Table 3.

Teachable moments categories

Category and definition	Example
Positive reinforcement Provider expresses support for patient’s previous or ongoing attempt to quit smoking.	D: Have you thought about quittin it altogether?
	P: Oh yeah, yeah, I plan on stoppin. Cause she used to smoke but she stopped because of him and
	D: That’s great.
	P: I cut, I cut, I cut down a lot. Like I said, [today I didn’t smoke.
	D: [(Well.) Yeah, well. Extra little bit now, you’re practically there.
Encouragement Provider encourages patients to quit smoking but does not provide any advice or tailored feedback.	P: There are times, there are times when I don’t smoke. When (name) and (name) was here I didn’t smoke for five days. ((laughs))
	D: Um-
	P: So it’s one of things-
	D: [Ok well if you can do it for five days
	P: [(I care about)
	P: It’s not-
	D: It’s not good for you. I’m not telling you anything you don’t know.
	P: Well yeah.
	D: If you can stop, I mean you probably should.
Assessing readiness Provider inquires about patient’s willingness to make a quit attempt.	D: Ok. Do you smoke at all?
	P: Yes. Don’t plan on quitting […]
	P: I’m drug and alcohol free except for the medications that I am prescribed.
	D: And the cigarettes.
	P: Well they’re not technically a drug.
	D: Nicotine is.
	P: I don’t believe it.
	D: Ok.
	P: That drug I’m not yet to let go of.
	D: Ok. Alright, well I encourage you to consider it when you’re ready. Ok?
	P: Yes sir.
Motivating reasons: medical Provider discusses the health consequences of smoking.	N: Um I encourage you to quit because it causes every known cancer out there in addition to bronchitis, pneumonia and lots of stuff.
	P: Yes ma’am.
Motivating reasons: family Provider discusses the consequences of smoking for the patient’s family.	N: Ok. Um do you have kids at home?
	P: No I don’t have my kids at home. My kids live with their mother but uh there’s kids there that I look at like my own so.
	N: Ok.
	P: Yeah.
	N: So you don’t need to be exposing them to-
	P: Yeah.
	N: To tobacco and smoke.
	P: Oh when I smoke I go outside the house.
	N: But it’s still on your clothes.
Motivating reasons: economic Provider cites the financial burden of smoking to motivate the patient to quit.	D: Good. Do you smoke?
	P: Yeah.
	D: Well that's a big money saver.
	P: I know.