Table 1 Protocol for the ‘Cut Down to Stop’ Service
From: A ‘Cut-Down-To-Stop’ intervention for smokers who find it hard to quit: a qualitative evaluation
Session | Description |
|---|---|
1–3 Standard SSS Model | ▪ Discuss, explain and assess nicotine dependency ▪ Explain CO-monitoring and take first CO-reading ▪ Discuss options for medication ▪ Set a quit date ▪ Discuss withdrawal symptoms and dealing with cravings ▪ Discuss main motivation to quit |
4 Clients who are still smoking 2 weeks after quit date | ▪ Provide advice and guidance on ‘Kick It’ CDTS intervention ▪ Assess client’s goal to reduce tobacco and establish readiness to change ▪ Advise on ultimate goal and benefits of total abstinence ▪ Provide information on support and treatment available ▪ Discuss withdrawal symptoms and dealing with cravings ▪ Assess current smoking behaviour, clarify amount smoked ▪ Look at previous attempts of reducing ▪ Explain approach and importance of thinking about moving on to quit altogether ▪ Measure CO reading ▪ Agree schedule to cut down ▪ Discuss preparation process and provide a summary |
5 | ▪ Review progress and confirm goals and agree cut down schedule ▪ Assess current smoking behaviour, clarify amount smoked ▪ Confirm client has sufficient supply of quit smoking pharmacotherapy (NRT, varenicline, bupropion) is using enough of it, and understands how to use etc. ▪ Advice on changing routine and re-setting goal to reduce consumption further ▪ Address tactics for managing smoking frequency and pattern ▪ Measure CO reading ▪ Review readiness for abrupt cessation ▪ Develop commitment from client ▪ Discuss plans and provide a summary |
6 | ▪ Check on progress ▪ Measure CO ▪ Review use of medication and supply with client ▪ Discuss withdrawal symptoms and dealing with cravings ▪ Discuss coping strategies for difficult situations with the client ▪ Review gradual quitting program ▪ Discuss coping strategy with regard to any high risk potential situations ▪ Discuss the transition to complete cessation, discuss setting quit date ▪ Provide a summary |
7+ | ▪ Clients contacted 12 weeks after quit date to find out how client is doing. ▪ Clients who have not succeeded with full session and who are ready to set a quit date are offered an additional 6 session of support. |