The goal of this course is to increase the proficiency of respiratory therapists in the 5A’s (and AAR) model and in pharmacotherapy recommendations by utilizing modules specifically designed for respiratory therapists.
The training will provide the RT with guidance for delivery of personalized, tailored tobacco cessation interventions, which may be offered in a variety of environments. This training will build upon existing resources to improve the knowledge, behaviors and self-efficacy for providing brief interventions. The program addresses the need for tailored, interactive, behaviorally focused video examples to demonstrate appropriate interactions with the tobacco user.
This course is approved for 5.0 CRCE hours.
This course was developed through a grant from the Independent Grants for Learning & Change (IGLC) at Pfizer, Inc.
- Describe the prevalence of tobacco use across the United States.
- Describe health consequences associated with tobacco use.
- Describe health benefits associated with tobacco cessation.
- List compounds contained in tobacco smoke that can cause harm to humans.
- Describe tobacco and nicotine containing products.
- Describe the pharmacokinetic profile of nicotine (absorption, distribution, metabolism, and excretion).
- Describe the pharmacodynamic effects of nicotine on the central nervous and cardiovascular systems.
- List neurotransmitters that are affected by nicotine and their effects.
- Describe the dopamine reward pathway and its role in nicotine addiction.
- List symptoms of nicotine withdrawal and their peak and duration.
- Explain in lay language to a patient the physiological and behavioral components of nicotine addiction and treatment for each of these components.
- List non-nicotine pharmacologic aids for cessation
- Select appropriate pharmacologic agent(s) based on patient-specific factors.
- Describe the efficacy of the various non-nicotine pharmacologic aids for cessation (Bupropion SR, Varenicline)
- Describe the proper use of the following nicotine replacement therapy agents (including dosing, instructions on use, potential side effects, and precautions): Nicotine polacrilex gum, Nicotine polacrilex lozenge, Nicotine transdermal patch, Nicotine nasal spray, Nicotine inhaler
- Describe how certain beverages can affect the absorption of nicotine from the buccal mucosa.
- Describe the relative daily costs of the pharmacologic aids for cessation compared to cigarette smoking.
- Assess appropriateness of combination pharmacotherapy.
- Assess a tobacco user’s readiness to quit.
- List and describe the 5 A’s.
- Describe the key counseling strategies for patients who are not ready to quit, including the 5 R’s.
- Describe the AAR model.
- Describe the use of Motivational Interviewing as an evidence-based method for brief interventions in the treatment of tobacco use and dependence.
- Describe the constructs of Motivational Interviewing to help change behavior.
- Assess the patient’s stage of change given a patient scenario.
- Identify Motivational Interviewing techniques given a patient scenario.
- List the health risks associated with teen tobacco use.
- Describe effective smoking cessation strategies for adolescent patients.
- Describe effective strategies to decrease exposure to environmental tobacco smoke.
- List the cardiovascular health risks associated with smoking.
- Describe effective smoking cessation strategies for patients with cardiac disease.
- Describe appropriate use of medications to aid in smoking cessation for patients with cardiac disease.
- List health risks associated with smoking during pregnancy.
- Describe effective smoking cessation strategies for pregnant smokers.
- Describe appropriate use of medications to aid in smoking cessation for pregnant smokers.
- Describe appropriate responses to challenging patient statements.
- Describe the reimbursement codes for tobacco cessation counseling.
- Discuss development of an interdisciplinary tobacco dependence treatment and counseling program.
- Describe strategies to answer common questions asked by tobacco users.
- Discuss other opportunities to facilitate tobacco dependence treatment.