Tobacco Resources

Respiratory therapists should be able to understand tobacco addiction, how to effectively evaluate tobacco use, how to assess readiness to change and how to effectively treat tobacco addiction. Why?

Facts About Tobacco

  • 480,000 people die each year from tobacco-related diseases
  • 3,200 children become regular users of tobacco everyday
  • Smoking is the leading cause of preventable death
  • Secondhand smoke causes more than 42,000 premature deaths from heart disease in nonsmokers each year
  • Over 23% of our high school students are currently using tobacco products
  • E-cigarette use among high school students tripled between 2011 and 2013
  • Quitting smoking before the age of 40 reduces the risk of dying from smoking-related disease by about 90%

We, as respiratory therapists, must take an active role in reducing this epidemic. We specialize in the treatment of tobacco-related disease, now let us specialize in understanding and treating the cause.

Tobacco Resources

Advocacy and Media

  1. Americans for Non-Smoker’s Rights
  2. American Legacy Foundation: Truth Campaign
  3. American Lung Association Center for Tobacco Advocacy and Organizing
  4. Campaign for Tobacco Free Kids
  5. CDC TIPS Campaign
  6. Challenge Big Tobacco
  7. PBC Frontline Interview: Smoke in the Eye
  8. Smoking in the Movies
  9. Tobacco News and Information
  10. Tobacco Survivors

Behavioral Health Resources

  1. Substance Abuse and Mental Health Services Administration (SAMSHA)
    1. Enhance Your State’s Tobacco Cessation Efforts Among the Behavioral Health Population: A Behavioral Health Resource

Centers for Disease Control and Prevention (CDC) Resources

  1. Best Practices for Comprehensive Tobacco Control Programs
  2. Health Care Providers: How You Can Help Patients Quit
  3. Global Tobacco Surveillance System

Centers for Medicare and Medicaid Services Resources

  1. Medicare Billing Instructions Original Coverage (2005)
  2. Medicare Billing Instructions – Additional Coverage (2011/updated 2013)
  3. National Coverage Decision on Smoking/Tobacco-Use Cessation Counseling
  4. Tobacco Cessation Medicaid Guidelines

Education Curricula

  1. AARC Clinician Training for Tobacco Dependence for Respiratory Therapists (5 CRCE available)
  2. AARC Clinician’s Guide for Treating Tobacco Dependence (3 CRCE available)
  3. Rx for Change
  4. Treating Tobacco Use and Dependence Guidelines (PDF)

Electronic Cigarettes (e-Cigarette)

  1. AARC Position Statement on e-Cigarettes
  2. AHA Contemporary Reviews in Cardiovascular Medicine: E-Cigarettes: A Scientific Review (Grana R, Benowitz N, Glantz SA)
  3. FDA: Electronic Cigarettes
  4. American Association for Cancer Research (AACR) Webinar: E-cigarettes: Research, Public Health Concerns and Opportunities, and Regulations
  5. E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General (2016)

Food and Drug Administration (FDA) Resources

  1. FDA Rules and Regulations for Tobacco Products
  2. Summary of FDA Deeming Rule to Regulate All Tobacco Products
  3. Tobacco Products Control

Guidelines and Strategies for Tobacco Treatment

  1. Core Competencies for Tobacco Treatment Specialist
  2. Healthy People 2020: Tobacco Use
  3. PHS Treating Tobacco Use and Dependence Guidelines (2008)
  4. WHO Framework Convention for Tobacco Control

Legislative Action

  1. Master Settlement Agreement (46 state agreement)
    1. Participating Manufacturers under settlement
  2. Mississippi Tobacco Settlement Agreement
  3. Texas Tobacco Settlement In Brief
  4. Summary of Attorneys General Master Tobacco Settlement Agreement
  5. The Master Settlement Agreement with the Tobacco Industry and Cigarette Advertising in Magazines
  6. Tobacco Control Act of 2009

