Course: Tobacco Cessation (with examples from Caribbean Countries)

General

General
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Tobacco Cessation (with examples from Caribbean Countries) Homepage
Welcome to Tobacco Cessation (with examples from Caribbean Countries). This virtual course provides participants with the tools for strengthening tobacco cessation services in Primary Health Care (PHC) settings. It aims to improve participants’ knowledge, skills, and attitudes regarding tobacco cessation.
Tobacco Cessation (with examples from Caribbean Countries) is sponsored by the Pan American Health Organisation (PAHO). This course was originally delivered on PAHO’s Virtual Campus for Public Health (VCPH) platform to a chosen cohort of PHC providers in the Caribbean. The course is largely based on PAHO’s “Part III (Training for Primary Care Providers): Building capacity for tobacco control: training package” and the course Training for Primary Care Providers: Brief Tobacco Interventions. It uses learning resources from accredited, world-class organizations such as the Pan American Health Organization and the World Health Organization.
WHO/PAHO members developed and reviewed the technical contents of this course with the participation of Kavita Singh, Regional Data Coordinator, Tobacco Control; Elisa Prieto, Advisor, Non Communicable diseases and mental health, Subregional Program Coordination; Eduardo Bianco,Technical Director of the International Center for Tobacco Control Cooperation; Irene Melamed, Consultant and Coordinator, Virtual Campus of Public Health; and Francisco Armada Perez, Regional Advisor for Tobacco Control; NextGenU.org’s staff adapted the technical content and collaborated in developing assessments and other didactic materials.NextGenU.org members participating in the creation of this course include Margaret Niles, PhD, MEd, DipID; Hugo Rojas, MD, MSc, DiplEd; Jesse Ramkalawan, BSc; Carolina Bustillos, MD, DiplEd; Pablo Baldiviezo, MD, DiplEd.
For publications on NextGenU.org’s courses’ efficacy, see “A Novel Integration of Online and Flipped Classroom Instructional Models in Public Health Higher Education,” (2014), BMC Medical Education, “Building Public Health Capacity through Online Global Learning,” (2018), Open Praxis, or on NextGenU.org’s publication page. Subscribe to our newsletter to be notified of future updates, new courses, and to be part of our community.

There are 11 modules to complete, which include:

Module 1: Introduction: Cessation as One of the Elements of Tobacco Control in the Caribbean;

Module 2: The Role of Primary Care Providers in Tobacco Control and Tobacco Dependence Treatment;

Module 3: Basics of Tobacco Use and Tobacco Dependence;

Module 4: Tobacco, Health, and COVID-19;

Module 5: Overview of Brief Tobacco Interventions;

Module 6: Asking, Advising, and Assessing Readiness to Quit;

Module 7: Dealing with Low Motivation

Module 8: Assisting and Arranging for Follow-Up;

Module 9: Pharmacological Interventions;

Module 10: Other Cessation Interventions; and

Module 11: Tobacco Cessation During Pregnancy.

The completion time for this course is estimated at 28 hours, including 8 hours of learning resources that include webinars, 8 hours for time to study content, and 12 hours of participating in learning activities and quizzes to assist the learners in the synthesis of learning materials.

Requirements for completion of course:

The course will be delivered asynchronously. Participants are required to complete quizzes, assignments, simulations, and a final exam to pass the course. Participants who complete the course will receive a certificate of completion.

At the end of each Module, there is a quiz of ten (10) multiple-choice questions. After you’ve completed each Module, quiz, and learning activity, at the end of the course, you’ll have access to a final exam consisting of thirty (30) multiple-choice questions, and a chance to evaluate this course. The final exam will be designed so that participants can have multiple opportunities to answer correctly until the required score of 80% or higher is obtained. Once you’ve passed the last test, you will be able to download a certificate of completion from NextGenU.org endorsed by the Pan American Health Organization. We keep all of your personal information confidential, never sell any of your information, and only use anonymized data for research purposes. Also, we are happy to report your testing information and share your work with anyone (your school, employer, etc.) at your request.

