Resources: An Overview

Materials described below are available for those that register


Educational Materials Developed for Medical Colleges

The “Lego” system of modular education that Project QTI has developed provides colleges with curriculum building blocks packaged into easy to use modules. Each medical college experiments with how best to assemble the legos to fit the needs of their specific curriculum. Project QTI is compiling a catalogue of alternative curriculum designs as a work in progress for other colleges to see and possibly replicate.

  • Educational Modules: There are 15 educational modules developed for teaching in the medical curriculum. Each module is focused on a particular organ system, focusing on the specific effects of tobacco. Each module is composed of several mini lectures, ranging from 2-5, which contain both core, country specific, and optional slides.
  • Cessation Training in Medical Schools: Medical students are taught how to counsel patients to quit smoking by establishing relevance to existing health problems as well as to long term health risks. Practical advice requires knowledge about the specific risks of tobacco to the patient’s condition; tobacco-related complications, and how tobacco affects medication efficacy.
  • Training Cessation Trainers: At each medical college, 2 to 5 cessation trainers are obtaining certification as brief intervention trainers. After attending a cessation training of trainers (TOT) workshop, relevant faculty and clinic-based social workers completed 15 brief interventions to practice their skills. Following completion, they were given in-person mentorship as a means of competence building and a one hour certification exam which requires them to demonstrate basic tobacco counseling skills, including the 5 A’s, stages of readiness to quit, the 5 R’s –how to motivate those not yet ready, strategies to address quitting challenges, and doctor:patient communication strategies.
  • Cessation Videos: Each module has a short video on the related topic (i.e., cardiovascular disease, TB, respiratory infection) in which a doctor is shown counseling a patient with disease specific cessation advice as a means of establishing relevance. The doctor models best practices for advising patients to quit smoking utilizing the 5 A’s.

 

Educational Materials for Clinic Settings

  • Clinic Intervention Materials: A variety of educational materials have been developed for general and disease-specific patients. Topics include tips for quitting, the harm of tobacco, FAQs about tobacco, Diabetes and Tobacco, TB and Tobacco. In India, materials have been created in Malayalam and English, and are currently being translated into Kannada. In Indonesia, most materials are in Bahasa Indonesian, and some have been translated into English.

 

Community Materials for the Development of a Smoke-Free Homes Initiative

Smoke Free Homes - An Overview: Exposure to secondhand smoke (SHS) is a cause of lung cancer and heart disease deaths in adults who do not smoke themselves, and a cause of many illnesses to infants and children including lower respiratory tract illnesses, middle ear disease, and SIDS. Among pregnant women, exposure to SHS smoke is a cause of poor pregnancy outcomes including premature delivery and low birth weight. To date, little attention has focused on women’s exposure to secondhand smoke (SHS) in low and middle income countries, local perceptions of SHS risk to women and children, and women’s attempts to limit exposure to tobacco smoke in their households. Through formative research, Project QTI has investigated these issues as a first step in a movement to initiate community-wide household smoking bans.

Initial survey and interview data in both countries found:

  • high levels of exposure to SHS (>70% )
  • high levels of concern, particularly among women, that SHS placed women and children at risk for illness (with little specific understanding of the range and severity of illnesses)
  • few women reported having household smoking rules (<20%), and those that did spoke of them as largely ineffective
  • a feeling of powerlessness among women to alter their husband’s smoking behavior in the household
  • great interest on the part of women to participate in a communitywide ban (>85%)
  • a promising level of male smoker agreement to comply with such a ban (>80%).

Women expressed a low sense of self efficacy in individually getting their husbands to quit smoking in their homes, but a strong sense of collective efficacy that husbands might agree to a well-publicized and agreed-upon community household smoking ban. Men expressed concern about social risk, that is, risk to routine harmonious social relations. They described the difficulty of asking one not to smoke since it is considered to be a valued form of sociality and gift exchange (particularly in Indonesia). Men and women enthusiastically endorsed putting no-smoking stickers on their front doors because it non-verbally announces to outsiders a new set of social norms. A smoke-free household initiative with signage provides women with a nonconfrontational means of dealing with a potentially uncomfortable cultural situation.

Project QTI is engaged in fostering smoke free home collective efficacy through community meetings with both women and men, and framing household smoking bans as an expression of collective responsibility and cultural pride. Formative research has led us to believe that the best way of encouraging a non-smoking norm in the home is by framing it as a family health issue and an act of caring for one's family. These are important cultural values in India and Indonesia..

We have taken up this campaign as an extension of our broad-based work on smoking cessation. We believe that it is important to engage in smoking cessation both at the level of ‘social spaces’, where women and children are affected by SHS, and at the level of individual smokers. This stance merges the agenda of tobacco control and maternal and child health and calls for a gender and family centered approach to SHS.

 

Community Level Resources:

  • No smoking stickers for front door
  • Posters, Banners, & Calendars
  • Declaration of Smoke-Free Homes Initiative