Leaders' Guidance for Case Managed Approach to Tobacco Cessation Help

After receiving Administrative approval of this intervention from your organization, select an active health professional familiar with health promotion strategies to lead in managing the cnduct of CMATCH.   You will need Workshop Leaders, Hospitality Hosts, a Greeter, and a Presentation Technician for the 5 sessions.   Orientation and training  of the team volunteers should be done at least 2 weeks in advance so that they become familiar with the conotent of the "Let's Begin to Quit" Workshop guidelines, scripts, and activities.  They will also become familiar with the "Taking Control" coaching program on this website.  An Assistant Leader capable in complimenting the leader's activities is recommended also.  Greeters who will register attendance and facilitate small group activities are also important.  For hospitality features, one or two persons are adequate to plan and operate healthy snack provisions.

Your team will be augmented by Mentors who invite and facilitate the lifestyle change of the tobacco product-using participants and, later, by the supporting phone coach(es). (Mentor and Phone Coach are separate roles--different persons.)

Refer to the Orientation and Training Manual on the Leader's Resources page.

When possible, draw successful CMATCH program graduates onto the team to assist in future workshops and other activities--a desirable result of fellowship efforts.

The select team of the sponsoring organization may be oriented by FrameWork Health staff in a community conference session or by an audio/visual conference call of approximately 2 hours to learn about the CMATCH system of intervention, discuss roles and functions, and appoint them.

MENTORS

The mentoring role is pivotal to success because this caring and encouraging team member  diligently maintains contact with the participant in person throughout the year.  Mentors are trained for the role separately from the Team with content from the "The Mentor's Guide".  In it they learn how to practice Motivational Interviewing and positive strategies for changing behavior into a healthy lifestyle.  By accompanying each Workshop session they keep in tune with what is taught the Mentee and they support the purpose and benefits of CMATCH.

The Mentee may request a family member or friend to accompany him/her also to share in the encouragement role.  That individual must not be a tobacco product user.  These individuals should work along with the Mentee in the 14-day "Taking Control " web-based course and indefinitely thereafter.

Refer to the Mentor's Guide on the Leader's Resources page.

Refer to the section below to consider variations in this Mentor role and function to fit your community circumstances.

 There are downloadable manuals and many other materials for the team members on this website on the Leader's Resources page -- all the guidance you will need--such as: training guidelines for each role of the Team, "Let's Begin to Quit" Workshop scripts and activities for teaching, the Workbook for "Taking Control",  periodic questionnaires to measure success,  slide shows.  They fit within the parameters of quality mentored health behavior change that allows self-determination and control over the cessation process augmented by a strong follow-up support component. The education and the social integration learned and achieved in the cessation program will benefit families and community.  

Together Everyone Achieves More With Organization, Respect,  and Kindness

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Remote Phone Coaching follows the 14-day Taking Control course. The Graduate of "Taking Control" receives phone support with mutually-scheduled scripted calls over the following 11 months.

Refer to Phone Coaching Functions and

Phone Coaching Resources

FrameWork Health has developed a method to facilitate successful cessation using a combination of:

1. Assessment Interview (prior to or during the first Workshop session) using a standard survey tool crafted for CMATCH, titled Tobacco Cessation Assessment Tool (TCAT), in which strengths and weakness in the areas of history, tobacco use intensity, health beliefs and values, perception of stress and response to it, the concept of personal power and confidence, determination of readiness, learning style, and degree of social support present in the individual are identified. By this, readiness and placement in the program are obtained and benchmarks are set to compare with a repeat of TCAT  after CMATCH is completed.

2. A self-help wholistic tobacco cessation program, "Taking Control", applying audio and visual guidance, and projected free from this website . 

3. Social engagement in strategically scheduled group meetings in workshop format, "Let's Begin to Quit," for supportive health education and the development of mentoring relationships.  

4.  Carefully scripted, scheduled motivational telephone coaching after the workshop sessons by trained  individuals over 12 months. 

For church groups and community-based organizations, there are various methods of invitation into the CMATCH engagement.   You can see that the mentoring role can be the most effective, especially when a difficult change in lifestyle behavior challenges individuals.  The role requires time, ingenuity, compassion, and commitment over time.  Individuals who fit this responsibility may be recruited by a public appeal,  incentives of volunteerism,  or discipleship training.  The invitation to the identified tobacco product user may take place with a family member, a co-worker, a retail clerk, a neighbor, etc. in a private environment.  Here is where the Mentorship training becomes important:  How to begin the conversation carefully; how to convey concern and a spirit of helpfulness; how to assure a decision that they will keep that appintment; do they need transportation?

HOW DO WE FIND PARTICIPANTS?

We suggest the follow methods:

• In the Church:  Recruit mission-minded attendees through a discipleship-training course.  Consolidate associated mission projects to include health screenings and healthy lifestyle classes that include CMATCH
• In the Community:  Collaborate with community service groups (independent and national) and advertize to those care recipients your nicotine addiction intervention
• Arrange for public local media announcements and video about your program

What an opportunity to engage in discipling with a fellowship group that promotes a healthy lifestyle to save lives!

Refer to the Mentor's Guide on the CMATCH Leader's Resource p

 CMATCH is designed to be offered in a variety of circumstances or preferences: 

Virtually or F2F  

When social distancing is necessary, participants can attend with Workshop leaders on internet-based group meeting software, such as Zoom, where teaching and discussion can build support and accountability can be assessed.  

The individual coaching of Taking  Control and follow-up telephone coaching is already designed for distance. Discuss with FrameWork Health leaders your desires; we will aid you in getting the materials you will need to conduct your program.  In rural areas with limited internet connection or when participants do not have access to computer, the Mentor may aid in accommodating the participant where both may watch the Taking Control videos and workshop sessions, or the CMATCH team can arrange a meeting place like the community library for attendance by the participants and their mentors.
Limited Person-Person Meetings

Workshops can be planned for facility accommodations that support social distancing and masks in sequential timing through the day or evening.  The presentation materials can still be viewed and the self-study materials are downloadable from the website.  

The local CMATCH team has freedom to arrange the conduct of this intervention according to local resources and customs.