Engaging with this Course:

You may browse this course for free to learn for your personal enrichment; there are no requirements. To register in this course, it is required that learners have obtained a college-level/bachelor's degree.

To obtain a certificate a learner must successfully complete

All the reading requirements,

All quizzes and pass with a 70% with unlimited attempts,

All Activity simulations,

All discussion forums,

The final exam with a minimum of 70% and a maximum of 3 attempts, and

The self and course evaluation forms.

To obtain credit:

Complete all requirements listed above for the certificate, and

Your learning institution or workplace should approve the course for educational credit, as they would for their learner taking a course anywhere.

NextGenU.org is happy to provide your institution with:

A link to and description of the course training, so they can see all its components, including the cosponsoring universities and other professional organization cosponsors;

Your grade on the final exam;

Your work products (e.g. Discussion forum activities), and any other required or optional shared materials that you produce and authorize to share with them;

Your evaluations -- course, and self-assessments;

A copy of your certificate of completion, with the co-sponsoring universities and other organizations listed.

To obtain a degree, NextGenU.org co-sponsors degree programs with institutional partners. To obtain a full degree co-sponsored with NextGenU.org, registrants must be enrolled in a degree program as a student of a NextGenU.org institutional partner. If you think that your institution might be interested in offering a degree with NextGenU.org contact us.

We hope that you will find this a rewarding learning experience, and we count on your assessment and feedback to help us improve this training for future students.

Here are the next steps to take the course and earn a certificate.

Complete the registration form.

Take the pre-test.

Begin the course with Module 1: Introduction: Cessation as One of the Elements of Tobacco Control in the Caribbean. In each lesson, read the description, complete all required readings and any required activity, as well as take the corresponding quizzes.
This course meets nationally approved standards of education developed for the addiction/substance use disorders counseling profession. This course's participants are assured that the continuing education (CE) credits provided will be accepted toward national credentialing by the NAADAC Certification Commission for Addiction Professionals (NCC AP), as well as by many of the individual state licensing/certification bodies in the addiction and other helping professions.

Disclaimer: This course is Caribbean-focused, and although many of the resources will be helpful for a global audience, the content will need further contextualization for those outside of the Caribbean.
Module 1: Introduction: Cessation as One of the Elements of Tobacco Control in the Caribbean
Student Learning Outcomes:

Understand the concept of tobacco use as a global epidemic, with emphasis on the Americas and The Caribbean.

Describe the FCTC and basics of tobacco control.

Recall the main objective of FCTC Article 14 and the guidelines for implementation.

Describe the synergies that exist between FCTC and HEARTS-PEN.

Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 3 hours and 6 minutes.
Click here to start this module
5 URLs
- Live Session
- Webinar 1: Introductory Session - Online Training on Tobacco Cessation for Caribbean Countries URL
  This video is a recording of a webinar session that was delivered to a cohort of students from the Caribbean. Watch the entire video to better understand the module’s content. (47 minutes)
- Required learning readings and activities
- Video: WHO FCTC 15 Years: Working towards a tobacco-free world URL
  This video provides an overview of the tobacco epidemic and the role of the FCTC in tobacco control.
  Watch the entire video. (2 minutes)
- Video: MPOWER tobacco control measures URL
  This video provides an overview of tobacco use as a global epidemic. It also summarizes the WHO Framework Convention on Tobacco Control (FCTC) and MPOWER measures. Watch the entire video for a summary of these concepts.
  Watch the entire video. (3 minutes)
- Introduction to Tobacco Cessation as One of the Elements of Tobacco Control in the Caribbean URL
  Read the entire Slideset. (18 minutes)
- Quiz
- Quiz: Module 1
  Restricted Not available unless:
  The activity Course Registration is marked complete
  The activity Pre-Test is marked complete
  
