This often seems more manageable than quitting outright. Preparing Patients to QuitĬonsider having patients commit to working on a smaller goal before they quit smoking altogether or instead of setting an absolute quit date: "Quit before you quit."Įxamples of "quitting before you quit" include quitting smoking inside the home, car or office. From a harm reduction perspective, it reduces exposure to smoke and nicotine, and reduction increases the likelihood of complete abstinence in the future. Reducing cigarette intake should be seen as a goal in itself. You may offer them nicotine gum to manage cravings while they gradually cut down daily smoking. If patients want to quit but feel unable or unwilling to quit abruptly, then encourage them to try a reduce to quit plan. The evidence demonstrates that setting a quit date increases the likelihood of success, but many patients who smoke succeed in quitting or reducing their smoking without a quit date. Therefore, self-help materials should be made available to patients who are trying to quit smoking, but individual couselling should be offered as well. However, when counselling and cessation pharmacotherapy is given by health care providers, the benefit of self-help material is not seen. Self-Help ResourcesĪ 2019 Cochrane systematic review of interventions of self-help materials found it is superior in helping smokers quit relative to no self-help materials. A decisional balance sheet facilitates discussion about the patient's reasons for and against quitting. Decisional Balance Sheet for SmokingĪ "decisional balance" approach can help a patient who is in the contemplation stage and, thus, ambivalent about quitting. Some patients benefit from the extrinsic motivation provided by a written agreement with you or a significant other. It also interrupts habitual smoking because patients tend to reduce their intake when they have to consider why they are smoking a given cigarette. Smoking DiaryĪ smoking diary helps you and the patient develop awareness about smoking patterns. The American Academy of Family Medicine's "Why Do I Smoke?" quiz helps both you and the patient gain insight into the factors that motivate the patient to continue to smoke. Smoking cessation tools to use with patients The "Why Do I Smoke?" Quiz
Tell patients that repeated failures are normal and that failure is part of the learning process. Learning to quit is often like learning any new behaviour: It may be frustrating, it requires repeated practice, and it tends to involve failures before successes. Tell patients that quitting is a process, not an event. Facilitating Smoking Cessation Key message for Smoking Cessation A complete list of Toolkit authors, editors and contributors is available here. Text adapted in 2021 from Smoking Cessation in The Primary Care Addiction Toolkit (online only).
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