Table 1 Counseling protocol and content
Session # | Counseling Topics | Cessation Medication | |
|---|---|---|---|
1 | Weekly | • Smoking assessment • Introduction to Stress management- stress coping • Barriers to quitting and strategies to enhance readiness • Nicotine and addiction • Medication education and assistance | • Introduction to NRT & use |
2 | • Cancer related care and distress, care team communication • Assess medication adherence and managing side effects • Knowledge about quitting at the time of diagnosis • Coping with cravings and withdrawal • Stress management- stress signs and coping | • NRT question/side effects | |
3 | • Smoke free home and car • Social support • Stress management – mini relaxations | • Assess NRT use & 2nd dose | |
4 | • Introduce beginning with appreciations • Managing slips and relapses during/ following treatment • Stress management- belly breathing | • Review 2nd dose/NRT fit | |
5 | Bi-Weekly | • Smoking associated stigma and negative self-talk • Values clarification exercise • Stress management– single pointed focus exercise | • Assess adherence during treatment |
6 | • Resources for family/household members who smoke • Rewards and financial costs of smoking • Stress management- Mindful Awareness in daily life | • Assess adherence during/post treatment | |
7 | • Risk of other forms of tobacco • Stress management- Mindfulness: Pause- Breathe-Reflect-Choose Exercise | • Assess adherence during/post treatment | |
8 | • Pleasurable behaviors • Sleep and self-care | • Review NRT completion | |
9 | Monthly | • Fear of recurrence • Managing physical symptoms | • Discuss if any continued NRT |
10 | • Managing cravings during/ following treatment • Picturing positive change | • Discuss if any continued NRT | |
11 | • Stress and coping review • Managing slips and relapses review • Review overall smoking progress • Finalize smoking goals, relapse prevention • Post treatment Support | • Discuss if any continued NRT | |