Interdiction

1
Interdiction

• Encourage Non-users
• NOT
• to start

2
ReinforcementStatement . . .

• Not using tobacco is the
• Single Most Important
• decision you can make for your health.

3
Never-Users Ex-Users

• A few Seconds
• Single most important decision . . .

4
Four As

• Advise
• Dangers of tobacco use explain the benefits of
  quitting

5
Tobacco Users

• About a Minute
• Encourage patients with low or moderate motivation

6
Four As

• Assist
• Promote the belief that quitting is possible
  assist in setting a quit date

7
Tobacco Users with Motivation to Quit

• Three Minutes or less
• To help patients
• receptive to discussion
• to quit

8
Four As

• Arrange
• Patient to attend a
• cessation class
• when necessary

9
Four As

• Arrange

Want to Quit? Need Help? Call Community Health
Nursing at 555-2211 for Tobacco Cessation
Information Its always easier with help!
10
Persistence PaysB. U. Phillips, Jr, Ph.D.,
M.P.H., UTMB
11
Tobacco Intervention Helps Patients

• Contemplate stopping
• Decide to stop
• Actually stop
• Maintain tobacco-free behaviors after having
  stopped
• Attempt to stop again after previous
  unsuccessful attempts

12
All Patients

• FOLLOW-UP
• at
• Every Appointment

13
Deliver the MessageThrough Multiple Channels

• oral
• written
• visual

14
The Cost of Smoking

• 100 billion
• total cost to U.S. in 96
• 50 billion for direct costs of medical
  health care
• 50 billion for indirect costs (lost wages,
  lost productivity)