Smoking cessation: integration of behavioral and drug therapies.
Family physicians should take advantage of each contact with smokers to encourage and support smoking cessation. Once a patient is identified as a smoker, tools are available to assess readiness for change. Using motivational interviewing techniques, the physician can help the patient move from the precontemplation stage through the contemplation stage to the preparation stage, where plans are made for the initiation of nicotine replacement and/or bupropion therapy when indicated. Continued motivational techniques and support are needed in the action stage, when the patient stops smoking. Group or individual behavioral counseling can facilitate smoking cessation and improve quit rates. Combined use of behavioral and drug therapies can dramatically improve the patient's chance of quitting smoking. A plan should be in place for recycling the patient through the appropriate stages if relapse should occur.
Mallin
Robert
R
Department of Family Medicine, Medical University of South Carolina, Charleston 29425, USA. mallinr@musc.edu
D001521:Behavior Therapy; D016642:Bupropion / Q000627:therapeutic use; D003376:Counseling; D018765:Dopamine Uptake Inhibitors / Q000627:therapeutic use; D006801:Humans; D010817:Physician-Patient Relations; D016540:Smoking Cessation / Q000379:methods; D000074606:Smoking Prevention
D018765:Dopamine Uptake Inhibitors; D016642:Bupropion