Nursing Conference Center, Morgantown

In Attendance: Sandy Baker, Kathryn Greenlief, Ralph Utzman, Helen Baker, Michelle Kopf, Rosie Cannarella, Sarah Jane Gainor, April Vestal, Imogene Foster

Approval of Minutes – The minutes of February 18, 2001 were approved unanimously (Baker/Utzman).

Old Business

a. 2001 Conference – Sandy reported that date savers were sent out May 1st. Comments were made that the brochure was very well done. Information for CME and CEU has been submitted and we are awaiting approval. We are still waiting on information from some presenters. Goal is to have brochure completed by June 15.

The committee went over the brochure and assignments for follow-up by committee members are in Next Steps. Meetings by Discipline was changed to include a discussion the legal, professional, and payer guidelines regarding supervision within the discipline.

Several items in the brochure were moved around to assure we get the attention of field faculty. The committee decided to leave on OSCD training and state "by invitation only" and consider a second mailing to the 13 OSCD's asking for a commitment to attend the sessions.

New Business

a. 2001 Conference Evaluation – Several suggested changes were made to the conference evaluation. The committee will review the final product at the next meeting.

b. 2002 Conference Location and Dates – The committee discussed possible dates/locations for the 2002 conference. It was noted that Hilda is planning a 10^th Anniversary Celebration for RHEP. April was asked to find out when this might be held so as not to conflict with those dates. April was asked to check on Glade Springs Resort, Stonewall Jackson Park, Pipe Stem, and Embassy Suites as possible locations for 2002. She will report back at the next meeting. If we have the conference in Charleston, it was suggested that we possibly do it in October.

c. Policy 96-07 “Consortium-Level Faculty Development – Consortia are to send the FDC their plan for local faculty development for the year by December 31 of each year. April noted that the committee had not officially requested this information and that it might be a good time to ask for this from sites so that a report can be generated about what types of faculty development are happening locally around the state. This could be shared with the OSCD’s at their meeting. April and Rosie will work on a letter to the OSCD’s requesting this information. Site Coordinators will be cc’d on the letter.

d. Possible Tobacco Project with Mary Babb Cancer Center – The committee discussed the possibility of a statewide tobacco project with WVRHEP and Mary Babb. The committee looked at two possible interventions and gave comments to take back to the planning committee:

1. Natural Helper Tobacco Education Program

a. Could Mary Babb produce a module that could be used in communities?

b. Is this envisioned as a grass-roots approach?

c. How do you determine true addiction? Is this important?

2. Provider Intervention for Tobacco Education

a. Develop a training model/brochure with more information

b. Will medication be a part of the project, or is it education only?

c. More specifics are needed as to what would be required of providers.

d. Suggestion to hold a focus group of providers at the FDC to determine what is working and interest.

e. Rosie will send a copy of a workbook she used in a tobacco project to Amy for review.

f. Someone needs to talk with Dr. Montalto to see how we could work together.

Next meeting: Friday, August 3, 2001, Nursing Conference Center, Morgantown 10AM – 2PM.

Next Steps (from this meeting):

1. Sandy was asked to check with the CME/CEU office about wording on first page of brochure regarding CME/CEU credit.

2. April was asked to check on Glade Springs Resort, Stonewall Jackson Park, Pipe Stem, and Embassy Suites as possible locations for 2002.

3. April and Rosie will work on a letter to the OSCD’s requesting local faculty development plans for 2001 and 2002.

4. April was asked to find out when the WVRHEP 10^th Anniversary Celebration might be held in 2002 so as not to conflict with those dates.

