Podcast
Questions and Answers
Referring smokers for treatment is not recommended if intensive treatment is unavailable.
Referring smokers for treatment is not recommended if intensive treatment is unavailable.
False
Providing brief advice to all smokers at every visit is considered good practice.
Providing brief advice to all smokers at every visit is considered good practice.
True
Intensive tobacco dependence treatment is proven to be less effective than brief treatment.
Intensive tobacco dependence treatment is proven to be less effective than brief treatment.
False
The ABC approach includes asking patients about their smoking status and documenting it.
The ABC approach includes asking patients about their smoking status and documenting it.
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Health care providers require specific training to deliver intensive clinical interventions for tobacco use disorders.
Health care providers require specific training to deliver intensive clinical interventions for tobacco use disorders.
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It is advised that physicians should only assist smokers who want to quit.
It is advised that physicians should only assist smokers who want to quit.
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A minimum of two follow-up sessions is recommended within six months for smoking cessation interventions.
A minimum of two follow-up sessions is recommended within six months for smoking cessation interventions.
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Methadone is classified as a stimulant drug that speeds up the nervous system.
Methadone is classified as a stimulant drug that speeds up the nervous system.
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The peak effects of Methadone occur approximately 3 hours after administration.
The peak effects of Methadone occur approximately 3 hours after administration.
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Methadone can only be prescribed by psychiatrists or authorized doctors.
Methadone can only be prescribed by psychiatrists or authorized doctors.
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The half-life of Methadone is estimated to be around 12 hours.
The half-life of Methadone is estimated to be around 12 hours.
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Methadone therapy aims to eliminate dependency on other opioids entirely.
Methadone therapy aims to eliminate dependency on other opioids entirely.
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The Pharmacist Officer is responsible for dispensing medication based on the patient's FBM record criteria for a duration of 1 month.
The Pharmacist Officer is responsible for dispensing medication based on the patient's FBM record criteria for a duration of 1 month.
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Counseling guidance is provided according to the FBM Counseling Guidelines.
Counseling guidance is provided according to the FBM Counseling Guidelines.
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The records for patients' smoking cessation visits should be noted in the FBM Patient Record Form.
The records for patients' smoking cessation visits should be noted in the FBM Patient Record Form.
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The program coordinator schedules behavior therapy counseling sessions with the Medical Officer only after 4 weeks.
The program coordinator schedules behavior therapy counseling sessions with the Medical Officer only after 4 weeks.
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Vital signs such as blood pressure and weight should be recorded during the initial assessment at week 1.
Vital signs such as blood pressure and weight should be recorded during the initial assessment at week 1.
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The second follow-up visit is scheduled to take place at 8 weeks.
The second follow-up visit is scheduled to take place at 8 weeks.
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Pharmaceutical care issues must only be suggested to the Pharmacist during the initial visit.
Pharmaceutical care issues must only be suggested to the Pharmacist during the initial visit.
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Patients are reminded of their follow-up appointment via SMS or phone call before the Week 2 visit.
Patients are reminded of their follow-up appointment via SMS or phone call before the Week 2 visit.
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A chart is used to explain the CO levels to patients during the follow-up visit.
A chart is used to explain the CO levels to patients during the follow-up visit.
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The FBM guidelines for smoking cessation were published in 2021.
The FBM guidelines for smoking cessation were published in 2021.
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Improved health is a potential reward for quitting smoking.
Improved health is a potential reward for quitting smoking.
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Weight gain is often considered a benefit of quitting smoking.
Weight gain is often considered a benefit of quitting smoking.
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The 5R technique includes the components of Relevance, Risks, Rewards, Roadblocks, and Repetition.
The 5R technique includes the components of Relevance, Risks, Rewards, Roadblocks, and Repetition.
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Having healthier children is listed as a barrier to quitting smoking.
Having healthier children is listed as a barrier to quitting smoking.
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Fear of failure is a common barrier that may prevent individuals from quitting smoking.
Fear of failure is a common barrier that may prevent individuals from quitting smoking.
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Tobacco users are advised to ignore previous quit attempts when seeking to stop smoking.
Tobacco users are advised to ignore previous quit attempts when seeking to stop smoking.
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Limited knowledge of effective treatment options is regarded as a potential reward for quitting smoking.
