1. SMOKING CESSATION: THE MINIMAL CONTACT INTERVENTION

2. Smoking Cessation  5A Model of Minimal Contact Tobacco Intervention:

3. 5A Model: Ask  Ask About Tobacco Use  “Have you used any form of tobacco in the past six months?” NoneYes ReinforceAdvise

4. 5A Model: Advise  Advise all tobacco users to quit  Urge every tobacco user to quit in a way that is personally relevant. “Tobacco use is thought to lower the effectiveness of this treatment, as your nurse, the most important advice I can give you is to quit smoking.” “The symptoms you are having may be related to your tobacco use, as your nurse, the most important advice I can give you is to quit smoking.” “Continued tobacco use can increase your chance of recurrence and/or development of a second primary, as your nurse, the most important advice I can give you is to quit smoking.”

5. 5A Model: Assess  Assess tobacco user’s readiness to quit  Ask every tobacco user if they are ready to make a quit attempt at this time.  Assess how important it is for them to quit and how confident they are to make a change.

6. 5A Model: Assist  Assist tobacco users in quitting  Build motivation to change.  Help patient identify possible barriers to changing and possible benefits to quitting.  introduce pharmacotherapy options.

7. 5A Model: Arrange You can quit! We can help. Call today. FREE * CONFIDENTIAL * ONE-TO-ONE Monday to Thursday, 8 a.m. to 9 p.m. Fridays, 8 a.m. to 6 p.m. Weekends, 9 a.m. to 5 p.m.

8. Self Help Resources  Make self help resources available in all patient waiting areas

9. Why do this?  It’s not impossible to quit  45 to 50% will attempt to quit in the next 12 months, but…  Only 5 to7% of unaided attempts will succeed for one year or more  >80% of smokers eventually quit