Article Text

  1. T. Quimby1
  1. 1University of Washington, School of Medicine, Seattle, WA.


The State of Alaska has one of the highest rates of tobacco use in the country, and the community of Unalaska is no exception. The objective of this project was twofold: (1) to increase community awareness of resources available for tobacco cessation and (2) to train the clinic's health care providers about how to engage patients in meaningful dialogue regarding tobacco cessation and to use resources available to help create successful cessation plans with patients. To enhance community awareness of tobacco cessation, several approaches were taken. Patient education materials regarding tobacco use and cessation were ordered from the State of Alaska's Tobacco Quitline to place in the community clinic. A flyer was developed to distribute throughout the community with information about local tobacco cessation resources, including the State Quitline and the community clinic. Also, an article was written on the subject and submitted to the local newspaper. To enhance provider awareness of tobacco cessation resources and how to effectively use them, a training workshop was conducted for the clinic's health care providers. The workshop emphasized (1) engaging patients in meaningful dialogue about tobacco use through motivational interviewing and (2) effectively using the State Quitline, nicotine replacement therapy, and bupropion to help patients create a successful cessation plan. In the days after carrying out the project, community members were observed reading the flyers and patient education materials. In addition, the health care providers at the clinic began engaging patients about their tobacco use more frequently and implemented elements of the training workshop.

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