  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.
- Recommended Additional Readings
- Recommended Readings URL
  Review the recommended reading of your interest. (1 minute)
Module 2: The Role of Primary Care Providers in Tobacco Control and Tobacco Dependence Treatment
Student Learning Outcomes:
- Explain the role of primary care providers in tobacco control and tobacco dependence treatment.
- List the existing effective tobacco treatment methods.
- Define brief tobacco interventions.
- Examine the feasibility and effectiveness of brief tobacco interventions.
- Outline the content of brief tobacco interventions (5A's).
Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 2 hours.
Click here to start this module
3 URLs, 1 Forum, 1 Quiz
- Required learning readings and activities
- Module 2 Readings URL
  This content is taken from Module 1 of PAHO's self-learning course, Training for primary care providers: brief tobacco interventions.
  Please complete the interactive activities and read all of the content in the sections entitled "Welcome" and "Module 1." This will provide you with all relevant information to complete Module 3: The Role of Primary Care Providers in Tobacco Control and Tobacco Dependence Treatment. (20 minutes)
- Activity
- Discussion Forum: Evaluating brief tobacco interventions (BTIs) (60 minutes)
  Instructions:
  The hospital/health center that you are working at is implementing new strategies to help tobacco users quit smoking. However, cost of implementation and feasibility seems to be a major concern. The new head of your department has asked you for a suggestion, taking into consideration the resources available at your workplace and the attitudes and culture of your patients towards smoking.
  Step 1: Reflect
  Based on the contents of the module, reflect on why BTIs are highly recommended to help patients stop smoking. Consider the following:
  What makes BTIs effective?
  What is the feasibility for implementation in your workplace?
  Step 2: Suggest
  Suggest how the implementation of BTIs can be beneficial to improving smoking cessation outcomes among your patients. Create a short piece of writing (400-500 words) that encompasses your answers. Use the following points to guide your discussion:
  Provide brief background information on your workplace and patients. Include an overview of strategies/interventions that are currently implemented to promote smoking cessation, and how successful they have been. If there are no strategies/interventions currently implemented, feel free to write about your own experiences with patients.
  Indicate how the patients can benefit from the implementation of BTIs.
  Explain how/why the implementation of BTIs is feasible and accessible for your hospital/health center and patients.
  Indicate whether you think BTIs alone is sufficient to reduce tobacco use among your patients. If not, explain why, and suggest what other measures you think may be necessary.
  Step 3: Share
  To share your work, click on the “Add a new discussion topic” button under the post and paste your work in the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).
  Step 4: Interact
  To complete this activity, you will need to reply respectfully and professionally to at least one post made by your peers. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.” If your peer(s) comment(s) on your post(s), please reply. Feel free to interact with the work done by other peers as well!
- Quiz
- Quiz: Module 2
  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.
- Recommended Additional Readings
- Part III: Training for primary care providers URL
  Read the content on slides 5-15.
  Review the recommended reading of your interest. (14 minutes)
- Part III: Training for Primary Care Providers: brief tobacco interventions URL
  Review Table 1 on page 22.
  Review the recommended reading of your interest. (2 minutes)
Module 3: Basics of Tobacco Use and Tobacco Dependence
Student Learning Outcomes:

Explain the biological, psycho-behavioral, and social causes of tobacco use and dependence.

Recall common misconceptions about tobacco use and the associated facts.

Describe the negative health, social, and economic consequences of tobacco use on tobacco users and others.

Explain the benefits of quitting tobacco use.

Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 2 hours and 14 minutes.
Click here to start this module
3 URLs, 1 Forum, 1 Quiz
- Required learning readings and activities
- Module 3 Readings URL
  This content is taken from Module 2 of PAHO's self-learning course, Training for primary care providers: brief tobacco interventions.
  Please click on the heading "Module 2" and complete the interactive activities and read all of the content in the section "Module 2." This will provide you with all relevant information to complete Module 4: Basics of Tobacco Use and Tobacco Dependence. (30 minutes)
- Commit to quit tobacco URL
  This video shows how tobacco use negatively affects the life of tobacco users and those around them. Watch the entire video to understand why it is important to help patients quit.
  Watch the entire video. (2 minutes)
- Offer to help quit tobacco use URL
  This video summarizes the reasons why people use tobacco and the challenges to quitting. Watch from the beginning up to minute 1:53.
  Watch the video. (2 minutes)
- Activity
- Discussion Forum: Tobacco use myths and facts (40 minutes)
  
