title: Tobacco cessation and brief advice.
abstract: Patients who are enrolled on tuberculosis (TB) treatment are often ill and are seeking ways to get better. They are more likely at that time to adopt risk-reducing health behaviours. Interventions that are neither complicated nor time-consuming are available to health service personnel to help patients undertake smoking cessation. Brief advice to patients repeated at various times throughout their TB care can increase cessation rates. All tobacco use needs to be identified and reasons for quitting enunciated. Patients are thus given a framework for considering smoking cessation. If patients then choose not to stop currently, they can be asked to reconsider at a later visit, and also be cautioned to avoid smoking in the presence of others. Smokers who want to stop can discuss strategies for avoiding craving and withdrawal, and pharmacological agents can be recommended if they are available. Because the brief advice is repeated, patients are reinforced either for having stopped or for their progress towards stopping.
authors.affiliation: International Union Against Tuberculosis and Lung Disease, Paris, France. kslama@iuatld.org
authors.forename: K
authors.initials: K
authors.lastname: Slama
authors.forename: C-Y
authors.initials: CY
authors.lastname: Chiang
authors.forename: D A
authors.initials: DA
authors.lastname: Enarson
mesh_terms: D001291:Attitude of Health Personnel; D003376:Counseling; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009042:Motivation; D009538:Nicotine / Q000627:therapeutic use*; D018722:Nicotinic Agonists / Q000627:therapeutic use*; D010342:Patient Acceptance of Health Care; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology; D014376:Tuberculosis / Q000523:psychology / Q000628:therapy*; D014378:Tuberculosis Societies
chemical_list: D018722:Nicotinic Agonists; D009538:Nicotine