Table 4 Key recommendations

From: Treating tobacco dependence: guidance for primary care on life-saving interventions. Position statement of the IPCRG

Recommendation Gradea
Make your practice ‘‘smoke free’’ by banning smoking on the premises, displaying information on smoking cessation in the waiting room, asking every patient about smoking status, and promoting smoking cessation services B
Opportunistically provide brief, clear advice to quit whenever appropriate (doctors) and offer available assistance with any quit attempt A
Train practice nurses and other staff to encourage smokers to quit and offer assistance C
Recommend a local telephone counselling service (‘‘quit line’’), where available, to all smokers who indicate interest in quitting A
Consider prescribing drug treatment for tobacco dependence (e.g., nicotine replacement therapy, bupropion, varenicline) to people who smoke 10 or more cigarettes per day, after consideration of contraindications and comorbidity A
Tailor your approach to smoking cessation advice or treatment to the individual’s degree of readiness to quit D
Use a non-judgemental communication style C
Use motivational interviewing techniquesb to help people understand their own attitudes to smoking and quitting, make their own decisions and solve problems encountered during a quit attempt B
Provide or arrange intensive behavioural counselling, where resources permit A