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Promoting quit attempts in clinical practice

Promoting quit attempts in clinical practice. Robert West. University College London December 2011. Topics. What is a quit attempt? The role of desire, duty and intention in quitting Bringing smokers to the point of quitting. What is a quit attempt?.

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Promoting quit attempts in clinical practice

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  1. Promoting quit attempts in clinical practice Robert West University College London December 2011

  2. Topics • What is a quit attempt? • The role of desire, duty and intention in quitting • Bringing smokers to the point of quitting

  3. What is a quit attempt? • A quit attempt occurs when a smoker tells her/himself: From now on I will try not to smoke any more From now on I am not going to smoke any more or

  4. Where does it come from? • The quit attempt occurs at a moment in time when the desire to stop now exceeds the desire to carry on Stopping could be tough but I’ve had enough: I’ll give it a go

  5. Key concepts • Key ingredients are: • an image of what this particular quit attempt will involve • feeling of desire to make it happen • sense of immediacy • It may or may not have been planned in advance and plans made in advance may or may not be put into effect

  6. Smokers’ states of mind Data on file from Smoking Toolkit Study: N=4,330 current smokers

  7. State of mind and cutting down Data on file from Smoking Toolkit Study: N=4,330 current smokers

  8. Motivation to stop predicting quit attempts Data on file from Smoking Toolkit Study: N=2,594 smokers followed up at 6m

  9. State of mind and desire to quit Data on file from Smoking Toolkit Study: N=4,330 current smokers

  10. State of mind and weeks since start of last quit attempt (but smoking) Data on file from Smoking Toolkit Study: N=223 recent ex-smokers

  11. Possible strategies • offering support to all smokers • promoting reduction in those not ready to quit • offering alternative ways of quitting • building on past quit attempts

  12. Attempts to stop according to GP advice to stop smoking Data on file from Smoking Toolkit Study: N=3,904 smokers in past year

  13. Cutting down and future quit attempts Data on file from Smoking Toolkit Study: N=2,594 smokers followed up at 6m

  14. Offering alternatives • Flexible routes to quit study • abrupt quit with Stop-Smoking Service • prescription and minimal support • rapid reduction • cut down then stop • self care • When told there are options but starting with abrupt quit – the large majority choose that option

  15. Building on past quit attempts Number of quit attempts in the past year Data on file from Smoking Toolkit Study: N=2,594 smokers followed up at 6m

  16. Conclusions • A high proportion of smokers see themselves as in the process of stopping and even more have a definite plan to quit • It is possible to capitalise on this by: • offering help to all smokers • promoting reduction, particularly with NRT • indicating that there are alternative routes to quitting • re-engaging smokers who have tried to quit in the past year

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