SMOKE-FREE HOMES Anne Hiller Scott, PhD, OTR, FAOTA Learning Objectives: 1. Educate seniors about health dangers associated with smoking. 2. Review illnesses that can occur among infants, toddlers, and children related to exposure to second-hand smoke. 3. Discuss strategies and resources to effectively quit smoking or support others in that effort. 4. Encourage the audience to take the Smoke-Free Home Pledge and maintain a smoke-free home environment for their family, friends, and pets. 5 min. INTRODUCTIONS Who we are - Faculty and Students 1. TOPIC for TODAY We will be speaking about secondhand smoke and how it affects the health of every one in the home. Show first SLIDE from SMOKE FREE HOMES I’d like to start by asking a question? Is there any one here now who does NOT permit smoking in their home? Ask for a show of hands to see how many already have smoke-free homes. Why? Ask why people have decided not to allow smoking. Have a brief discussion with the audience on this. Now, we will be viewing a slide show and a film on this topic – but before we begin lets get an idea of what your Smoking IQ is. Have any of you ever had your smoking IQ tested? Well this will be an easy and painless test! As you sit around your table you can discuss what you think the correct answer is for each of these questions. (Staff can hand out to the audience copies of the Smoking IQ questions if they want to follow along with the slide presentation.) 10 min. 2. ASK QUESTIONS for Smoking IQ? Distribute handouts of Powerpoint slide presentation. Continue SLIDES of SMOKE–FREE HOMES Review each slide which corresponds with each question on the Smoking IQ Test YOUR SMOKING IQ HOW MUCH DO YOU KNOW? TRUE or FALSE? 1. ____ Tobacco has over 4,000 chemical compounds, including arsenic, cyanide, formaldehyde, carbon monoxide, ammonia, and over 69 carcinogens. 2. ____ In the US more people die yearly from smoking than AIDS, car accidents, & illegal drugs. 3. ____ Each day 6,000 US teens start smoking, 1/3 will die from smoking-related illness. 4. ____ Less than ½ as many US African-American teens smoke compared to white teens. 5. ____ 6. ____ Smoking during pregnancy causes greater risk of miscarriage and low birth weight. 7. ____ 8. ____ Smoking delays healing and production of healthy scar tissue after surgery. 9. ____ Fewer Spanish speaking women smoke than Spanish speaking men. Pets experience second-hand smoke and die of smoking-related illness. 24 hours after quitting smoking your chance of heart attack decreases. SCORE: _______________________ Count the number you got right. Your SMOKING IQ: ____ Score 9: 150 IQ Genius ____ Score 8: 120 IQ Above Average ____ Score 7: 100 IQ Average ____ Score below 6 To raise your IQ, learn more: Call 1 800 NY QUITS (1 800 697-8487) Visit www.cdc.gov/tobacco www.health.gov/healthypeople “Smoking IQ Test” developed by ascott@liu.edu 3/24/2003 Anne Scott, PhD, OTR, FAOTA Note: The answers to all questions are TRUE! 15 min. 3. SLIDES EPA – SMOKE FREE HOMES Present slides and text. At end of slide show – Is there any questions/feedback on this? 12 min. 4. FILM: Poisoning Our Children the Perils of Secondhand Smoke (If time allows) 15 min. 5. WORKSHOP: QUESTIONS About Second Hand Smoke At this time discuss the following questions with the audience. Use the questions to generate dialogue among the audience about secondhand smoke and smoking cessation. You can also distribute the questions as a handout and have the seniors answer them in small groups. Afterwards all answers would be discussed. Questions About Second-Hand Smoke A. What are your reactions to the slide show and film? B. What are your personal concerns? C. How many of you are in a home where there is a smoker? D. How many people have stopped smoking and why? E. Is there someone you would like to help to quit smoking? F. Is there someone you would like you prevent from starting to smoke? G. You Can Quit Smoking Consumer Guide – share tips on quitting smoking – discuss this material literature on how to quit. 5 min. 6. SMALL GROUP ROLE PLAY – Choose 1 of the scenarios below. If seniors are in small groups, each group can pick the topic of most interest. A. Talk with someone about quitting (use the You Can Quit questions) B. How would you tell someone that you do not allow smoking in your home? C. What would you say to someone you did not want to start smoking - like one of your grandchildren? D. What would you say to someone you would like to help stop smoking? 3 min. 7. Smoke-Free Home Pledge – available from EPA 1 866 766-5337 Discuss the benefit of the Smoke Free Home Pledge and how to participate. 