Limited knowledge of effective treatment options is regarded as a potential reward for quitting smoking.
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Setting a good example for children is a reward of quitting smoking.
Setting a good example for children is a reward of quitting smoking.
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Relapse prevention strategies should focus on avoiding tempting situations after quitting smoking.
Relapse prevention strategies should focus on avoiding tempting situations after quitting smoking.
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The guideline for smoking cessation pharmacotherapy was published in 2019.
The guideline for smoking cessation pharmacotherapy was published in 2019.
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Pre-visit procedures for patients include only the promotion of the program.
Pre-visit procedures for patients include only the promotion of the program.
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The Transtheoretical Model (TTM) of Stage of Change consists of five stages.
The Transtheoretical Model (TTM) of Stage of Change consists of five stages.
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Motivational Interviewing (MI) is recommended for patients in the preparation phase of smoking cessation.
Motivational Interviewing (MI) is recommended for patients in the preparation phase of smoking cessation.
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The medical officer, pharmacists, and paramedics share responsibilities in the smoking cessation program.
The medical officer, pharmacists, and paramedics share responsibilities in the smoking cessation program.
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Patients who are ready to quit smoking are referred to registration without further assessment.
Patients who are ready to quit smoking are referred to registration without further assessment.
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The program includes a maximum of one pre-visit to conduct screenings and registrations.
The program includes a maximum of one pre-visit to conduct screenings and registrations.
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The smoking cessation guideline is managed solely by the Ministry of Health Malaysia.
The smoking cessation guideline is managed solely by the Ministry of Health Malaysia.
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The pharmacotherapy guideline's second edition focuses on a single approach for quitting smoking.
The pharmacotherapy guideline's second edition focuses on a single approach for quitting smoking.
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The screening process includes gathering smoking history and nicotine product usage.
The screening process includes gathering smoking history and nicotine product usage.
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Study Notes
Clinical Practice Guidelines for Treatment of Tobacco Use Disorder
- There are two types of clinical intervention: brief and intensive interventions
- Brief clinical interventions are vital to increase quit rates effectively, especially for all smokers
- The 5 A's (ask, advice, assess, assist, arrange/refer) are used for brief intervention
- Brief interventions are designed to be brief and require minimal provider time
- Interventions aim to increase smoker's motivation to quit improving the success rate of quitting and increase overall tobacco abstinence
- Asking about tobacco smoking should be documented for all patients
- Smoking status should be checked at every visit to prevent relapse.
- Advice should be given clearly to all patients regarding quitting
- Assess patient willingness to make a quit attempt
- Assist patients in quit attempt with brief advice and self-help materials
Setting a Quit Date and Follow-up
- Quit date should be within 2 weeks of the assessment to quit
- Individual, group, or telephone counseling approaches are effective for smoking cessation, particularly in multiple approaches
- Delivering brief advice and self-help materials are effective approaches, especially if delivered in multiple formats (such as individual, group or telephone)
- The follow-up visits should happen within the first week of the quit date
- Weekly follow-ups for the first month, then bi-weekly, then monthly, is recommended up to 6 months
Patients Who Are Unwilling to Quit
- Motivational interviewing (MI) techniques may assist when patients are unwilling to quit
- Reasons for unwillingness may include lack of information about tobacco or relapse, feeling demoralized, lack of financial resources, and fears about quitting
Relapse Prevention
- Interventions for relapse focus on identifying and resolving situations/triggers that may lead to relapse
- Patients should be encouraged to report difficulties promptly
- Techniques such as delaying the act of lighting up, avoiding situations that induce smoking, distracting from any intentions to smoke, and avoiding situations that might cause re-engagement are useful
Pharmacological Treatment
- Use of approved pharmacotherapies, when indicated, is recommended to reduce withdrawal symptoms and increase smoking cessation success
- Explanation of how medications can reduce withdrawal symptoms and increase smoking success should be given
- Provide additional/supplementary materials to patients as necessary
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Description
This quiz covers key concepts related to tobacco treatment practices and the use of Methadone in addiction recovery. It includes guidelines for healthcare providers, the effectiveness of brief versus intensive treatments, and essential facts about Methadone therapy. Test your knowledge on these important aspects of addiction management.
