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UTILIZING CHWS TO IMPROVE ACCESS TO TOBACCO CESSATION RESOURCES FOR MATERNAL AND CHILD POPULATIONS CHWI TOBACCO CESSATION TRAINING © 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

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Page 1: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

UTILIZING CHWS TO IMPROVE ACCESS TO TOBACCO CESSATION RESOURCES FOR

MATERNAL AND CHILD POPULATIONS

CHWI TOBACCO CESSATION TRAINING

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

Page 2: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

LIVE TRAININGS IN JUNE 2020

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

Page 3: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

Part 3 of a 5 part CHWI Training series

Pa

rt 3

Secondhand and third hand smoke: A threat to children's health.

COMPETENCY: Teaching

Part

4

Housing Development (HUD) Tobacco smoke-free public housing rule.

COMPETENCY: Community capacity building.

Pa

rt 5

Educational resources for the community.

COMPETENCY: Service Coordination.

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

Page 4: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

ZOOM Control guide

Turn Video

On/OFFMute/Unmute

your Mic

View the meeting

participants.

Participate and

engage in our

discussions

through this chat

box.

Change video

display or layout

to:

- Speaker

- Thumbnail

- Gallery

Page 5: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

5

Here to Help!

Feel free to type questions in chat box to Brenda while I (Denise) instruct!

If you have any issues with our zoom meetings feel free to contact Brenda via email at [email protected] or via phone at (979) 436-9349.

Brenda, Technical Support

Page 6: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

MODULE #2

Secondhand and thirdhand smoke: a threat to maternal and child health

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

Page 7: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

LEARNING OBJECTIVES:PROGRAMMATIC OBJECTIVES:

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

1. The instructor will examine the most updated information from verified sources on the causes and effects of second and third-hand smoke as a threat to maternal and child health.

2. CHWI will review the critical elements in the adult learning process defining the best practices to apply appropriate teaching strategies.

1. CHWI will analyze the causes and effects of second and third-hand smoke as a threat to maternal and child health as well as best practices to avoid it.

2. The instructor will model the effective techniques to stimulate the adult learning process based on the types of teaching and learning styles.

Page 8: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

MODULE #2

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

VIDEO:The Myths of Secondhand Smoke

Page 9: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

KEY DEFINITIONS

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

SECOND HAND SMOKE THIRD HAND SMOKE

◼ Secondhand smoke is made up of smoke from a cigarette and smoke from

a smoker.

◼ Third-hand smoke (THS) is tobacco residue that can remain on surfaces and dust for months after

someone smokes a cigarette

Page 10: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

EFFECTS OF SECOND-HAND SMOKE ON

MATERNAL AND CHILD HEALTH

Page 11: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

58 MILLION NON-SMOKING IN THE US .2 out of 5 children ages 3 to 11

are exposed to secondhand smoke..

including 7 out of 10 black children.

More than 2 out of 5 non-smokers living below the poverty level

More than 1 in 3 non-smokers living in rented housing

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

15 million

Almost half of black nonsmokers are exposed

to secondhand smoke

exposed to secondhand smoke

are exposed to secondhand smoke

Page 12: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

Babies and young children exposed to secondhand smoke may have

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

Sudden Infant Death

Syndrome (SIDS)

Weak

lungs

Asthma

Low birth weight

Chronic lung

problems

More sick daysEar

infections

Page 13: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

MODULE #2

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

THE LONG-TERM EFFECTS OF SECONDHAND SMOKE

More likely to smoke

themselves

Poor lung development (lungs never

fully develop)

Lung cancer Heart diseases Cataracts (an eye disease)

Page 14: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

Risks for pregnant women

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

Spontaneous abortion

Low birth weight

Premature labor

Learning behavior deficiencies in your child

Sudden Infant Death Syndrome (SIDS)

Page 15: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

ONLINE GROUP ACTIVITY THROUGH ZOOM! WOULD YOU RATHER?

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

Be able to speak to animals Be able to speak all languagesOR

Page 16: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

ONLINE GROUP ACTIVITY THROUGH ZOOM! WOULD YOU RATHER?

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

Only speak by screaming Only speak by whisperingOR

Page 17: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

ONLINE GROUP ACTIVITY THROUGH ZOOM! WOULD YOU RATHER?

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

Your favorite babysitter smokes 1 pack a day at her house

The babysitter will take care of your baby at home for freeOR

Page 18: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

ONLINE GROUP ACTIVITY THROUGH ZOOM! WOULD YOU RATHER?

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

Share a flat with your best friend, but she smokes

Live alone without anyone being able to enter your houseOR

Page 19: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

ONLINE GROUP ACTIVITY THROUGH ZOOM! WOULD YOU RATHER?

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

Have a tiny apartment smoke-freeHave a huge house that smells like

cigarettesOR

Page 20: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

ONLINE GROUP ACTIVITY THROUGH ZOOM! WOULD YOU RATHER?

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

Losing $50 The person you love the most always

smells like cigarettesOR

Page 21: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

ONLINE GROUP ACTIVITY THROUGH ZOOM! WOULD YOU RATHER?

