Smoking Intervention in Cancer Patients
Although smoking cessation research has been conducted in other patient groups,
especially heart patients, few studies have involved cancer patients. These
studies have shown the importance of involvement of physicians and other health
care professionals in helping patients to stop smoking. The ASK, ADVISE,
ASSIST, and ARRANGE model was developed in the late 1980s for health care
providers and their patients who smoke. Using this model, the physician asks
the patient about smoking status at every visit, advises the patient to stop
smoking, assists the patient by setting a date to quit smoking, provides self-
help materials, recommends use of nicotine replacement therapy (for example,
the nicotine patch), and arranges for follow-up visits.
Not all smokers are motivated to stop smoking. Physicians should help patients
become motivated to quit smoking. It is common for first time quitters to
start smoking again once or many times. Quitters should be taught to
anticipate stressful situations in which they will want to smoke, and to
develop strategies for handling them. It may take more than a year for even
motivated smokers to stop smoking. The National Cancer Institute booklet, Online Guide to Quitting may help patients understand reasons for smoking and the best ways to quit.
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