Presentation on theme: "Campus Wellness: The Problem with Tobacco Frank T. Leone, MD, MS Comprehensive Smoking Treatment Program University of Pennsylvania Philadelphia, PA 1-888."— Presentation transcript:
Campus Wellness: The Problem with Tobacco Frank T. Leone, MD, MS Comprehensive Smoking Treatment Program University of Pennsylvania Philadelphia, PA PENN STOP
So… Why DO People Smoke?
Why is nicotine addictive? Nicotine releases “gratification” producing chemicals in the brain. Long term use of nicotine produces changes in brain function and structure. Addictive properties related to rate of delivery to the brain.
Mesolimbic Dopaminergic system Memory Motivation Emotion
Eur J Clin Pharm 2000; 55:
This Begs the Question… If smokers smoke for nicotine, why is nicotine replacement therapy not 100% effective?
The answer is in the backstory
Conditioned Place Preference
What is her Conditioned Place Preference?
Decision Balance Theory Motivation Disincentive More Likely Less
Eliminate the 3 Main Disincentives to Quitting Individual –Compulsion to Smoke Offer Treatment –Information Inertia Drive a Conversation –Disrespect Causal Controlability
Disincentives to Quitting Organizational –Smoke-free Campus Adopt a position and communicate it clearly Remove salient cues –Employee Health Resolve disparities