Tobacco cessation fall 2011 Instructor (1)_ For use in lecture (3)

With help from a clinician the odds of quitting

Info icon This preview shows pages 38–46. Sign up to view the full content.

View Full Document Right Arrow Icon
With help from a clinician, the odds of quitting approximately doubles.  Compared to patients who receive no assistance from a clinician, patients who receive assistance are 1.7–2.2 times as likely to quit successfully for 5 or more months.
Image of page 38

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Estimated abstinence rate at  5+ months 0 10 20 30 None One Two Three or more Number of Clinician Types 1.0 1.8 (1.5,2.2) 2.5 (1.9,3.4) 2.4 (2.1,3.4) = 37 studies The NUMBER of CLINICIANS  CAN MAKE a DIFFERENCE, too Compared to smokers who receive assistance from no clinicians, smokers who receive assistance from two or more clinicians are 2.4– 2.5 times as likely to quit successfully for 5 or more months. Fiore et al. (2008). Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. Rockville, MD: USDHHS, PHS, May 2008.
Image of page 39
Tobacco users expect to be encouraged to quit  by health professionals. Screening for tobacco use and providing  tobacco cessation counseling are positively  associated with patient satisfaction         (Barzilai et al., 2001). Barzilai et al. (2001).  Prev Med  33:595–599.   Failure to address tobacco use tacitly implies that quitting is not important. WHY SHOULD CLINICIANS  ADDRESS TOBACCO?
Image of page 40

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
ASK ADVISE ASSESS ASSIST ARRANGE The 5 A’s HANDOUT Fiore et al. (2008). Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. Rockville, MD: USDHHS, PHS, May 2008.
Image of page 41
The 5 A’s  (cont’d) Ask   about tobacco use “Do you ever smoke or use any type of tobacco?” “I take time to ask all of my patients about tobacco  use—because it’s important.” “Medication X often is used for conditions linked with or  caused by smoking. Do you, or does someone in your  household smoke?” “Condition X often is caused or worsened by smoking.  Do you, or does someone in your household smoke?” ASK
Image of page 42

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
The 5 A’s  (cont’d)              tobacco users to quit (clear, strong,  personalized, sensitive) “It’s important that you quit as soon as possible, and I  can help you.” “I realize that quitting is difficult. It is the most important  thing you can do to protect your health now and in the  future. I have training to help my patients quit, and when  you are ready, I will work with you to design a  specialized treatment plan.” ADVISE
Image of page 43
The 5 A’s  (cont’d) Assess    readiness to make a quit attempt ASSESS Assist    with the quit attempt Not ready to quit: provide motivation (the 5 R’s) Ready to quit: design a treatment plan Recently quit: relapse prevention ASSIST
Image of page 44

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Arrange     follow-up care ARRANGE The 5 A’s  (cont’d) Number of sessions Estimated quit rate* 0 to 1 12.4% 2 to 3  16.3% 4 to 8 20.9% More than 8 24.7% * 5 months (or more) postcessation Provide assistance throughout the quit attempt.
Image of page 45
Image of page 46
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern