Table 2.
Session 1 |
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Provide Treatment Overview and Emphasize Autonomy |
Assess Tobacco Use, Reasons for Quitting Smoking, and Prior Abstinence Attempts |
Provide Empathic Support and Encouragement in Quitting Smoking |
Orient To Behavioral Counselling Treatment Plan |
N-Acetylcysteine |
Provide Guidelines for Setting a Cigarette Smoking Quit Date |
Provide Guidelines for Setting a Personalized Goal Regarding Cannabis Use |
Discuss Goal Assignments and Schedule Session |
Session 2 |
Orient Patient to Session 2 |
Set Smoking Quit Date |
Identify Smoking Triggers |
Identify Cannabis Triggers |
Introduce Strategies for Reducing Smoking |
Introduce Strategies for Reducing Cannabis Use |
Rudimentary Skills for Coping With Smoking Triggers & Cannabis Triggers |
Discuss Goals and Assignments and Schedule Session 3 |
Session 3 |
Orient Patient Session 3 |
Review Progress |
Teach Principles for Coping with Smoking and Cannabis Triggers |
Develop an Action Plan for Coping with Triggers |
Assess Adherence to Smoking Cessation Medications |
Discuss Goals Assignments and Schedule Session 4 |
Session 4 |
Orient Patient to Session 4 |
Review Progress |
Implement Behavioral Changes to Prepare for Quit Day |
Identify Sources of Social Support |
Discuss Goals Assignments and Schedule Session 5 |
Session 5 |
Orient Patient to Session 5 |
Review Progress |
Actions to Take on Quit Day |
Introduce Principles of Relapse Prevention |
Discuss Goal Assignments and Schedule Session 6 |
Session 6 |
Orient Patient to Session 6 |
Assess Smoking Status and Quit Day Experiences |
Procedures for Abstinent Patients |
Procedures for Patients who have Continued to Smoke Cigarettes and/or use Cannabis |
Assess and Resolve Problems Encountered in Quitting (and/or Anticipated Threats to Abstinence) |
Discuss Goal Assignments and Schedule Session 7 |
Session 7 |
Orient Patient to Session 7 |
Assess Smoking Status and Quit Day Experiences |
Procedures for Abstinent Patients |
Procedures for Patients who have Continued to Smoke Cigarettes and/or Use Cannabis |
Assess and Resolve Problems Encountered in Quitting (and/or Anticipated Threats to Abstinence) |
Discuss Goal Assignments and Schedule Session 8 |
Session 8 |
Assess Smoking Status and Quit Day Experiences |
Procedures for Abstinent Patients |
Procedures for Patients who have Continued to Smoke Cigarettes and/or use Cannabis |
Assess and Resolve Problems Encountered in Quitting Smoking (and/or Anticipated Threats to Abstinence) |
Continued Support Options |
Reference Material |
Appendixes |
Requirements and Suggestions for Telehealth-Delivery of the Manual |
Notes on Adapting Protocol for Patients Attempting to Quit Other Forms of Tobacco and/or cannabis |
N-Acetylcysteine (NAC) Side Effects |
Tobacco and Cannabis Withdrawal |
Patient Workbook |