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MINIMAL INTERVENTION STRATEGY QUITTING SMOKING MIS

MINIMAL INTERVENTION STRATEGY QUITTING SMOKING MIS. Wim Willems HOVUmc. Smoking kills. Smoking kills. Smoking kills. Smoking kills. Smoking kills. Smoking kills. Smoking kills. Quitting smoking is cost effective. Costs per year of life gained. Quitting smoking is cost effective.

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MINIMAL INTERVENTION STRATEGY QUITTING SMOKING MIS

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  1. MINIMAL INTERVENTION STRATEGYQUITTING SMOKING MIS Wim Willems HOVUmc

  2. Smoking kills

  3. Smoking kills

  4. Smoking kills

  5. Smoking kills

  6. Smoking kills

  7. Smoking kills

  8. Smoking kills

  9. Quitting smoking is cost effective Costs per year of life gained

  10. Quitting smoking is cost effective Costs per year of life gained

  11. Quitting smoking is cost effective Costs per year of life gained

  12. Quitting smoking is cost effective Costs per year of life gained

  13. Negative cognitions of GP’s

  14. Negative cognitions of GP’s • I cure, prevention is not my business • I don’t have the time, I am too busy already • It’s energy lost, smokers just don’t quit • I don’t where to begin and how to do the follow up • It’s too difficult, it’s almost psychotherapy • Patients don’t want me to confront them with their smoking habits • I smoke myself, how do I make a credible story?

  15. GP’s effectiveness

  16. GP’s effectiveness

  17. GP’s effectiveness

  18. GP’s effectiveness

  19. MIS • Motivation dependent --> tailor-made • Short and systematic • Delegation of tasks possible • Respects autonomy of patient • Non dependent on patient’s complaints • Patient is active, doctor follows

  20. MIS

  21. MIS 1 Happy smoker

  22. MIS 1 Happy smoker Motivation? Have you ever considered to quit smoking? Do you want to quit in the near future? 1 yes --> Motivation + 2 no --> Motivation -, general advice to quit, information

  23. MIS 2 Considers to quit 1. Smoking profile (nicotine dependency) • do you smoke 10 cigarettes a day or more? • do you smoke your first cigarette within 30 minutes of waking up? 2. Increase motivation (“I want to quit”) • advantages of quitting • disadvantages of continuing • challenge excuses 3. Barriers (“I can quit”) • increases self-confidence

  24. MIS 3 Decision • fix a date within 1 to 2 weeks • convenient • informative material, NRT, other medication • new appointment shortly after quitting

  25. MIS 4 Action

  26. MIS 4 Action • experiences thus far • congratulations / praise • relapse prevention motivation? barriers? at least one new appointment after 2-3 months

  27. MIS 5 Relapse • Too bad, but nothing is lost • Positive affirmation (you tried, you succeeded) • Causes? • Motivation for a new try? • Barriers? • New appointment?

  28. www.gpsupport.nl

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