A Capital Approach: Tobacco Treatment and Cessation within Nova Scotia's Capital Health District
Bibliographic record
Abstract
Inspired by Nova Scotia's comprehensive Tobacco Control Strategy and in an effort to support Capital Health's 100% smokefree policy, the Addiction Prevention and Treatment Services (APTS) branch of Capital District Health Authority researched, designed and implemented an innovative tobacco intervention program.The success of the Capital approach, combining peer support, adult education concepts, addictions treatment knowledge, and free pharmacological aids, has sparked interest and dialogue among Canadian and American addictions professionals.The following article describes the rationale, guiding principles, key components and future directions of APTS's "To Be Tobacco Free" program. RationaleBy early spring 2003, through a phased-in approach, Capital District Health Authority implemented its 100% smoke-free policy, prohibiting smoking on all Capital Health sites.In an effort to support those most affected by this policy, Addiction Prevention and Treatment Services (APTS) designed and delivered a tobacco intervention program to employees, physicians and volunteers.Programming was based in best practice and was accessible within all Capital Health sites.The results of this early pilot were evidence that the Capital approach -one that combined peer support, adult education concepts, addictions treatment knowledge and free pharmacological aids -created a positive treatment environment conducive to learning and the achievement of long-term abstinence.Around this time, the comprehensive provincial Tobacco Control Strategy, endorsed by the government of Nova Scotia in 2001, was in the early stages of implementation.Treatment and cessation was a key component of the strategy, and the provincial Department of Health and Office of Health Promotion challenged Addiction Services agencies at the district level to create cost-effective, clinically significant and accessible tobacco intervention programs.This provided the impetus (including the provision of budgetary and staff support) for Capital Health to expand on the initial APTS pilot program.In the fall of 2003, following both therapeutic and educational refinements based on feedback from participants and suggestions from front-line facilitators, the "To Be Tobacco Free" program was unveiled to the public. "To Be Tobacco Free"Today, the "To Be Tobacco Free" program continues to enhance health and reduce harms associated with the use of tobacco products and is available to the Capital Health District's 395,000 residents (40% of Nova Scotia's population).Facilitators with specific training in the field of addictions deliver 300 minutes of core content comprised of a "Getting Started" orientation " I find them (Breakfast with the Chiefs sessions) to be informative, well run, efficient and great networking opportunities.In other words … they're great!" -Jim Ivring, Director, Government Relations and Strategic Affairs, Johnson & Johnson Medical Products
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.012 | 0.005 |
| Scholarly communication | 0.003 | 0.001 |
| Open science | 0.001 | 0.006 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".