Smoking exacerbates the harmful effects of diabetes by increasing risk of
diabetes-related complications such as cardiovascular disease, stroke,
nephropathy, and neuropathy. To address the smoking cessation needs of people
with diabetes, a partnership was formed among diabetes educators, the California
Department of Public Health's Diabetes and Tobacco Control Programs, and the
California Smokers' Helpline.
A task force composed of 8 diabetes educators voluntarily designed and
implemented a statewide educational campaign titled, "Do You cAARd?" The program
aimed to promote referrals to the state's tobacco quitline by diabetes
educators. Intervention activities included development of a "toolkit" for
diabetes educators, presentations at American Association of Diabetes Educators
chapter meetings, distribution of pocket-sized smoking cessation materials, and
a print media campaign.
The campaign reached 170 diabetes educators directly via educational
presentations. A post-campaign online survey of 46 diabetes educators showed 80%
had referred clients to the Helpline for smoking cessation support, 76% knew the
Helpline's phone number, and 70% had distributed Helpline materials. More than
700 toolkits were downloaded, potentially reaching as many as 75% of
California's 900 diabetes educators. The percentage of Helpline calls from
people with diabetes and the proportion of callers referred by health care
providers also increased over time.
This program partnership serves as a sustainable, efficient, replicable
outreach model for smoking cessation.