Leaders are picking up on this idea: 16 percent of employers provide a discount on health insurance premiums to people who do not use tobacco products, and 10 percent offer a discount for participating in a program to quit smoking, according to the Society for Human Resource Management’s (SHRM’s) 2018 Employee Benefits …

What are some interventions to stop smoking?


Clinical recommendation (smoking cessation interventions) Evidence rating Quit rates at six months (%)*
Telephone counseling A 5 to 19
Self-help materials B 7 to 27
Nicotine patch A 8 to 21
Nicotine spray A 30

What are the 5 A’s in order for the smoking cessation program?

Successful intervention begins with identifying users and appropriate interventions based upon the patient’s willingness to quit. The five major steps to intervention are the “5 A’s”: Ask, Advise, Assess, Assist, and Arrange. Ask – Identify and document tobacco use status for every patient at every visit.

What are three main strategies for quitting tobacco use?

The 3 A’s are actions to take when faced with high-risk situations where you may feel pressured to smoke.

  • Avoid. Avoiding is one of the best strategies. …
  • Alternatives. Have alternatives to cigarettes handy at all times. …
  • Adjust. …
  • Strategy Worksheet.

What is the most effective intervention for smoking cessation?


Among pharmacotherapy options, dual nicotine replacement therapy (NRT) and varenicline (Chantix) are equally effective for smoking cessation at six months and more effective than single NRT and bupropion (SOR A, meta-analysis of RCTs).

What are the benefits of quitting smoking?

improves health status and enhances quality of life. reduces the risk of premature death and can add as much as 10 years to life expectancy. reduces the risk for many adverse health effects, including poor reproductive health outcomes, cardiovascular diseases, chronic obstructive pulmonary disease (COPD), and cancer.

Are smoking cessation programs effective?

Abstract. Smoking cessation without professional help is achieved only in 3-5%. Smoking cessation clinics that combine behavioral and pharmaceutical support increase abstinence rates after 6 months from 35% to 55%, depending also from the health professional’s experience.

What is the 5A framework?

Recently, the 5A model has been proposed as a framework to improve weight counseling in the primary care context [22]. The 5A was initially developed as a tool for counseling on smoking cessation and has later been adapted for the context of weight management counseling [23].

What is the Fagerstrom test?

The Fagerström Test for Nicotine Dependence is a standard instrument for assessing the intensity of physical addiction to nicotine. The test was designed to provide an ordinal measure of nicotine dependence related to cigarette smoking.

What best practice interventions would the nurse recommend for tobacco cessation assistance?

Nurses and brief intervention

  • Ask about tobacco use.
  • Advise the patient to quit.
  • Assess readiness to quit.
  • Assist the patient in quitting.
  • Arrange a follow up to check their status.