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

Only wear formal attire for the rest of your life

Be able to wear comfortable clothes, but you smell like smokeOR

Page 22: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

HOW TO PROTECT YOURSELF FROM SECONDHAND SMOKE

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

If you smoke, avoid smoking near children

If you smoke, do it outside, away from where children play

If other adults are smoking, ask them to smoke outside

Opening windows is not enough protection

from secondhand smoke

Page 23: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

MODULE #2

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

HOW TO PROTECT YOURSELF FROM SECONDHAND SMOKE

Ask visitors, babysitters, and grandparents to not smoke in the

home

Choose a tobacco

smoke free daycare

Inform them of children’s

risk of developing

health problems

Do not allow smoking in

the home or car even when

children are not present.

Visit places where

smoking is prohibited.

Leave when others are

smoking

Page 24: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

EFFECTS OF THIRD-HAND SMOKE ON MATERNAL

AND CHILD HEALTH

Page 25: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

MODULE #2

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

"When you smoke in your house, your house also smokes".

Page 26: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

BABIES AND CHILDREN

Children can absorb dangerous chemicals from the car upholstery even if the child was not inside when they smoked.

The same is true for smoking inside the house.

Hydrogen cyanide

Nicotine Formaldehyde

Arsenic Lead

Page 27: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

PREGNANT WOMEN

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

Investigators are still studying possible dangers

May cause respiratory

problems in the future

Smoking can have a

detrimental effect on

prenatal lung development

Smoking can lead to stress for mother and baby

Page 28: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

HOW TO PROTECT YOURSELF AGAINST THIRD HAND SMOKE

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

The only way to fully protect yourself against third-party smoke is to quit smoking or being around those who do.

Do not allow smoking near

you, your children, or

pets

Do not allow smoking

inside your house or car

Ask anyone who cares for your child/pet

to follow these rules

E-cig vapor & spray contain chemicals. Do

not allow users near

you or loved ones

Page 29: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

ADULT LEARNING AND THE ROLE OF THE CHW

INSTRUCTOR

Page 30: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

MODULE #2

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

Learning types and how effective they are

+ +

Reading only10% effective

Seeing only 30% effective

Doing only90% effective

Listening and seeing50% effective

Saying and doing70% effective

Page 31: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

MODULE #2

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

1.MOTIVATION

2.RETENTION

3.REINFORCEMENT

4.TRANSFER

CRITICAL ELEMENTS OF ADULT LEARNING

04/27/2019 Houston,Tx Training Tobacco Cessation

Page 32: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

GROUP EXERCISE

Can you think about some examples that you could

use to teach a group of pregnant women and

other smoking adults on the effects of second and

third-hand smoke on children’s mental health?

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

05/28/2019 El Paso,Tx | Tobacco Cessation Training

Page 33: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

SOME MORE IDEAS:

Experiments in the classroom

Solving problems in class

Using the media to improve teaching and

learning

Projects based on experience

Game-based learning (Role playing game)

Teaching with demonstrations

Invent and test models

Teach with case studies

Page 34: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

MODULE #2

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

CONCLUSION

The home is the primary source of secondhand smoke exposure for children.

Page 35: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

QUESTIONS?

THANK YOU!

CONTACT INFORMATION:

nchwtc.tamhsc.edu

Denise [email protected]

Brenda [email protected]

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

Page 36: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

Visit our website!

https://nchwtc.tamhsc.edu

Page 37: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

Find us on Facebook!

https://www.facebook.com/NCHWTC/

Page 38: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

REMINDER: Remember

to do your post-test after

Friday.

Certified CEU’S

Stay tuned for

tomorrow!

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

Page 39: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning
Page 40: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

References:

1. https://women.smokefree.gov/pregnancy-motherhood/quitting-while-pregnant/myths-about-smoking-pregnancy

2. http://www.conadic.salud.gob.mx/Guia_Preventivas/La_neta_del_tabaco.pdf3. http://www.asat.org.ar/mitos-sobre-el-tabaquismo/4. http://www.center4research.org/third-hand-smoke/5. https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Richmond-

Center/Documents/ThirdhandHandout.pdf6. https://www.lung.org/our-initiatives/tobacco/smokefree-environments/multi-unit-housing/7. https://www.dshs.state.tx.us/tobacco/smokefree/8. https://www.dshs.texas.gov/tobacco/9. https://www.drugabuse.gov/es/publicaciones/serie-de-reportes/adiccion-al-tabaco/hay-

tratamientos-eficaces-para-la-adiccion-al-tabaco10. https://www.cdc.gov/tobacco/data_statistics/fact_sheets/adult_data/cig_smoking/index.htm11. https://www.healthychildren.org/English/health-issues/conditions/tobacco/Pages/How-Parents-Can-

Prevent-Exposure-Thirdhand-Smoke.aspx

© 2020 by the Texas A&M School of Public Health, Center for Community Health Development, National Community Health Worker Training Center, DSHS Approved CHW Curriculum

Page 41: CHWI TOBACCO CESSATION TRAINING€¦ · effects of second and third-hand smoke as a threat to maternal and child health. 2. CHWI will review the critical elements in the adult learning

Link to PDF file

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