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| Smoking Cessation and Intervention TreeCalc |
The EBMcalc module Smoking Cessation and Intervention TreeCalc is available in EBMcalc Complete Edition.
This Decision TreeCalc evaluates the following decision points:
- Assess / record patient's smoking status. Offer personalized advice about quitting. Is patient interested in quitting at this time?
Decision Tree end points include:
- Set a quitting date. Assess prior efforts of what worked, what didn't. Offer nicotine replacement in patch, gum, vapor inhaler, nasal spray forms, or non-nicotine therapy such as bupropion or nortriptyline. Encourage smoker's ability to quit. Make follow up plan.
- Identify barriers to quitting: dependence, fear of failure, lack of social support, weight gain concerns, depression, substance abuse problems. Propose good health reasons to quit. Set a quit date and follow up strategy.
- Use motivational strategies and techniques: don't argue, acknowledge smoker's ambivalence, discover smoker's views on smoking and quitting. Go over the risks of passive smoking. Offer help when patient is ready. Set follow up strategy.
References
- U.S. Public Health Service. A clinical practice guideline for treating tobacco use and dependence. JAMA. 2000, 283:3244-54. PubMed ID: 10866874
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