  In this activity, you will identify the misconceptions about tobacco use in your community or country.
  Step 1: Analyze
  Reflect on the misconceptions about tobacco use that were presented in this Module. Consider the following:
  In your experience (professional or otherwise), have you heard any of these misconceptions before? If so, which were most prevalent?
  What misconceptions do you know of in your community or country that were not mentioned in this Module?
  How do you think that you, as a healthcare worker, can contribute to clarifying common misconceptions about tobacco use in your community/country?
  Step 2: Write
  Create a short discussion post (200-300 words) with your answers to the questions above.
  Step 3: Share
  To share your work, click on the “Add a new discussion topic” button under the post and paste your work in the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).
  Step 4: Interact
  To complete this activity, you will need to reply respectfully and professionally to at least one post made by your peers. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.” If your peer(s) comment(s) on your post(s), please reply. Feel free to interact with the work done by other peers as well!
- Quiz
- Quiz: Module 3
  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.
Module 4: Tobacco, Health, and COVID-19
Student Learning Outcomes:

Summarize the most recent evidence regarding the health consequences of tobacco use.

Describe how smoking influences the risk of COVID-19 infection and the severity of symptoms.

Describe and explain the tools available for tobacco cessation.

Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 3 hours.
Click here to start this module
5 URLs, 1 Quiz
- Live Session
- Webinar 2: Tobacco, Health, and COVID-19 - Online Training on Tobacco Cessation for Caribbean Countries URL
  This video is a recording of a webinar session that was delivered to a cohort of students from the Caribbean. Watch the entire video to better understand the module’s content. (60 minutes)
- Required learning readings
- Coronavirus Disease (COVID-19): Tobacco URL
  Click on each question and read the content provided.
  Read the document. (7 minutes)
- Tobacco Free Initiative: Tobacco and Waterpipe Use Increase the Risk of COVID-19 URL
  Click on the following sections and read the content provided:
  - What are the possible relations between tobacco use and the COVID-19 pandemic?
  - How can use of waterpipe contribute to the spread of COVID-19?
  - Why is this a good time to try and quit tobacco and waterpipe use?
  - Is it safe to use tobacco including waterpipe at home during the COVID-19 pandemic?
  - Why are e-cigarettes not a “safer” alternative during the COVID-19 pandemic and beyond?
  Read the document. (13 minutes)
- Quiz
- Quiz: Module 4
  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.
- Recommended Additional Readings
- Smoking and COVID-19 URL
  Read the entire document
  Review the recommended reading of your interest. (56 minutes)
- Live Q&A on how to quit tobacco in time of #COVID-19 URL
  Watch the entire video.
  Review the recommended video of your interest. (9 minutes)
Module 5: Overview of Brief Tobacco Interventions
Student Learning Outcomes:
- Describe the purpose and population impact of brief tobacco interventions.
- Describe at least 3 different brief tobacco intervention models.
Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 1 hour.
Click here to start this module
1 URL, 1 Quiz
- Required learning readings
- Module 5 Readings URL
  This content is taken from Module 3 of PAHO's self-learning course, Training for primary care providers: brief tobacco interventions.
  Please click on the heading "Module 3" and complete the interactive activities and read all of the content in the section "Module 3." This will provide you with all relevant information to complete Module 5: Overview of Brief Tobacco Interventions. (20 minutes)
- Quiz
- Quiz: Module 5
  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.
Module 6: Asking, Advising, and Assessing Readiness to Quit
Student Learning Outcomes:
- Apply the 5A's brief tobacco intervention model to ask and advise patients about tobacco use in an appropriate way.
- Use two ways to assess patients' readiness to quit.
Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 2 hours and 20 minutes.
Click here to start this module
1 URL, 2 SCORM packages, 1 Quiz
- Required learning readings and activities
- Module 6 Readings URL
  This content is taken from Module 4 of PAHO's self-learning course, Training for primary care providers: brief tobacco interventions.
  Please click on the heading "Module 4" and complete the interactive activities and read all of the content in the section "Module 4." This will provide you with all of the relevant information to complete Module 6: Asking, Advising, and Assessing Readiness to Quit. (20 minutes)
- Simulation Activities
- Simulation Activity 1: Mayra SCORM package
  Please complete this simulation in which you will take the role of a primary care provider interacting with a patient to deliver an effective Brief Tobacco Intervention using the 5A’s model. You will receive feedback on your choices, and you may complete this simulation as many times as you’d like. (20 minutes)
- Simulation Activity 2: Anton SCORM package
  Please complete this simulation in which you will take the role of a primary care provider interacting with a patient to deliver an effective Brief Tobacco Intervention using the 5A’s model. You will receive feedback on your choices, and you may complete this simulation as many times as you’d like. (20 minutes)
- Quiz
- Quiz: Module 6
  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.
Module 7: Dealing with Low Motivation
Student Learning Outcomes:
- Apply the 5R's model to respond appropriately to patients that exhibit resistance to quitting.
- Use motivational tools to assist patients with low motivation to quit.
Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 1 hour and 30 minutes.
Click here to start this module
3 URLs, 1 Quiz
- Required learning readings
- Module 7 Readings URL
  This content is taken from Module 5 of PAHO's self-learning course, Training for primary care providers: brief tobacco interventions.
  Click on the heading "Module 5" and complete the interactive activities, and read all of the content in the section "Module 5." This will provide you with all of the relevant information needed to complete Module 7: Dealing with Low Motivation. (20 minutes)
- Quiz
- Quiz: Module 7
  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.
- Recommended Additional Readings
- Part III: Training for primary care providers: brief tobacco interventions URL
  Read the content from the title "2. Overview of the 5R's Model" on page 44 up to the title "2.3 When do we deliver the 5R's?" on page 46.
  Review the recommended reading of your interest. (8 minutes)
- A Guide for Tobacco Users to Quit URL
  Read the content under the heading "1.1 Cognitive-behavioral therapies" on pages 12-13 and "3. Behavioral and Social Connections" on page 15.
  Review the recommended reading of your interest. (7 minutes)
Module 8: Assisting and Arranging for Follow-Up
Student Learning Outcomes:

