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.
- Relevance - Encourage the patient to indicate why quitting is personally relevant.
- Risks - Ask the patient to identify potential negative consequences of tobacco use.
- Rewards - Ask the patient to identify potential benefits of stopping tobacco use.
- Roadblocks - Ask the patient to identify barriers or impediments to quitting.
- 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.