NNNN----OOOO----TTTTNOT ON TOBACCO

THE PREMIER TEEN SMOKING CESSATION PROGRAM

Our Mission:To promote lung health

and prevent lung disease

Founded in 1904 to fight tuberculosis

“Improving Life, One Breath at a Time”

Tobacco causes 87% of all lung cancers, 90% of which are fatal.

30% of all cancer deaths.

Cigarette smoking increases the risk for many types of cancer, including cancers of the

lip, oral cavity, lip, oral cavity, pharynx, esophagus, pancreas, larynx lung, uterine cervix, urinary bladder, kidney.

http://www.cdc.gov/tobacco/basic_information/health_effects/cancer/index.htm

Adolescent smoking is the number one determination of adult smoking –approximately 90% of adult smokers start smoking before the age of 18 smoking before the age of 18

WV Tobacco is Killing (and Costing) Us August 2005 pg 5

Recent data reveals that High School use prevalence in WV for 2005

27.8% or 26,073 teens26,073 teens

West Virginia Division ofTobacco Prevention Strategic Plan2008-2013 pg 27

The prevalence for smokeless tobacco use among high school students in WV is

14.8%Or 13,981 teens

YRBS 2007

The prevalence for middle school studentsin WV is

11.7% for smoking~ 10,767

6.5% for spit~5,993

YRBS 2007

3,200 Kids under 18 begin smoking every year in WV

Campaign for Tobacco-Free Kids, 2008

Effects of Smoking in Adolescence

�Tobacco users have more absences.

Lundborg, P. (2007). Does Smoking Increase Sick-Leaves? Evidence Using RegisterData on Swedish Workers. Tobacco Control 16: 114-118. URL: HTTP://TOBACCOCONTROL.BMJ.COM/CGI/CONTENT/ABSTRACT/16/2/114

�Smoking causes memory and cognitive impairment in adolescents.

Smokers have lower grade point averages (GPA) than nonsmokers.

The Harvard College Alcohol StudyThe Harvard College Alcohol Studyfound that smokers are 27.0% less likely than nonsmokers to have an above B grade average.

Adolescents who smoke are seven times more likely t o abuse or become addicted to illicit drugs than are nonsmo king teens

Tobacco is a Gateway drug

http://www.ttac.org/college/facts/negative-effects.html

(Brown, 1996).

Teens who use tobacco:

3 times more likely than nonsmokers to use alcohol

8 times more likely to use marijuana

22 times more likely to use cocaine.

Smoking is associated with a host of other risky behaviors, such as fighting and engaging in

unprotected sex.

CDC. Preventing tobacco use among young people, p. 36,104

Smoking causes memory and cognitive impairment in adolescents.

Yale U. Office of Public Affairs ID: 189002 Date: 2005-02-01, OPA@YALE.EDU , URL: HTTP://OPA.YALE.EDU/NEWS/ARTICLE.ASPX?ID=2796

Young Female Smokers Face Higher Breast-Cancer Risk.

Join Together Boston University School of Public Health, retrieved from the web July 20, 2007

Smokers lose an average Smokers lose an average of 13.85 years of life.

Centers for Disease Control (CDC), MMWR April 12, 2002 / 51(14);300-3 retrieved from web 4/22/09HTTP://WWW.CDC.GOV/MMWR/PREVIEW/MMWRHTML/MM5114A2.HTM

46, 000 children alive now in West Virginia will ultimately die from tobacco

Campaign for Tobacco-Free Kids, 2008

NNNN----OOOO----TTTTNOT ON TOBACCO

THE PREMIER TEEN SMOKING CESSATION PROGRAM

Why N-O-T

Based on Theories of Behavioral Change

Formal Name Simple Name Practical Description

Precontemplation Hanging On

Has no plan to quit using

tobacco within the next

six months

ContemplationIntends to quit within the

next six monthsContemplation

Letting Gonext six months

PreparationWilling to set a quit date

within the next 30 days

Action Starting OverHas quit using tobacco

for less than six months

Maintenance Settling In

Has remained tobacco-

free for more than six

months

Why N-O-T

Multiple Learning Strategies

WritingDrawingListeningListeningSharing

Reflection

�Based on solid research and evaluation

�Created specifically for youth

Key Features of NNNN----OOOO----TTTT

�Comprehensive facilitator training including referral for other help

�Gender-sensitive curriculum

�Built-in evaluation component for local tracking

�Turn-key program materials and incentives

Program Components

�N-O-T � Ten (10) weekly sessions

�Four (4) optional booster sessions (upon request)�Four (4) optional booster sessions (upon request)

