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Adult Preventive Health Care Guidelines
Epidemiology
Tobacco Cessation
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Recommendations:

Tobacco cessation counseling is recommended for all persons who use tobacco products, particularly for pregnant women and people with children in the home. Optimal frequency not determined, but repeated messages over time are associated with greatest success.

Source: Guide to Clinical Preventive Services1

Strategies:

  • Ask about smoking: each visit
  • Advise tobacco users to quit: each visit
  • Assist with a quit plan
  • Refer for intensive smoking cessation programs

Effective Treatment Strategies are:

  • Nicotine replacement therapy
  • Clinician provided support
  • Skills training/problem solving techniques

Follow-up:

  • schedule visits during quit time

Prevent relapse

  • offer reinforcement
  • congratulate, encourage
  • inquire about problems
  • discuss weight gain, lack of support for cessation
Source: Smoking cessation: A guide for primary care clinicians11
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