5. April to check with Hilda about doing opening remarks and special interest table for new field faculty at conference.

6. Imogene to follow up on a nursing representative for My Favorite Teaching Strategies I session on 9/14 from 3-4:30 PM

7. April to check with Bob Foster, Dick Meckstroth and Debra Campbell about Meetings by Discipline

8. Ralph to check with Julie Fleming on PT meetings by discipline.

9. April and Rosie to work on entertainment options for the reception.

10. Rosie to call Joan Klemballa about critical thinking session. Also, call Don Fidler

11. April to add questions to registration form in brochure.

Provider Intervention for Tobacco Education:

Concept: Clinical Practice Guideline: Treating Tobacco Use and Dependence (US DHHS, 2000) indicates that physician advice is a motivating factor in cessation of tobacco use. However, in many cases physicians do not provide this advice to their patients. This project will utilize an education program to give medical providers the appropriate knowledge and tools to assist patients reduce/eliminate tobacco consumption.

This multi-level project will evaluate: provider attitudes, message tailoring and provider intervention. The outcomes for the evaluation will be the occurrence of provider intervention and patient tobacco use reduction.

Program: The Mary Babb Randolph Cancer Center, Office of Cancer Prevention and Control will recruit medical providers to participate in this project. All providers will be surveyed to determine their perception of the efficacy of medical provider advice regarding tobacco use. The providers will then be randomly assigned to one of two groups. One group will receive and educational program to assist them in providing tobacco education to patients, the second group will receive no education. The patients of all providers will be screened for tobacco use upon presentation at the clinic. An attempt will be made to recruit all tobacco users to the project. Each patient recruited will complete a short survey to determine tobacco attitudes, knowledge and use. Over the period of one year, medical providers in the “education” group will provide information and materials to patients. The materials will be either tailored to the target population or standard NCI tobacco education materials.

At the conclusion of program all participating patients will be surveyed to determine the occurrence of provider education, current tobacco knowledge and use. The variation between provider groups (trained versus untrained), message type (tailored versus standard) and provider perception of efficacy will be examined to determine the appropriate method of implementation for a provider base education program.

U.S. Department of Health and Human Services, 2000. Clinical Practice Guideline: Treating Tobacco Use and Dependence

Tobacco Education Concepts

MBR Cancer Prevention and Control

Natural Helper Tobacco Education Program

Concept: Recent studies have shown that utilization of social networks to provide health education are effective methods in improving individual behaviors (Tessaro, 1997; Tessaro et al., 2000). This project utilizes a Natural “Lay” Helper model to capitalize on existing social networks to influence tobacco use in West Virginia.

This project will also be used to evaluate the most effective method for producing desired outcomes. These outcomes are tobacco knowledge and use reduction/cessation. This evaluation will allow for direction of future activities in an effective manner.

Project: The Mary Babb Randolph Cancer Center, Office of Cancer Prevention and Control will identify individuals, in selected work-sites and communities, who are considered leaders/information providers. Natural “Lay” Helper training will be provided to these individuals to enable them to communicate health education messages effectively to their peers. The training will focus upon tobacco education issues and the design of tobacco education programs within communities. The Lay Helpers will be expected to implement a program in their work-site/community.

Prior to implementation of the program, the Lay Helpers will recruit individuals to participate. The participants will be surveyed to determine their current attitudes/beliefs regarding tobacco and their current usage level. After completion of these initial assessments the Lay Helper program will be implemented for a period of six months. Each program will be assigned to one of two groups, one that is provided tailored tobacco education messages specific to the population, the other groups will utilize the standard NCI tobacco education materials.

After completion of the six-month program, the participants will again be surveyed regarding tobacco knowledge and use. The variation between program location (work-site versus community) and the variation between message type (tailored versus standard) will be evaluated. The evaluation will provide direction for future Lay Helper programs.

Tessaro, I., 1997. “The Natural Helping Role of Nurses in Promoting Healthy Behaviors in Communities” Advanced Practice Nursing Quarterly 2(4), 73-78.

Tessaro, I., S. Taylor, L. Belton, M.K. Campbell, S. Benedict, K. Kelsey, and B. DeVellis. 2000. “Adapting a Natural (Lay) Helpers Model of Change for Worksite Health Promotion for Women” Health Education Research 15(5), 603-614.