�ATS � Four (4) weekly sessions

�Each session approximately 50 minutes

Overview of NNNN----OOOO----TTTT Program

�First 5 sessions – Preparation

�Quit Day - day after Session 5�Quit Day - day after Session 5

�Sessions 6-10 - Relapse Prevention and

Reinforcement

Why N-O-T

Tailored for Smokers

�Regular teen smokers who are addicted to

nicotine (smoke 5+ cigarettes per day)nicotine (smoke 5+ cigarettes per day)

�Youth who want a group program

�Those who volunteer to participate

Females and Males ShowDifferent Smoking Behaviors

Females� Feel confident, outgoing,

socially skilled

Males� Feel less secure in social

situations

Why N-O-T

socially skilled

� Smoke to control weight

� Smoke to reduce negative

emotions

situations

� Relapse more when they feel good

� Less intense withdrawal

� More confident in quit attempts

Benefits of NNNN----OOOO----TTTT

Designed to help teens:

�Quit smoking

�Reduce their smoking

Overview of N-O-T

�Reduce their smoking

�Increase healthy lifestyle behaviors

�Improve life management skills

National Evaluation Results

End of Program

� 22% quit smoking-chemically validated� 22% quit smoking-chemically validated

� Of those who couldn’t quit, 62% reduced the amount of cigarettes they smoked

� 80% agreed that the program was helpful

National Evaluation Results6 Month Follow-Up

� Self-reported quit rate 22.4%; (nearly 20% chemically validated)

� Of those who couldn’t quit,

� 65% reduced weekday;

� 75% reduced weekend smoking

� Nearly 90% either quit or reduced smoking

� 84.6% agreed that N-O-T helped them change their smoking behavior

160 Students completed the N-O-T class.� 42% quit using tobacco.� 63% Reduced their intake.

In West Virginia YTD

� 63% Reduced their intake.

70 were smokeless users.� 29% quit using tobacco.� 20% Reduced their intake.

Secondary Outcomes of NNNN----OOOO----TTTT

� 55% reported increased self-esteem

� 55% reduced their stress

Why N-O-T

� 55% reduced their stress

� 21% reported attending school more often

�Changed other health behaviors,e.g., 43% said

they were exercising more

Why N-O-T

• National Registry of Effective Programs

• Substance Abuse and Mental Health Service Administration’s (SAMHSA)

evidence-based model program

• National Cancer Institute research-tested intervention program

• Office of Juvenile Justice and Delinquency Prevention model program

Third Party Endorsements

Website

http://www.notontobacco.com/

What Teens Say About NNNN----OOOO----TTTT

The program worked wonders for me. Finally, I wasn’t an

awful person for not being able to quit. The group helped

each other and supported each other throughout theeach other and supported each other throughout the

process. It’s nice to have people around who understand

what your going through… It was a program of rewards,

not punishments. I hope that kids all around America get

this wonderful chance to help themselves like I did. I

couldn’t be more grateful. Jenny, Virginia

What Facilitators Say About NNNN----OOOO----TTTT

� “For the first time, my teens were successful in something.”

� “My students increased their exercising and were sleeping better.”

� “I’d do it again in a heartbeat. It was well worth the investment.”

Please don’t forget to fill out your workshop evalu ation forms.

We will breathe easier when the air in everyAmerican community is clean and healthy.

We will breathe easier when people are free from the addictivegrip of cigarettes and the debilitating effects of lung disease.

We will breathe easier when the air in our public spaces andWe will breathe easier when the air in our public spaces andworkplaces is clear of secondhand smoke.

We will breathe easier when children no longerbattle airborne poisons or fear an asthma attack.

Until then, we are fighting for air.