Skip to end of metadata
Go to start of metadata

General principles that will help you support a smoker

A motivational, non-judgemental style during consultations is more likely to engage patients than a judgemental, directional style.[47][48][49] Playing the role of an interested partner who asks and explores a smoker's determination to quit is likely to be helpful. Motivational interviewing uses empathy rather than confrontation and acknowledges that the patient, not the doctor, is responsible for changing behaviour.

There are four key principles

  1. regard the person's behaviour as their personal choice
  2. let the patient decide how much of a problem they have
  3. avoid argumentation and confrontation
  4. encourage the patient to discuss the advantages and disadvantages of making a quit attempt.[50] (See Motivational tension)

ASK about smoking status to open up a discussion about quitting smoking

ASSESS how motivated a smoker is to the idea of quitting and their degree of nicotine dependence

ADVISE on coping strategies to support the quit attempt 

ASSIST the quit attempt

ARRANGE follow-up to provide continued support

Q Once a patient has decided he or she wants to quit, a healthcare professional can assist in the following ways:
  • Provide assistance in developing a quit plan;
  • Help a patient to set a quit date;
  • Offer self-help material;
  • Explore potential barriers and difficulties perceived by the patient;
  • Review the need for pharmacotherapy and encourage its use in patients who are nicotine dependent.
  • Refer to a quitline and/or enrol in an active call back program (if available) (See 2. Quitlines, and other sources of support)

How to use the Cycle of Change to help smokers quit

  • No labels