Describe the key elements of assisting patients to make a quit attempt.

Explain how to integrate the 5A's, 5R's, and components of a quit attempt to deliver a brief tobacco intervention.

Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 1hour and 46 minutes.
Click here to start this module
2 URLs, 1 SCORM package, 1 Quiz
- Required learning readings and activities
- Module 8 Readings URL
  This content is taken from Module 6 of PAHO's self-learning course, Training for primary care providers: brief tobacco interventions.
  Click on the heading "Module 6" and complete the interactive activities, and read all of the content in the section "Module 6." This will provide you with all of the relevant information needed to complete Module 8: Assisting and Arranging for Follow-Up. (20 minutes)
- Offer help to quit tobacco use URL
  This video provides an overview of strategies, techniques, and interventions to help tobacco users quit successfully. Watch the video from minute 1:53 to the end.
  Watch the video. (3 minutes)
- Simulation Activity
- Simulation Activity 3: Agatha SCORM package
  Please complete this simulation in which you will take the role of a primary care provider interacting with a patient to deliver an effective Brief Tobacco Intervention using the 5A’s and 5R's models. You will receive feedback on your choices, and you may complete this simulation as many times as you’d like. (20 minutes)
- Quiz
- Quiz: Module 8
  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.
Module 9: Pharmacological Interventions
Student Learning Outcomes:
- Describe types of effective tobacco cessation medications.
- Assess tobacco users' levels of nicotine dependence with the use of tools.
- Recommend appropriate tobacco cessation medications for different situations.
Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 2 hours and 28 minutes.
Click here to start this module
2 URLs, 1 Forum, 1 Quiz
- Required learning readings and activities
- Part III: Training for Primary Care Providers: brief tobacco interventions URL
  Read the contents of Table 10 on pages 59-61. (Use the rotate option to rotate the page for easier viewing.)
  Read the document. (8 minutes)
- Part III: Training for Primary Care Providers URL
  Read from slide 139 “Part III - Module 8-A” to slide 166.
  Read the Slideset. (26 minutes)
- Activity
- Discussion Forum: Pharmacological interventions and nicotine dependence (60 minutes)
  
  In this activity, you will be presented with two (2) scenarios where you will be asked to determine patients’ nicotine dependence levels and recommend a suitable course of treatment to help them quit smoking.
  Step 1: Analyze
  Analyze the scenarios below and make appropriate recommendations for treatments to help the patients quit smoking based on the information presented. Include the following information in your assessments:
  Patient’s apparent level of nicotine dependence.
  Recommended treatment for the patient (NRTs, behavioral interventions, counseling, etc.), taking into consideration the available services and resources in your country.
  A brief justification of the treatment selected.
  Scenario 1: Nathalie
  Nathalie is a 54-year-old-woman who works in information technology. She has a demanding job that can be quite stressful at times. Nathalie has a history of depression and anxiety. She started smoking menthol cigarettes 18 years ago to help her cope with the stress from work. She has been working with the same company for 12 years now. In this time, she has experienced a heart attack and has mild hypertension, which has prompted several attempts to quit smoking. Her doctors have informed her that she has a coronary artery disease, but she continues to smoke one pack of cigarettes per day. Nathalie was recently referred to you by her cardiologist to discuss appropriate pharmacological interventions.
  Nathalie lets you know that she is worried about her health and she desperately wants to quit. She recently scored 5 on the Fagerström Test for Nicotine Dependence and lets you know that she has tried the nicotine patch several times but has not used them long term.
  Scenario 2: Allen
  Allen is a 62-year-old accountant who has been smoking cigarettes for the last 22 years. Allen smokes 1 ½ packs (approximately 30 cigarettes) per day. He smokes immediately after waking up in the morning and the last thing at night before he goes to bed. He has tried unsuccessfully to quit several times. He has 2 adult children (25 years old and 30 years old) who are concerned about his health and continually encourage him to quit. He has never had any serious health problems, but he understands the effects of smoking. His friend recently died from lung cancer and that has preempted his appointment today. His longest period of being smoke-free is 2 weeks.
  Step 2: Write
  Create a short post (300 - 500 words) with your answers for the scenarios presented (you may use paragraphs, point form, or a table to separate each of your answers for both scenarios).
  Step 3: Share
  To share your work, click on the “Add a new discussion topic” button under the post and paste your work in the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).
  Step 4: Interact
  To complete this activity, you will need to reply respectfully and professionally to at least one post made by your peers. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.” If your peer(s) comment(s) on your post(s), please reply. Feel free to interact with the work done by other peers as well!
- Quiz
- Quiz: Module 9
  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.
Module 10: Other Cessation Interventions
Student Learning Outcomes:

Describe other currently available tobacco cessation interventions.

Identify the strengths and weaknesses of other tobacco cessation interventions.

Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 4 hours and 52 minutes.
Click here to start this module
2 URLs, 2 Forums, 1 Quiz
- Live Session
- Webinar 3: Pharmacological Interventions URL
  This video is a recording of a webinar session that was delivered to a cohort of students from the Caribbean. Watch the entire video to better understand the module’s content. (60 minutes)
- Required learning readings and activities
- Interventions for Strengthening Tobacco Cessation Services in Health Systems URL
  Read the entire Slideset. (26 minutes)
- Activities
- Discussion Forum 1: Interacting with Florence (40 minutes)
  
  The WHO’s Florence is an Artificial Intelligence (AI) tool for tobacco cessation. She is available 24/7 to provide digital counseling to tobacco users in need of support to help them quit. In this activity, you will interact with her and identify how she uses components of brief interventions.
  Step 1: Think
  Pretend that you are a patient who wants to receive advice about tobacco cessation but does not want to visit a doctor. Prepare some questions that you would like to ask about cessation.
  Step 2: Review
  Spend approximately 10-15 minutes interacting with Florence. Ask her different questions on tobacco use and cessation and pay attention to her responses and how she steers the conversation. Consider the following:
  How does Florence use the 5A’s and 5R’s?
  What useful strategies or information does Florence give?
  Suggest how Florence can aid in helping tobacco users make a quit attempt/remain abstinent.
  Step 3: Write
  Create a short post (150 - 300 words) about your experience, with your answers to the points above. Upload your post to the discussion forum.
  Step 4: Share
  To share your work, click on the “Add a new discussion topic” button under the post and paste your work in the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).
  Step 5: Interact
  To complete this activity, you will need to reply respectfully and professionally to at least one post made by your peers. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.” If your peer(s) comment(s) on your post(s), please reply. Feel free to interact with the work done by other peers as well!
- Discussion Forum 2: Local Tobacco Cessation Interventions (60 minutes)
  
