Podcast
Questions and Answers
Face to face treatment delivered for three or more sessions is especially effective in increasing abstinence rates.
Face to face treatment delivered for three or more sessions is especially effective in increasing abstinence rates.
False
Intensive clinical intervention is the only method effective for increasing quit rates among smokers.
Intensive clinical intervention is the only method effective for increasing quit rates among smokers.
False
The first step in the brief clinical intervention involves advising patients to quit smoking.
The first step in the brief clinical intervention involves advising patients to quit smoking.
False
Setting a quit date more than two weeks after assessment has been shown to be effective.
Setting a quit date more than two weeks after assessment has been shown to be effective.
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Unplanned attempts to quit are more likely to be successful than planned attempts.
Unplanned attempts to quit are more likely to be successful than planned attempts.
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Providing brief cessation advice is mandatory for every tobacco user during clinical visits.
Providing brief cessation advice is mandatory for every tobacco user during clinical visits.
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During routine consultations, all patients must be asked about their smoking status, regardless of their reason for the visit.
During routine consultations, all patients must be asked about their smoking status, regardless of their reason for the visit.
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Individual counselling results in lower abstinence rates compared to group counselling.
Individual counselling results in lower abstinence rates compared to group counselling.
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The length of person-to-person contact has no effect on successful treatment outcomes for smoking cessation.
The length of person-to-person contact has no effect on successful treatment outcomes for smoking cessation.
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Health care workers should receive training that includes evidence-based smoking cessation treatments.
Health care workers should receive training that includes evidence-based smoking cessation treatments.
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It is unnecessary for patients to schedule follow-up appointments within the first week after the quit date.
It is unnecessary for patients to schedule follow-up appointments within the first week after the quit date.
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Identifying what helped or hurt in previous quit attempts is important for future attempts at cessation.
Identifying what helped or hurt in previous quit attempts is important for future attempts at cessation.
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Patients are recommended to binge drink alcohol post-quit date to cope with withdrawal symptoms.
Patients are recommended to binge drink alcohol post-quit date to cope with withdrawal symptoms.
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The ABC approach consists of asking, providing brief advice, and offering evidence-based cessation treatments.
The ABC approach consists of asking, providing brief advice, and offering evidence-based cessation treatments.
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Motivational interviewing techniques are ineffective for patients unwilling to quit smoking.
Motivational interviewing techniques are ineffective for patients unwilling to quit smoking.
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The follow-up frequency decreases significantly after the first month of cessation support.
The follow-up frequency decreases significantly after the first month of cessation support.
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The '5R's' method is meant to assist patients who are eager to quit smoking.
The '5R's' method is meant to assist patients who are eager to quit smoking.
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High intensive telephone follow-up is defined as two calls within the first week post discharge.
High intensive telephone follow-up is defined as two calls within the first week post discharge.
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Continuous abstinence is achieved when a smoker has not smoked for more than a year.
Continuous abstinence is achieved when a smoker has not smoked for more than a year.
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The highest risk of relapse occurs within the first 10 days of quitting.
The highest risk of relapse occurs within the first 10 days of quitting.
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The NCSCT recommends the '5 A's' as a framework for tobacco intervention.
The NCSCT recommends the '5 A's' as a framework for tobacco intervention.
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Evidence suggests that lower intensity interventions may yield higher smoking abstinence rates than more intensive interventions.
Evidence suggests that lower intensity interventions may yield higher smoking abstinence rates than more intensive interventions.
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Patients trying to quit smoking are at low risk of relapsing after the first week.
Patients trying to quit smoking are at low risk of relapsing after the first week.
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Documentation of tobacco use status is unnecessary for every patient at every visit.
Documentation of tobacco use status is unnecessary for every patient at every visit.
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Health care providers must be highly confident in their counseling skills to assist patients wanting to quit smoking.
Health care providers must be highly confident in their counseling skills to assist patients wanting to quit smoking.
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Study Notes
Clinical Interventions for Tobacco Use Disorder
- Two types of clinical intervention exist, based on intensity and service level: brief and intensive.
- Brief clinical interventions effectively increase quit rates. This intervention is crucial to change clinical culture and practice, ensuring all tobacco users are identified and offered treatment.
- The "5 A's" (Ask, Advise, Assess, Assist, Arrange) are the major steps in brief interventions.
- Brief opportunistic advices involve: asking about current smoking, advising to stop, offering assistance (further advice, referral, prescription/pharmacotherapy, follow up)
- The goal of brief interventions is to increase smokers' motivation to quit and to improve success rates. This increase is observed regardless of referral for intensive intervention.
- All patients should be assessed for their smoking status and documented in their records.
- An accurate and updated smoking status is important at each visit to prevent relapse.
- Quit date should be set within 2 weeks of assessment.
- Individual, group, and telephone counselling, in multiple approaches, are effective.
- Telephone counselling formats include proactive and reactive counselling.
- High intensive telephone follow-up (multiple calls) is more effective than low intensity (single call) with additional counseling.
- Continuous abstinence of 12 months is an indicator of long-term abstinence.
- Multiple treatment/sessions increase smoking abstinence rates.
- The patient's willingness to attempt quitting should be assessed.
- Health care providers should be trained for providing brief advice, including evidence-based cessation treatments.
- The steps to be taken to assist a patient attempt to quit include providing brief advice (short as 30 sec-5 minutes), self-help materials, and counseling, when indicated, with pharmacotherapy.
- The 5 R's (Relevance, Risks, Rewards, Roadblocks, Repetition) are used for motivational interviewing.
- Patients who do not want to quit will need a motivational intervention built around the 5 R's.
- Follow-up should occur within the first week after the quit date, weekly for the first month, every 2 weeks for the second and third, and monthly after that up to six months.
- Patients should be congratulated on their success and reminded that lapses can be learning experiences.
- Consider using pharmacotherapy. Referral for more intensive intervention may be indicated.
ABC Approach for Smoking Cessation
- Another method to help smokers quit involves the ABC approach (Ask, Brief advice, Cessation treatment).
- This approach involves asking patients about their smoking status, and offering them brief advice, regardless of their motivation, and referring or providing evidence-based treatment.
- This approach can be more effective than only providing assistance to those interested in quitting.
Minimal Practice Relapse Prevention
- This approach is for recent quitters or in a coincident clinic visit.
- Brief intervention should focus on addressing the common issues and difficulties (e.g., lapses, depression, medication side effects).
- The D.E.A.D. method (Delay, Escape, Avoid, Distract) is used to help patients refrain from smoking.
- Using relevant, open-ended questions to assist the patient will help them see the benefits of quitting, and discuss potential issues.
- The patient must be encouraged to remain abstinent, and to note any success in quitting.
- Assess the potential impact of withdrawal symptoms, weight gain, lack of support, depression on the process.
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Description
This quiz covers various clinical interventions aimed at smoking cessation. It explores the effectiveness of methods such as intensive clinical intervention, brief cessation advice, and the importance of assessing patients' smoking status. Test your knowledge on best practices for helping patients quit smoking.