Organizations and Societies Dealing with Tobacco Use

  1. American Academy of Family Physicians (AAFP)
  2. American Cancer Society (ACS)
  3. American Heart Association (AHA)
  4. American Lung Association (ALA)
  5. American Thoracic Society (ATS)
  6. Association for the Treatment of Tobacco Use and Dependence (ATTUD)
  7. Campaign for Tobacco Free Kids
  8. Center for Disease Control (CDC) Tobacco Control and Use
  9. North American Quitline Consortium
  10. Oral Health America Foundation
  11. Smoke Free Government
  12. Smoking Cessation Leadership Center (UCSF)
  13. Society for Nicotine Treatment (SRNT)
  14. Tobacco and the Elderly
  15. Tobacco Technical Assistance Consortium (TTAC)

Pharmacotherapy for the Tobacco User

  1. AARC Clinician’s Guide for Treating Tobacco Dependence (pages 27-29)
  2. FDA 101: Smoking Cessation Products
  3. Prescription Guidelines from The American Academy of Family Practice


  1. Smokers: What am I inhaling? An interactive experience!
  2. Smoking in the Movies (PDF)
  3. Standards of Practice for a Tobacco Treatment Specialist (PDF)
  4. Tobacco Addiction: Why is it so powerful? (PDF)

Reimbursement for Tobacco Cessation

  1. Coding Guidelines for Smoking Cessation
  2. Medicare Claims Processing Instructions

Smokeless Tobacco

  1. CDC Fact Sheets
  2. Five Important Smokeless Tobacco Facts
  3. Medline Plus
  4. National Cancer Institute
  5. National Spit Tobacco Education Program (NSTEP)
  6. Statistics and Facts on Smokeless Tobacco

Smoking Marijuana

  1. American Thoracic Society: Smoking Marijuana and the Lungs

Surgeon General’s Reports

  1. Tobacco Resources
    • The Surgeon General’s tobacco resources website contains all past reports related to smoking as well as fact sheets, video and podcast series, and prevention initiatives.
  2. 2014 Surgeon General’s Report: The Health Consequences of Smoking – 50 Years of Progress
  3. 2012 Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General
  4. 2010 How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease
  5. 2006 The Health Consequences of Involuntary Exposure to Tobacco Smoke
  6. 1964 Smoking and Health: Report of the Advisory Committee of the Surgeon General of the Public Health Service

Survey Results and Reports

  1. State of Tobacco Control (American Lung Association, 2015)
  2. Survey of adults:
    1. Behavioral Risk Factor Surveillance System (BRFSS)
    2. Current Population Survey (CPS)
    3. National Health and Nutrition Examination Survey (NHANES)
    4. National Health Interview Survey (NHIS)
    5. Tobacco and other drugs-National Institute on Drug Abuse
  3. Survey of youth:
    1. Monitoring the Future Surveys (MTFS)
    2. Monitoring the Future Survey – 8th, 10th, 12th, grade youth
    3. Teenage Attitudes and Practices Survey (TAPS)
    4. Youth Risk Behavior Surveillance System (YRBSS)
  4. Tobacco Control: US and international resources; links to at least one tobacco control resource for each state as well as international tobacco control resources

Tobacco Cessation Programs and Services

  1. AARC Tobacco Cessation Patient Guide
  2. American Cancer Society Quit for Life Program
  3. American Lung Association Freedom from Smoking Online
  4. CDC Cessation Materials for State Tobacco Control Programs
  5. Fagerstrom Test for Nicotine Dependence
  6. North American Quitline Consortium
  8. State and National Quitlines
  9. Videos about quitting (produced by the Mayo Clinic)
    1. Help to Stop Smoking
    2. I’m so Happy I Stopped Smoking
    3. Stopping Smoking: Why is it so Hard?

Tobacco Treatment Specialist (TTS) Information

  1. ATTUD TTS Standards of Practice
  2. Standards of Practice for a Tobacco Treatment Specialist (PDF)

AARC Tobacco Resources webpage updated on April 18, 2017