Patients Not Ready To Make A Quit Attempt Now (The "5 R's")

Patients not ready to make a quit attempt may respond to a motivational intervention. The clinician can motivate patients to consider a quit attempt with the "5 R's": Relevance, Risks, Rewards, Roadblocks, and Repetition.
  1. Relevance - Encourage the patient to indicate why quitting is personally relevant.
  2. Risks - Ask the patient to identify potential negative consequences of tobacco use.
  3. Rewards - Ask the patient to identify potential benefits of stopping tobacco use.
  4. Roadblocks - Ask the patient to identify barriers or impediments to quitting.
  5. Repetition - The motivational intervention should be repeated every time an unmotivated patient has an interaction with a clinician. Tobacco users who have failed in previous quit attempts should be told that most people make repeated quit attempts before they are successful.
Current as of December 2012
Internet Citation: Patients Not Ready To Make A Quit Attempt Now (The "5 R's"). December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/5rs.html