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Promoting tobacco cessation and relapse prevention
Susan L Kenford1, Michael C Fiore
1Department of Psychology, Xavier University, 3800 Victory Parkway, Cincinnati, OH 45207-6411, USA. kenford@xavier.xu.edu
The Medical Clinics of North America
|October 7, 2004
Summary
Effective treatments exist for tobacco dependence cessation. This article presents the five A's model (Ask, Advise, Assess, Assist, Arrange) to guide clinicians in helping patients quit smoking.
Area of Science:
- Public Health
- Behavioral Medicine
- Addiction Medicine
Background:
- Tobacco dependence is a chronic condition with no single cure.
- Effective treatments are available to promote smoking cessation.
- Clinicians require practical models to address patient tobacco use.
Purpose of the Study:
- To outline a practical model for clinicians to help patients overcome tobacco dependence.
- To present the five A's (Ask, Advise, Assess, Assist, Arrange) cessation strategy.
- To offer guidance for time-constrained clinicians and strategies for less motivated patients.
Main Methods:
- Utilizes the chronic disease model of advising and counseling.
- Details the five A's protocol for tobacco cessation interventions.
- Briefly discusses intensive interventions and motivational strategies.
Main Results:
- The five A's model provides a structured approach for tobacco cessation.
- Clinicians can effectively promote cessation even with time constraints.
- Strategies are offered for diverse patient motivation levels.
Conclusions:
- Tobacco dependence is manageable with effective, evidence-based interventions.
- The five A's model is a valuable tool for clinical practice.
- Comprehensive strategies can improve patient outcomes in smoking cessation.