71. For the Patient Unwilling To Quit (Continued)

Treating Tobacco Use and Dependence: 2008 Update

Text version of slide presentation.

For the Patient Unwilling To Quit

Motivational Interviewing (Continued)

Roll with Resistance
  • Back off and use reflection when the patient expresses resistance: "Sounds like you are feeling pressured about your smoking."
  • Express empathy: "You are worried about how you would manage withdrawal symptoms."
  • Ask permission to provide information: "Would you like to hear about some strategies that can help you address that concern when you quit?"
Support Self-Efficacy
  • Help the patient to identify and build on past successes: "So you were fairly successful the last time you tried to quit."
  • Offer options for achievable small steps toward change.
  • Call the quitline (1-800-QUIT-NOW) for advice and information
  • Read about quitting benefits and strategies
  • Change smoking patterns (e.g., no smoking in the home)
  • Ask the patient to share his or her ideas about quitting strategies.

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Current as of June 2009
Internet Citation: 71. For the Patient Unwilling To Quit (Continued): Treating Tobacco Use and Dependence: 2008 Update. June 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/presentations/2008update-full/slide71.html