Friends of KISS

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Friends of KISS

• Tips on How to Help Your Friends Quit Tobacco

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What Does It Mean to be a Friend of K.I.S.S?

• You can help recruit your friends for the program
• You can be a support person for your friends who
  quit through the K.I.S.S. (Keep It Sexy and
  Smokefree) program
• You can participate in events to recruit other
  tobacco users
• Or you can do all of the above

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What is K.I.S.S?

• An innovative program aimed at helping 16-29 year
  olds quit smoking and chewing
• Uses text messages and chat room discussions
• Incorporates Peer coaches (you and other Friends
  of KISS)
• A chance for participants to win prizes

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So, What Do You Get Out of it?

• Gain Skills in Helping Others
• You Will Feel Good
• A chance to be entered in quarterly drawings for
  Gift Certificates
• 10.00 Gift Card for each friend you refer who
  completes the program
• Looks Good on a Resume

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Just Some Facts

• People can become addicted to nicotine after
  using tobacco just a few times
• Occasional or social smoking or dipping can be
  harmful
• Hookahs and pipes also contain nicotine and are
  addictive

• Once addicted to nicotine its very hard to stop
  using tobacco
• According to 2004 Surgeon Generals Report
  tobacco use damages every major organ in the body

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Nicotine

• The addictive chemical in tobacco
• Makes it hard to break the addiction
• Quitting can be done with support

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Cravings peak at around 3 days and then become
less frequent.
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Benefits of Quitting Tobacco

• Will look and feel better
• Improved sense of smell and taste
• Save money
• Healthier and more energy
• Social acceptability
• Home, car and breath will smell better
• Less wrinkles

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For Starters, How to start the conversation

• Use the Five As
• Ask
• Advise
• Assess
• Assist
• Arrange

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Ask

• About Tobacco Use
• Present and Past Tobacco Use
• Secondhand Smoke Exposure
• First step in providing support

If you already know this info about your
friend, you can skip this step.
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Advise

• Advise your friend to Quit
• Make sure the advice you give includes
• Relevant information
• The pros and cons of quitting
• Repeat the advice often because you never know
  When the Right Moment Will Happen

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Assess

• Are they ready to quit in the next month?
• 40 Are Not Ready to Quit
• 40 Are Thinking About Quitting
• 20 Are Ready to Quit

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Assist

• If theyre ready to quit help them put together a
  Quit Plan
• Set a Quit Date
• Enlist Support People
• Help with Problem Solving
• Provide Nicotine Replacement Information
• Refer to KISS or CCHD
• Avoid Being Judgmental

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Arrange for Follow-up

• Refer to Coconino County Health Department
  Tobacco Use Prevention Program 679-7266
• Have them check out the County website,
  www.coconino.az.gov/kiss
• Refer to AZ Smokers Helpline 1-800-55-66-222

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Helping with the Quit Plan

• Set quit date in next 30 days
• Names of people who can support with quit attempt
• Problem-solving resources
• Medication info not for teens, pregnant women,
  seniors with high blood pressure and children

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Free Nicotine Replacement

• K.I.S.S. participants are eligible to receive two
  free weeks of
• Gum
• Patch
• Lozenge

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Nicotine Gum

• Take at first urge
• Chew until peppery taste
• Park between gum and lips
• Chew no more than 20-30 per day depending on dose

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Nicotine Patch

• Absorbed through skin
• Easy to use
• One per day
• 7, 14 21 mg. doses

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Nicotine Lozenge

• 2 4 mg
• No eating or drinking 15 minutes before or during
  use
• Use one at a time
• Suck until fully dissolved
• Take at first urge

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Chantix

• Prescription
• Non nicotine drug designed specifically for
  smoking cessation
• Alleviates cravings and withdrawal
• Specifically developed to block nicotines effect
  in the brain

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Zyban (Bupropion)

• Non-nicotine
• Reduces withdrawal cravings and weight gain
• Can be used with patch, gum or lozenge
• Needs prescription

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Why People Use Tobacco

• Tobacco is used to handle feelings
• Stress
• Loneliness
• Boredom
• Anger
• Depression
• Pain
• Anxiety

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So Why Dont They Just Quit?

