combination of counseling and pharmacotherapy has 30-40% 3-4 month efficacy
physician advice alone = 5%
patient handouts & education
- quitting smoking brochures, excellent smokefree.gov brochures for those before and after quitting, includes spanish
- 1-800-nobutts fact sheets, including instructions on how to use nicotine replacement therapies and medications, like varenicline
- medlineplus, substance abuse problems
- familydoctor.org, tobacco patient education download
- smoking & diabetes fact sheets, english, spanish, chinese, vietnamese, (also under Clinician Downloads)
smoking counseling (20-30% efficacy, if used alone), 2x as likely to quit with
tobacco pharmacotherapies (5-15% efficacy, if used alone)
 | behavioral approaches - rx for change, ucsf resource for teaching clinicians how to counsel pts to quit smoking.
- smoking and gps, free pdf article that offers practical application of motivational interviewing strategies to smoking
- quitting smoking strategies, handout
- smoking cost calculator, compare cost of cigs patient currently pays to the $4-6 cost per day for OTC nicotine replacement therapies
- confidence scale, motivational interviewing tool to assess the low self-efficacy that most smokers feel about quitting.
- "How confident from 0-10 do you feel that you can quit smoking?..."Why did you choose 3 and not 1?"... "What would it take for you to go from 3 to 8?"
- jar in the kitchen, have patient put in the amount that they would've spent that day on cigarettes
- at agreed upon intervals, the patient can then use the money to reward themselves
- smoking diary, have your patient keep a smoking diary with this pdf; this simple act may get them to cut-back or quit
- tapering strategies
- purchase a different brand of cigarettes, the different taste can help the patient who is beginning to taper
- remove cigarettes for day from package, place on countertop
- put cigarettes in a different container, each time the patient leaves home; don't return it to the pack
- taper by 1 less cigarette every 2 days
- quit day, throw away ash trays, matches, lighters; replace household items that retain a cigarette smell (bedspread, curtains)
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