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.
Page last reviewed December 2012
Page originally created December 2012
Internet Citation: Patients Not Ready To Make A Quit Attempt Now (The "5 R's"). Content last reviewed December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/5rs.html