P4347 Champix Training programs

1
Real World Experience Panel Engaging the Patient
Robert J. West, PhD Professor of Health
PsychologyDirector of Tobacco Studies Cancer
Research UK Health Behaviour UnitUniversity
College, LondonLondon, United Kingdom Hayden
McRobbie, MDResearch FellowClinical Trials
Research UnitThe University of
AucklandAuckland, New Zealand
2
Goals

• To present a menu of motivational tools and
  approaches
• To assess which tools and approaches, as well as
  methods not included, are likely to be most
  effective and practicable in individual
  settings/countries

3
Ways in Which Clinicians Can Deliver Their
Message
Goal To reach as many patients as possible with
salient points disseminated through multiple
contact opportunities

• Giving opportunistic advice in consultations
• Putting up posters
• Waiting room TV/video messages
• Handing out leaflets/booklets at clinics
• Sending letters
• Making telephone calls
• Sending text messages
• Giving out or sending CDs/DVDs
• Setting up and promoting Web sites

4
Motivational Approaches That Clinicians Can Use
Goal To generate a concrete, attractive,
achievable image in the patients mind of
himself/herself stopping smoking with the aid of
an effective treatment, taking account of past
experiences and expectations

• Show positive examples to which a patient can
  relate
• Present motivational statistics of success rates
• Tailor approach and information to individual
  patient characteristics or categories
• Provide testimonials of success stories from
  other patients
• Explain the treatment options available and their
  benefits
• Explain that treatment is free/subsidised (if it
  is) and can be started right away
• Explain the urgency of stopping at any age and
  not waiting until symptoms appear

5
Motivating the Clinician
Remember that clinicians themselves need
motivation in order to motivate their patients
to stop smoking

• Address common barriers to intervention
• Policy
• Information
• Education
• Tools to prompt giving patients brief advice
• Desktop resource
• Patient record system prompts
• Selling the treatments available
• Know what smoking cessation services are
  available and how clinicians can access these
  services for their patients (e.g., easy referral)

6
Concept for a Clinicians Guide

• Create a 1-side A4 guide on how to engage the
  patient in smoking cessation targeted to each
  country, region, and clinical speciality based on
  local circumstances and practicalities
• Focus on modes of delivery and messages
• Evaluate