Smoking Cessation with Adult Patients
MOTIVATING CHANGE
The "Motivating Change" worksheet is designed to help the patient and physician determine a patient's readiness to quit smoking. A printable copy can be provided for the patient to complete in the office with the physician or other health care worker, or later on his/her own. Patients should be encouraged to ADD to this sheet as they find out more about their own motivations to quit smoking and to keep it handy for encouragement.
THE 5-R MODEL for tobacco users unwilling to quit
The "5 R's," Relevance, Risks, Rewards, Roadblocks, and Repetition, are designed to motivate smokers who are unwilling to quit at this time. Smokers may be unwilling to quit due to misinformation, concern about the effects of quitting or demoralization because of previous unsuccessful quit attempts. Therefore, after asking about tobacco use, advising the smoker to quit, and assessing the willingness of the smoker to quit, it is important to provide the "5 R's" motivational intervention.