Skip to main content
PMC home page
CMAJ : Canadian Medical Association Journal logoLink to CMAJ : Canadian Medical Association Journal
. 1987 Oct 1;137(7):613–619.

A smoking cessation intervention program for family physicians.

D M Wilson 1, E A Lindsay 1, J A Best 1, J R Gilbert 1, D G Willms 1, J Singer 1
PMCID: PMC1267275  PMID: 3651926

Abstract

Family physicians are able to approach many patients who smoke but are often hesitant to help them quit. Lack of knowledge about effective interventions is a major reason for this hesitancy. The important components that have been tested in physician-initiated smoking cessation interventions are advice to quit, information about the risks of smoking and techniques for quitting, nicotine gum, setting a date for quitting and offers of supportive follow-up visits. We describe a cessation program developed for family physicians that incorporates these factors into three types of visits over a 2-month period: the challenge visit, which occurs during a regular office visit and focuses on advice and setting a date to quit; the quit-date visit, which involves instructing patients on the proper use of nicotine gum, if applicable, and confirming their desire to quit; and four supportive follow-up visits, which provide continuing encouragement for 2 months and allow physicians to monitor withdrawal symptoms, relapses and other problems. Such a program can be effectively incorporated into a general practice.

Full text

PDF
613

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Fagerström K. O. Effects of nicotine chewing gum and follow-up appointments in physician-based smoking cessation. Prev Med. 1984 Sep;13(5):517–527. doi: 10.1016/0091-7435(84)90020-3. [DOI] [PubMed] [Google Scholar]
  2. Fielding J. E. Smoking: health effects and control (1). N Engl J Med. 1985 Aug 22;313(8):491–498. doi: 10.1056/NEJM198508223130807. [DOI] [PubMed] [Google Scholar]
  3. Hughes J. R., Hatsukami D. K., Pickens R. W., Krahn D., Malin S., Luknic A. Effect of nicotine on the tobacco withdrawal syndrome. Psychopharmacology (Berl) 1984;83(1):82–87. doi: 10.1007/BF00427428. [DOI] [PubMed] [Google Scholar]
  4. Hughes J. R., Miller S. A. Nicotine gum to help stop smoking. JAMA. 1984 Nov 23;252(20):2855–2858. [PubMed] [Google Scholar]
  5. Jarvis M. J., Raw M., Russell M. A., Feyerabend C. Randomised controlled trial of nicotine chewing-gum. Br Med J (Clin Res Ed) 1982 Aug 21;285(6341):537–540. doi: 10.1136/bmj.285.6341.537. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Marshall A., Raw M. Nicotine chewing gum in general practice: effect of follow up appointments. Br Med J (Clin Res Ed) 1985 May 11;290(6479):1397–1398. doi: 10.1136/bmj.290.6479.1397. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Orleans C. T., George L. K., Houpt J. L., Brodie K. H. Health promotion in primary care: a survey of U.S. family practitioners. Prev Med. 1985 Sep;14(5):636–647. doi: 10.1016/0091-7435(85)90083-0. [DOI] [PubMed] [Google Scholar]
  8. Raw M., Jarvis M. J., Feyerabend C., Russell M. A. Comparison of nicotine chewing-gum and psychological treatments for dependent smokers. Br Med J. 1980 Aug 16;281(6238):481–482. doi: 10.1136/bmj.281.6238.481. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Richmond R., Webster I. Evaluation of general practitioners' use of a smoking intervention programme. Int J Epidemiol. 1985 Sep;14(3):396–401. doi: 10.1093/ije/14.3.396. [DOI] [PubMed] [Google Scholar]
  10. Russell M. A., Jarvis M. J. Theoretical background and clinical use of nicotine chewing gum. NIDA Res Monogr. 1985;53:110–130. [PubMed] [Google Scholar]
  11. Russell M. A., Merriman R., Stapleton J., Taylor W. Effect of nicotine chewing gum as an adjunct to general practitioner's advice against smoking. Br Med J (Clin Res Ed) 1983 Dec 10;287(6407):1782–1785. doi: 10.1136/bmj.287.6407.1782. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Russell M. A., Wilson C., Taylor C., Baker C. D. Effect of general practitioners' advice against smoking. Br Med J. 1979 Jul 28;2(6184):231–235. doi: 10.1136/bmj.2.6184.231. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Schneider N. G., Jarvik M. E., Forsythe A. B., Read L. L., Elliott M. L., Schweiger A. Nicotine gum in smoking cessation: a placebo-controlled, double-blind trial. Addict Behav. 1983;8(3):253–261. doi: 10.1016/0306-4603(83)90020-5. [DOI] [PubMed] [Google Scholar]
  14. Wilson D., Wood G., Johnston N., Sicurella J. Randomized clinical trial of supportive follow-up for cigarette smokers in a family practice. Can Med Assoc J. 1982 Jan 15;126(2):127–129. [PMC free article] [PubMed] [Google Scholar]

Articles from CMAJ: Canadian Medical Association Journal are provided here courtesy of Canadian Medical Association

RESOURCES