The A-R-T of tobacco use counseling: A new office approach

Article

Another article about tobacco use counseling? Before you roll your eyes and move on, take a look at this practical strategy, which includes a new twist that can work for counseling about any risky behavior.

Every pediatrician is well aware of the importance of preventing or stopping tobacco use among patients and parents,1 yet the perceived obstacles to providing such counseling are daunting-so much so that most pediatric care practitioners spend very little time on it. Each clinician quickly finds that there is no ideal intervention-that perfect one- or two-line statement or question that fits easily into a busy office visit and is effective and appreciated by patients and parents-and discouragement therefore runs rampant. To counter that trend, we offer a practical approach to counseling that provides the clinician with feedback that the process is working, and, ultimately, encourages continued prevention efforts. Our approach also nurtures the developing relationship between parent and child, which can form the basis for a tobacco-free life for that child.

Obstacles to counseling

Five As, five Rs-and five Ts

The most recent evidence-based approach to creating a comprehensive plan for counseling about tobacco use is summarized in the 2000 report Tobacco Use Cessation, developed by the United States Agency for Healthcare Research and Quality (AHRQ) for the Centers for Disease Control and Prevention (CDC).4 The AHRQ report features two useful mnemonics:

Related Videos
Screening for and treating the metatarsus adductus foot deformity |  Image Credit: UNFO md ltd
Wendy Ripple, MD
Wendy Ripple, MD
Courtney Nelson, MD
DB-OTO improved hearing to normal in child with profound genetic deafness | Image Credit: © Marija - © Marija - stock.adobe.com.
Carissa Baker-Smith
Perry Roy, MD
Perry Roy, MD | Image Credit: Carolina Attention Specialists
Angela Nash, PhD, APRN, CPNP-PC, PMHS | Image credit: UTHealth Houston
© 2024 MJH Life Sciences

All rights reserved.