Panhandle Kicks the Habit Smoking cessation project from

Panhandle Kicks the Habit Smoking cessation project from Department of Medicine and Pharmacy TTUHSC Rahul Chandra MD Assistant Professor Dept of Medicine , TTUHSC Amarillo

Cigarette Smoking Cigarette smoking is injurious to health everybody knows that !!!!!!! Its says on the cigarette pack !

Our logo Spread the word ……….

Objectives �Objectives: �To compare percent of enrolled subjects who achieve abstinence from smoking at 8 weeks and 6 months compared to Cochrane database. �To compare percent of subjects who attempt to stop smoking by enrolling in the study to average percent of other studies. �To compare subjects who use the Facebook page; text messaging support; smartphone application or combination of these as offered by the program cessation rate to subjects who do not utilize the program. �To compare subjects, who do not completely quit smoking, amount of cigarettes per week at baseline to end of study. �Validate self-reports of abstinence between baseline and 8 weeks by measuring a level of exhaled carbon monoxide ≤ 10 ppm.

Inclusion Criteria �Current Smoker �Age 18 -100 �Admitted to Northwest Texas Hospital under Texas Tech Internal Medicine service �Willing to try to quit smoking �Admitting diagnosis of one of the following: �Chronic Obstructive Pulmonary Disease, Hypertension, Asthma, Chronic Heart Failure, Diabetes Mellitus, History of Coronary Artery Disease or Cerebrovascular Disease, Pneumonia, or Peripheral Vascular Disease

Exclusion Criteria �Comatose �Intubated �Hospice �Pregnant �Breast feeding �Psychosis �Does not understand English or Spanish

Precautions for NRT �Active Unstable angina �Active MI �Arrhythmias �Hyperthyroidism �Pheochromocytoma �Accelerated hypertension �Acute Stroke �Allergy to nicotine �Allergy to tape

Follow-up Interventions Every 2 weeks till a total 8 weeks (60 days) Up to 12 weeks if patient wants Intervention at Follow-up o. Carbon Monoxide testing at each follow-up visit o. Group Education at least 30 minutes per session but not more than 60 minutes. o. Refill Medications (patch, gum, or combination) o. Follow-up kit sunflower seeds, hard candy, gum and/or toothpicks. o. Follow-up questionnaire (Appendix E) pertains to questions about oquitting success ofeedback on NRT oactual use of and feedback on Social media forms of Facebook , text messaging, & phone app odocuments any readmission to hospital Outcomes Primary outcomes: ·Eight weeks of smoking cessation, defined as self-reported abstinence for 8 weeks (assessing every 2 weeks) and validated by measuring a level of exhaled carbon monoxide of < 10 ppm 22. ·The percent of subjects who attempt to stop smoking by enrolling in the study compared to Cochrane database review of 2008. 23 Secondary outcomes include: ·Subjects who use the Facebook page; text messaging support; phone application or combination of these as well as their abstinence rates defined as self-reported at 8 weeks and validated by measuring a level of carbon monoxide compared to subjects who did not use these resources. ·The percent decrease of cigarettes/week if subject is still smoking at end of study. ·Abstinence rate at 6 months by a telephone call by subjects self-reporting.

Smartphone application

Text messaging 1. Open Internet Browser 2. Enter: smokefree. gov (see below) 3. Click on Smokefree. TXT (see above)