Section: Module 3: Lesson 1: Tobacco Specific Information and Approaches | Substance Use Disorders in Primary Care | NextGenU.org

  • Learning Objectives:

    Upon completion of the first lesson of Module 3, students should be able to:

    • Discuss the effectiveness of tobacco cessation interventions.
    • Recognize quick, in-practice resources to support tobacco cessation interventions.
    • Describe the personal health disease risks (cardiovascular, respiratory, and cancer) associated with tobacco use.
    • Describe the general benefits of quitting smoking.
    • Discuss the symptoms of tobacco withdrawal and the methods of dealing with those symptoms.
    • Summarize the health consequences of involuntary (secondhand) exposure to tobacco smoke.
    • Describe the link between tobacco and Chronic Obstructive Pulmonary Disorder (COPD) and be familiar with best practices for the management of COPD.
    Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour.

    Click here to start this lesson

    • Required Learning Resources and Activities
    • In this resource titled "Quitting Tobacco" read the information in the table to learn about the effectiveness of smoking cessation interventions.

    • Read this entire article titled "The Role of the Primary Care Physician in Tobacco Use Prevention and Cessation." It is an excellent overview of the physician's role in tobacco use prevention and cessation.

    • Use "Helping Smokers Quit: A Guide for Clinicians" as an overview resource to consult conveniently and often as you implement smoking cessation advice in your practice. If you wish, build your own tip sheet for your clinical practice, including elements that are most relevant to your context based on this and other resources.

    • In the "Behavioural Science Learning Modules" document review Tables 2-3 and Figure 1, (pp. 8-10). Note: Table 4 (p. 13), and Table 5 (pp. 16 - 18) are optional. These tables and figures will give you a general overview of statistics and conditions related to smoking. Then, beginning at the section titled "Address the topic of smoking and tobacco use," read pp. 23-33. Pay special attention to Tables 7-11 and Figure 2 for tips and flowcharts to help you in your clinical practice. Read Appendices 3 and 4 (pp. 46-57) to help you understand how to give cessation advice in practice. The rest of this manual is supplementary. As you might have already noticed, similar intervention protocols and concepts are covered in other learning resources. This particular resource is more than 10 years old, so some new research has since influenced practices and policies, but most of it is still relevant and accurate.

    • Read the entire webpage titled the "Health Effects of Cigarette Smoking" to learn more about the personal health risks of tobacco use.

    • Read the entire factsheet to learn more about the general benefits of quitting smoking.

    • Read the entire webpage titled "How To Handle Withdrawal Symptoms and Triggers When You Decide To Quit Smoking." It provides further information on how to deal with tobacco withdrawal symptoms in language adapted for patient self-help.

    • Read this short resource to learn more about the effects of secondhand smoke on the health of children.

    • This "Pocket Guide to COPD Diagnosis, Management, and Prevention" provides you with an overview of COPD diagnosis and management, including co-morbidities. Please read pp. 4 - 22. It is very likely that spirometry for diagnosis and many of the medications for COPD will be hard to access in the setting of a low- or middle-income country, but this will nevertheless give an overview of best practices. If appropriate, you can discuss with your peers and your mentor how to best address the difficulties in accessing adequate assessment and management tools, drugs, and other support for this condition, or any other of the comorbidities or complications associated with substance use disorders.

    • To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.
    • Additional Learning Options
    • In this article titled "Physician Communication Regarding Smoking and Adolescent Tobacco Use" read the "Abstract" and the "Discussion" section.

    • The most useful sections in this resource are titled "How does smoking cause cancer?" and "What's in a cigarette?". However, read any section of interest to you.

    • This web page titled "COPD - Tools & Resources" offers links to several clinical resources for COPD.

    • This resource titled "Chronic Obstructive Pulmonary Disease (COPD)" provides you with another set of best practices in relation to COPD diagnosis and management.