This Decision TreeCalc evaluates the following decision points:
- Assess / record patient's smoking status. Offer personalized advice about quitting. Is patient interested in quitting at this time?
Decision Tree end points include:
- Set a quitting date. Assess prior efforts of what worked, what didn't. Offer nicotine replacement in patch, gum, vapor inhaler, nasal spray forms, or non-nicotine therapy such as bupropion or nortriptyline. Encourage smoker's ability to quit. Make follow up plan.
- Identify barriers to quitting: dependence, fear of failure, lack of social support, weight gain concerns, depression, substance abuse problems. Propose good health reasons to quit. Set a quit date and follow up strategy.
- Use motivational strategies and techniques: don't argue, acknowledge smoker's ambivalence, discover smoker's views on smoking and quitting. Go over the risks of passive smoking. Offer help when patient is ready. Set follow up strategy.
References
- U.S. Public Health Service. A clinical practice guideline for treating tobacco use and dependence. JAMA. 2000, 283:3244-54. PubMed ID: 10866874
Legal Notices and Disclaimer
All information contained in and produced by the EBMcalc system is provided for educational purposes only. This information should not be used for the diagnosis or treatment of any health problem or disease. THIS INFORMATION IS NOT INTENDED TO REPLACE CLINICAL JUDGMENT OR GUIDE INDIVIDUAL PATIENT CARE IN ANY MANNER. EBMcalc is NOT a medical device. EBMcalc NEVER stores cookies or other persistent data in user's browsers. Click here for full notice and disclaimer.
EBMcalc is Copyright © 1998-2026 EBMcalc, LLC [Build 282297 v26.3]