Skip Navigation Links



    Learn More     Subscribe    
Join Now!      Login
America's Worst Enemy Quiz
What is the leading cause of death in the United States?
Smoking Cessation: A Guide for Primary Care Clinicians

© Agency for Health Care Policy and Research

Skills training/problem-solving techniques—Should review previous quit successes and failures, anticipate relapse risk situations, and stress total abstinence starting on the quit day.


Schedule followup contact, either in person or by telephone


  • First followup contact within 2 weeks of the quit date, preferably during the first week.

  • Second contact within the first month.

  • Further followup contacts as needed.

Actions during followup visits:

  • Congratulate success.
  • If a lapse occurred, ask for recommitment to total abstinence.

  • Remind the patient that a lapse can be used as a learning experience and review the circumstances that caused it. Suggest alternative behaviors.

  • Identify problems encountered and anticipate challenges in the immediate future.

All treatment strategies apply to adolescents who smoke. Clinicians should be empathetic and nonjudgmental and should personalize the encounter to the adolescent's individual situation. Nicotine replacement therapy may be considered in adolescents addicted to nicotine.

Prevent Relapse

To prevent relapse, offer ex-smokers reinforcement

  • Congratulate, encourage, and stress importance of remaining abstinent.

  • Review the benefits, including potential health benefits, to be derived from cessation.

  • Review the patient's success in quitting.

  • Inquire about problems encountered in maintaining abstinence and offer possible solutions.

  • Anticipate problems or threats to maintaining abstinence.

Discuss specific problems, such as:

  • Weight gain.

  • Negative mood/depression.

  • Prolonged nicotine withdrawal.

  • Lack of support for cessation.

Fear of weight gain is an impediment to smoking cessation. Inform smokers that many people gain weight when they stop smoking. Tell them that weight gain is a minor risk compared with the risks of continued smoking. Tell patients to tackle one problem at a time. First, be confident that they have quit smoking for good, then work on reducing weight gain. Nicotine gum may delay weight gain.

Add your comment   CONTINUED      Previous   1  2  3  4  Next   
About The Author
Share   Facebook   Buzz   Delicious   Digg   Twitter  
From Our Sponsor
Featured Events
Wellness Inventory Certification Training
     September 16-December 16, 2014
     Teleclass, CA USA
Additional Calendar Links
Wellness, Movement, dimension!

Home       Wellness       Health A-Z       Alternative Therapies       Find a Practitioner       Healthy Products       Bookstore       Wellness Inventory
Healthy Kitchen       Healthy Woman       Healthy Man       Healthy Child       Healthy Aging       Wellness Center       Nutrition Center       Fitness Center
Free Newsletter      What Doctor's Don't Tell You      Discount Lab Tests      First Aid      Global Health Calendar      Privacy Policy     Contact Us

Disclaimer: The information provided on HealthWorld Online is for educational purposes only and IS NOT intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek professional medical advice from your physician or other qualified healthcare provider with any questions you may have regarding a medical condition.