and adolescents) that use tobacco. During pregnancy and breastfeeding, counselling is recommended as first line treatment for smoking cessation.

9. T OBACCO I NDUSTRY Tobacco Control MeasuresTobacco Industry Counter Measures Taxation and Pricing PolicyContraband Tobacco Product Smoker-free SpacesSmokeless Tobacco E-cigarettes Advertising & Promotion Regulations (e.g., package warnings & the banning or retail displays) Tobacco Advertising & Onsite Promotion (e.g., handing out free cigarettes at night clubs) Denormalization of Tobacco UseProduct Placement in Movies

10. M ANUFACTURING T ACTICS FiltersMenthol“Light” New Filters reduced the amount of chemicals entering the body Perceived as a healthy remedy for cold remedies Menthol gave the impression of a healthier product while making inhaled smoke less irritating. Thinner or less flavourful cigarettes that have the impression of being less harmful. Often a direct appeal to women.

11. A NATOMY OF A CIGARETTE Carefully designed to make it an effective product. Permeable paper helps to control the way a cigarette burns. When a smoker is not inhaling the cigarette, it does not burn.

12. C ONCLUSION Greater face to face support for individuals quitting smoking Importance of health literacy and client centered care Applying social determinants of health when working with individuals

13. Thank you!