Canadian Smoking Cessation Clinical Practice Guideline

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CANADIAN SMOKING CESSATION GUIDELINESUMMARY STATEMENT #4ASSIST: Every tobacco user who expressesthe willingness to begin treatment toquit should be offered assistance.GRADE*: 1A• EXECUTIVE SUMMARYa) Minimal interventions, of 1-3 minutes, areeffective and should be offered to everytobacco user. However, there is a strongdose-response relationship between thesession length and successful treatment,and so intensive interventions should beused whenever possible.GRADE*: 1ACOUNSELLING ANDPSYCHOSOCIAL APPROACHESSUMMARY STATEMENT #1ASK:Tobacco use status should beupdated, for all patients/clients, byall health care providers on aregular basis.GRADE*: 1ASUMMARY STATEMENT #2ADVISE: Health care providers should clearlyadvise patients/clients to quit.GRADE*: 1CSUMMARY STATEMENT #3ASSESS: Health care providers should assessthe willingness of patients/clients tobegin treatment to achieveabstinence (quitting).GRADE*: 1Cb) Counselling by a variety or combinationof delivery formats (self-help, individual,group, helpline, web-based) is effectiveand should be used to assistpatients/clients who express awillingness to quit.GRADE*: 1Ac) Because multiple counselling sessionsincrease the chances of prolongedabstinence, health care providers shouldprovide four or more counsellingsessions where possible.GRADE*: 1Ad) Combining counselling and smokingcessation medication is more effectivethan either alone, therefore both shouldbe provided to patients/clients trying tostop smoking where feasible.GRADE*: 1Ae) Motivational interviewing is encouragedto support patients/clients willingness toengage in treatment now and in thefuture.GRADE*: 1Biv
CANADIAN SMOKING CESSATION GUIDELINESUMMARY STATEMENT #4 (cont’d)f) Two types of counselling and behaviouraltherapies yield significantly higherabstinence rates and should be includedin smoking cessation treatment: 1)providing practical counselling onproblem solving skills or skill training and2) providing support as a part oftreatment.GRADE*: 1BSUMMARY STATEMENT #5ARRANGE: Health care providers:a) should conduct regular follow-up toassess response, provide support andmodify treatment as necessary.GRADE*: 1Cb) are encouraged to refer patients/clientsto relevant resources as part of theprovision of treatment, whereappropriate.GRADE*: 1AABORIGINAL PEOPLES †SUMMARY STATEMENT #1Tobacco misuse ∆ status should be updatedfor all Aboriginal peoples by all health careproviders on a regular basis.GRADE*: 1ASUMMARY STATEMENT #2All health care providers should offerassistance to Aboriginal peoples who misusetobacco with specific emphasis on culturallyappropriate methods.GRADE*: 1CSUMMARY STATEMENT #3All health care providers should be familiarwith available cessation support services forAboriginal peoples.GRADE*: 1CSUMMARY STATEMENT #4All individuals working with Aboriginalpeoples should seek appropriate training inproviding evidence-based smoking cessationsupport.GRADE*: 1C†Aboriginal peoples is used as an inclusive term whichincludes First Nations (both on and off reserve), Inuit, andMétis. This is not meant to take away from the diversity thatexists among Aboriginal peoples∆Tobacco misuse does not refer to tobacco use fortraditional/ceremonial purposes.v
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Canadian Action Network for the Adv
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Canadian Smoking Cessation Clinical Practice Guideline

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