Reducing Secondhand Smoke Exposure for Your Patients: Practical Office Counseling Techniques

Learning Objectives

Motivational Interviewing and the 5 A's Approach to Smoking Intervention in the Pediatric Office Setting

• Describe the role of motivational interviewing in creating a therapeutic alliance with patients.
• Describe the steps of the 5A's smoking intervention as recommended by the US Public Health Service Clinical Practice Guidelines.
• Describe behavioral and pharmacological aids that can assist in smoking cessation attempts.
• Identify systemic and personal barriers to implementing smoking cessation in the pediatric office setting.

Promoting Smoke Free Homes in Your Practice – Systems Change:

• Describe the evidence supporting smoking cessation counseling in pediatric practice.
• Implement small practice changes utilizing a plan-do-study-act cycle.
• Incorporate evidence-based smoking cessation counseling techniques into practice that will not significantly lengthen individual patient visits.

Special Populations:

• Identify the unique risk factors of adolescents with regards to smoking initiation and the inability or reluctance to quit.
• List concrete clinical interventions that can be undertaken during each stage of the adolescent smoking initiation process.
• Describe the unique risk factors associated with tobacco addiction among individuals with psychiatric disorders.
• Describe the need for additional research into the smoking behaviors of lesbian, gay, bisexual and transgender adolescents and adults.