Studies indicate that evidence-based quitlines are effective, and the 2008 Tobacco Clinical Practice Guidelines conclude that quitline counseling increases the likelihood of successful quitting by about 60%.1
QUiTWORKS-RI offers five proven elements recommended by the U.S. Public Health Service1 and the Centers for Disease Control and Prevention2 (CDC):
- Tools to systematically identify smokers
- Prompts to guide providers to intervene with smokers and offer pharmacotherapy
- Proactive telephone counseling for smokers > 30 minutes
- Patient education materials
- Feedback reports to providers
1Treating Tobacco Use and Dependence: Clinical Practice Guideline 2008 Update
2Guide to Community Preventive Services
Successful Behavior Change
QUiTWORKS-RI counseling is based on accepted behavior change models and counseling practices.
- Social Learning Theory: Smoking is a learned behavior and can be unlearned. Seeks to increase self-regulation and self-efficacy.
- Motivational Interviewing: Seeks to resolve ambivalence around smoking and increase internal motivation. Engages the patient in generating solutions, rather than telling the patient what to do.
Highlighted Steps from the Clinical Guidelines
- Assess every patient for tobacco use at every visit
- Combining counseling and pharmacotherapy produces the best results
- Effective drugs include:
- Nicotine replacement therapy (patch, gum, lozenge, nasal spray, inhaler)
- Burpropion (antidepressant; Zyban® or Wellbutrin SR®)
- Varenicline (nicotine receptor agonist; Chantix™)