• Nicotine is addictive
• Many people lack the motivation to quit
• Environmental and social triggers make it hard to
  resist tobacco

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Three link chain of addiction

• Psychological
• Biological
• Psycho-social

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Psychological

• Tobacco used as a result of environmental cues or
  triggers, i.e. driving your car or talking on the
  phone
• Becomes an automatic behavior
• Tobacco used as a coping mechanism or to handle
  stress

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Biological

• True addiction to nicotine
• Makes users more resistant to change
• Nicotine affects essential brain structures
  associated with feelings of reward and arousal
• As addictive as cocaine

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Sociocultural

• Tobacco may be a part of identifying with a group
• Tobacco may be a regular part of social
  activities or cultural practices
• This regular part of daily activities contributes
  to the difficulty of breaking the addiction

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Triggers for Tobacco Users

• Tobacco goes hand in hand with
• Talking on the phone
• Driving a car
• Watching television
• With coffee or alcohol
• Being with friends who use tobacco
• After a meal

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More Triggers
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Support

• Be available to talk or go for a walk
• Be caring skip the criticism
• Ask what you can do to help
• Be patient with mood swings
• Offer encouragement
• Be available for non-smoking activities

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Tips for Your Friends to Quit

• Get rid of all tobacco and ashtrays
• Ask family, friends, neighbors
• and co-workers for support
• Deep breathing helps when the urge to smoke
  occurs
• Keep busy
• Frequent rewards

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Tips to Help Friends with Urges

• Cravings only last 2 3 minutes
• Brush teeth or use mouthwash
• Exercise or go for a walk
• Keep your hands busy
• Take a shower
• Call a friend or support person
• Call the AZ Smokers Helpline
• 1-800-556-6222

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Four Ds

• Drink water hydrates and flushes out toxins
• Deep breathe relaxes the body
• Do something else takes your mind off the
  craving
• Delay the urge passes

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H.A.L.T.

• Never let your friend get
• Hungry
• Angry
• Lonely
• Tired

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Ideas for your Friends Survival Bag

• List of their top three reasons for being tobacco
  free
• Picture of a loved one
• Phone number of support person YOU???
• Sugar-free candy or gum cinnamon sticks, straws
  and toothpicks
• Fresh fruits and vegetables

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Scenarios What would you do?

• Mike has been doing well on his quit tobacco
  program and hasnt had a cigarette in a couple of
  months. He is worried that the upcoming family
  reunion will be a problem as he always smoked at
  big family gatherings and might be tempted to
  smoke again.

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Possible Solutions

• Encourage Mike to talk to his family and let them
  know of his concerns and ask for their support
• If smoking occurs at the reunion, suggest Mike
  take a walk to get away for awhile
• Ask Mike to hang out with non-smoking relatives

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What is your advice?

• Peggy has quit tobacco for three weeks and is
  planning to go to the bar with her friends.
  Alcohol has been a trigger for Peggy in the past.
  

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Possible Solutions

• Volunteer to go with her to the bar
• Have Peggy ask her friends to support her
  decision to quit tobacco
• Problem solve the situation with Peggy and
  possible solutions she may come up with

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Problem Solving

• Sally had been looking forward to an evening at a
  local restaurant to celebrate mutual
  anniversaries with her husband and another
  couple. She had stopped smoking ten days earlier
  and feels on edge. She doesnt think she can sit
  through dinner without bumming a cigarette.

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Possible Solutions

• Have Sally enlist the support of her husband and
  tell their friends she quit
• Sally can leave the table when the urge strikes.
  She can wash her hands and use mouthwash.
• She can order a diet soda with a celery swizzle
  stick to chew on.
• She can suggest taking a walk after dinner

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Slip vs Relapse

• Slip mistake a small setback
• Remember its not a failure
• Help your friend identify the trigger and how it
  will be dealt with when it comes up again
• Relapse return to regular tobacco use
• Help your friend set a new quit date within the
  next 30 days

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Ready to Get Started?

• Email Carol at csullivan_at_coconino.az.gov upon
  completion of training and review in order to
  receive a certificate
• Carol will ask you to give her feedback about the
  training and when you do, you will be entered
  into a drawing for FREE STUFF

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Follow Up

• Thanks for becoming a Friend of K.I.S.S!!!
• For more information or to have your friends sign
  up for KISS contact
• Carol Sullivan 928 679 7266 or
• csullivan_at_coconino.az.gov
• Heidi Komada 928 679 7265 or
• hkomada_at_coconino.az.gov

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Remember

• If your friend participates in KISS and completes
  the program, you are eligible for gift cards and
  quarterly drawings for gift certificates

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Resources

• www.coconino.az.gov/kiss Coconino County Health
  Department KISS
• www.cdc.gov/tobacco Center for Disease Control
• www.americanlegacy.org
• www.ashline.org AZ smokers helpline
• www.quitnet.org help to quit nicotine addiction