73. 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

The "5 Rs"

RewardsThe clinician should ask the patient to identify potential benefits of stopping tobacco use. The clinician may suggest and highlight those that seem most relevant to the patient. Examples of rewards follow:
  • Improved health.
  • Food will taste better.
  • Improved sense of smell.
  • Saving money.
  • Feeling better about yourself.
  • Home, car, clothing, breath will smell better.
  • Having healthier babies and children.
  • Setting a good example for children and decrease the likelihood that they will smoke.
  • Feeling better physically.
  • Performing better in physical activities.
  • Improved appearance including reduced wrinkling/aging of skin and whiter teeth.
RoadblocksThe clinician should ask the patient to identify barriers or impediments to quitting and provide treatment (problem-solving counseling, medication) that could address barriers. Typical barriers might include:
  • Withdrawal symptoms.
  • Fear of failure.
  • Weight gain.
  • Lack of support.
  • Depression.
  • Enjoyment of tobacco.
  • Being around other tobacco users.
  • Limited knowledge of effective treatment options.
Repetition

The motivational intervention should be repeated every time an unmotivated patient visits the clinic setting.

Tobacco users who have failed in previous quit attempts should be told that most people make repeated quit attempts before they are successful.


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Current as of June 2009
Internet Citation: 73. 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/slide73.html