  In this activity, you will determine the suitability of tobacco cessation interventions for your country to help tobacco users quit smoking and remain abstinent.
  Step 1: Analyze
  Consider the scenario below:
  You have recently started working as a healthcare provider in a local clinic. During your experience, you have noticed that even though a high proportion of your tobacco-using patients make attempts at quitting, the majority are unsuccessful. They indicate that they struggle with a lack of support and assistance. As such, you have decided to make a suggestion to your Ministry of Health regarding tobacco cessation services to improve rates of quitting tobacco use among patients.
  Step 2: Identify
  Identify the tobacco cessation interventions that are currently used in your country. Consider the following:
  Strengths
  Weaknesses
  Outcomes (if the information is available)
  From the interventions discussed in this module (or any other interventions you are aware of), select 2-3 interventions that you would recommend for implementation in your country. Reflect on each of the interventions identified and explain why you think they will be beneficial for your country. Consider the following:
  Strengths
  Weaknesses
  Accessibility to the population
  Practicality/how useful it is for patients
  Step 3: Write
  Create a short discussion post (300 - 400 words) with your answers to Step 1 and Step 2 above and upload it to the discussion forum.
  Step 4: Share
  To share your work, click on the “Add a new discussion topic” button under the post and paste your work in the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).
  Step 5: Interact
  To complete this activity, you will need to reply respectfully and professionally to at least one post made by your peers. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.” If your peer(s) comment(s) on your post(s), please reply. Feel free to interact with the work done by other peers as well!
- Quiz
- Quiz: Module 10
  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.
Module 11: Tobacco Cessation During Pregnancy
Student Learning Outcomes:

Describe the impact of tobacco use on maternal and fetal health during pregnancy.

Explain special considerations in providing cessation services to pregnant patients.

Discuss ethical issues that must be taken into account when providing tobacco cessation services to pregnant patients.

Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 4 hours and 34 minutes.
Click here to start this module
4 URLs, 1 Forum, 1 Quiz
- Live Session
- Webinar 4: Tobacco Cessation During Pregnancy URL
  This video is a recording of a webinar session that was delivered to a cohort of students from the Caribbean. Watch the entire video to better understand the module’s content. (60 minutes)
- Required learning readings and activities
- WHO Recommendations for the Prevention and Management of Tobacco-Use and Second-Hand Smoke Exposure in Pregnancy URL
  Read the document. (37 minutes)
  Read "Harms of Tobacco Use and Second-Hand Smoke Exposure in Pregnancy" on page 22.
  Read "Recommendations" on pages 37-55.
- Activity
- Discussion Forum: Examining attitudes towards smoking during pregnancy. (60 minutes)
  
  In this activity, you will examine attitudes towards women who smoke during pregnancy and the actions healthcare providers should take to improve the access and quality of care to these patients.
  Step 1: Reflect
  Reflect on attitudes towards motherhood and pregnancy in your country/community/place of work. Consider the following:
  Stigmatizing ideas/beliefs/cultural practices in any of the settings above as it relates to women who smoke generally.
  How the practices/ideas/beliefs identified above may deter women from seeking healthcare or assistance for tobacco cessation during pregnancy.
  How healthcare providers, clinics, and hospitals can encourage tobacco users who are pregnant to seek healthcare and tobacco cessation services.
  Step 2: Write
  Create a short discussion post (300-400 words) with your answers to Step 1 above.
  Step 3: Share
  To share your work, click on the “Add a new discussion topic” button under the post and paste your work in the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).
  Step 4: Interact
  To complete this activity, you will need to reply respectfully and professionally to at least one post made by your peers. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.” If your peer(s) comment(s) on your post(s), please reply. Feel free to interact with the work done by other peers as well!
- Quiz
- Quiz: Module 11
  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.
- Recommended Additional Readings
- Smoking During Pregnancy, Stigma and Secrets: Visual Methods Exploration in the UK URL
  Read the content under the headings “Abstract,” “Discussion,” and “Conclusion.”
  Review the recommended reading of your interest. (7 minutes)
- Incentives for Smoking Cessation During Pregnancy: An Ethical Framework URL
  Read the Introduction and Results.
  Review the recommended reading of your interest. (23 minutes)
Final Exam