10 min. 8. Post Session Questions/Discussion 60-75 minutes Total Time Handouts: Second Hand Smoke and Children El Humo Del Tabaco Ambiental (HUTA) Y Los Ninos (American Academy of Otolaryngology-Head & Neck Surgery) www.entnet.org Smoke Free Home Powerpoint text You Can Quit Smoking Consumer Guide – Questions to Think About are helpful in preparing to stop smoking Resources for Health Professionals Smoke-Free Home Slides. This slide show is available on line at: www.epa.gov/smokefree/aapkit.index.html/ www.epa.gov/iaq/ets/aapkit/ets_presentation_color.pdf The slides and instructional materials were produced by the American Academy of Pediatrics and the United States Environmental Protection Agency. This site has additional support materials for health professionals and instructors. A Clinical Practice Guideline for Treating Tobacco Use and Dependence Health professionals and students can use these Clinical Practice Guidelines to work with patients/clients. This information is based on review of over 6000 peer-reviewed articles on tobacco dependence and smoking cessation. The study summarizes the US Public Health Service report on the same topic. The US Agency for Healthcare Research and Quality (AHRQ) worked with a consortium of prominent scientists, healthcare professionals, clients, methodologists, and several governmental and nonprofit organizations to sponsor the updated guidelines. The reference for this article is: A clinical practice guideline for treating tobacco use and dependence: A US Public Health Service Report. JAMA, June 28, 2000-283(24), 3244-3255. The website to download the article is: http://www1.umn.edu/perio/tobacco/AHRQreport.pdf Websites 1 800 NY QUITS (1 800 697-8487) 1 888 609-6292 NY Smoker’s Quitline www.nysmokefree.com www.quitnet.org www.cdc.gov/tobacco www.health.gov/healthypeople EPA Indoor Quality Information Clearinghouse 1 800-438-4318 Smoke-Free Home Pledge This Pledge is available from the United States Environmental Protection Agency (EPA). The Pledge was developed to educate parents and adults about causes of illness, hospitalization, and death related to exposure to environmental smoke. If infants and children are raised in smoke-free environments they avoid exposure to many preventable and life threatening illnesses. To take the Smoke-Free Home Pledge call toll free 1 866 766-5337 or register online. Smoke-Free Home Pledge website http://www.epa.gov/smokefree/pledge/index.html The Smoke-Free Home Kit includes: Smoke-Free Home Certificate Tips on Keeping Your Home Smoke-Free Smoke-Free Home Magnet Film: Poisoning Our Children The Perils of Secondhand Smoke. American Academy of Otolaryngology-Head and Neck Surgery Foundation. Running Time 12 minutes AAO-HNS Item #477763355 The film is also available in Spanish This is a powerful film that conveys the many health threats to infants and children from secondhand smoke in the home. The film draws from a report by the Environmental Protection Agency (EPA) on the health risks for children related to passive smoking and exposure to second-hand smoke. This video is also available in Spanish. Brochures on this topic are also available in English and Spanish: You Can Quit Smoking Consumer Guide http://www.surgeongeneral.gov/tobacco/consquits.htm This consumer handout includes Five Keys for Quitting, Questions to Think About, and Additional Resources REFERENCES and Other Resources Tobacco & the Elderly Notes The Center for Social Gerontology Tobacco & the Elderly Project Spring Summer 1999 2307 Shelby Avenue Ann Arbor Michigan 48103 Telephone 734 665-1126 Fax: 665-2701 E-mail:tesg@tesg.org Article on issues related to smoking and health for the elderly and suggestions for smoking cessation. Age Page Smoking: It’s Never Too Late to Stop Handout from the National Institute on Aging (NIA) Website for NIA Information Center http://www.nih.gov/nia Article on Healthy Lifestyle & Tobacco: A Healthy Old Age Equals No Smoking Website for article: http://www.tcsg.org/tobacco/sprsum99/contentsprsum99.htm ¿Humo: Que puede hacer usted sobre el humo de segunda mano como padre, personal directivo y ocupante de un edificio? Smoke: What can you do about second hand smoke as a father, administrative personnel and tenant in a building? http://www.epa.gov/iaq/pubs/humo.html A Note for Parents on Smoking Around Children: Secondhand Tobacco Smoke and Its Effects on Children www.co.kent.mi.us/health This brochure has a simple handout on secondhand smoke in the section on Public Health, Brochures and Videos.