Click here to start Final Examination
- Final Exam Quiz
  Restricted Not available unless any of:
  Any of:
  All of:
  All of:
  The activity Course Registration is marked complete
  The activity Pre-Test is marked complete
  The activity Quiz: Module 1 is marked complete
  The activity Quiz: Module 2 is marked complete
  The activity Quiz: Module 3 is marked complete
  The activity Quiz: Module 4 is marked complete
  The activity Quiz: Module 5 is marked complete
  The activity Quiz: Module 6 is marked complete
  The activity Quiz: Module 7 is marked complete
  The activity Quiz: Module 8 is marked complete
  The activity Quiz: Module 9 is marked complete
  The activity Quiz: Module 10 is marked complete
  The activity Quiz: Module 11 is marked complete
  All of:
  The activity Discussion Forum: Evaluating brief tobacco interventions (BTIs) (60 minutes) is marked complete
  The activity Discussion Forum: Tobacco use myths and facts (40 minutes) is marked complete
  The activity Discussion Forum: Pharmacological interventions and nicotine dependence (60 minutes) is marked complete
  The activity Discussion Forum 1: Interacting with Florence (40 minutes) is marked complete
  The activity Discussion Forum 2: Local Tobacco Cessation Interventions (60 minutes) is marked complete
  The activity Discussion Forum: Examining attitudes towards smoking during pregnancy. (60 minutes) is marked complete
  All of:
  The activity Pre-Test is marked complete
  The activity Course Registration is marked complete
  You belong to Miami Med
  You belong to Public Health U
  
  To take the final exam, you must complete all quizzes and complete all the required activities. The final exam consists of 30 questions, and you will have 60 minutes to complete it. When the time is over, you will have two minutes to submit your attempt before it expires, and your progress is discarded. You will not be able to answer additional questions in the grace period.
  To access the exam, click on the name of the exam provided above. On the following screen, click the Preview quiz now button to respond to the questions.
Course and Self Evaluation & Certificate

In this section, you can provide feedback about this course to help us make NextGenU.org better. Once evaluations are completed, you will be able to download your certificate of completion.

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- Course Evaluation Questionnaire
  Restricted Not available unless: The activity Final Exam is complete and passed
- Self Evaluation Questionnaire
  Restricted Not available unless: The activity Final Exam is complete and passed
Course Activities

2 Pages
- Discussions Page
- Simulation activities Page

Student Learning Outcomes:

Live Session

Required learning readings and activities

Quiz

Recommended Additional Readings

Student Learning Outcomes:

Required learning readings and activities

Activity

Quiz

Recommended Additional Readings

Student Learning Outcomes:

Required learning readings and activities

Activity

Quiz

Student Learning Outcomes:

Live Session

Required learning readings

Quiz

Recommended Additional Readings

Student Learning Outcomes:

Required learning readings

Quiz

Student Learning Outcomes:

Required learning readings and activities

Quiz

Student Learning Outcomes:

Required learning readings

Quiz

Recommended Additional Readings

Student Learning Outcomes:

Required learning readings and activities

Simulation Activity

Quiz

Student Learning Outcomes:

Required learning readings and activities

Activity

Quiz

Student Learning Outcomes:

Live Session

Required learning readings and activities

Activities

Quiz

Student Learning Outcomes:

Live Session

Required learning readings and activities

Activity

Quiz

Recommended Additional Readings