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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA



Thursday, July 13, 2006 - 12:00 PM
13-293

Beyond Tobacco Cessation Guidelines: What Do You Do When Evidence-based Interventions Don't Work?

Rick Botelho, MD, Rochester Center to Improve Communication in Health Care, Building Relationships, Eliminating Disparities, University of Rochester, NY, USA, 1381 South Clinton, Rochester,, Rochester, NY 14620 and Prannie Rhatigan, MD, Streedagh House, Irish College of General Practitioners, Streedagh, Grange, County Sligo, Ireland.

Objective: Describe how practitioners can use the concept of motivational practice and personal evidence to address the limits and constraints of evidence-based guidelines. Understand why personal and professional change* can enhance the lifelong learning process of practitioners enhancing their motivational skills in addressing the complex challenge of tobacco cessation with resistant smokers (*In other words, use a continuing professional development model to improve their own health habits and change their professional role from a health advisor to a motivational guide). Demonstrate a series of motivational skills that practitioners can use to initiate "change dialogues" with resistant smokers

Methods: A blended of learning methods will help practitioners to understand how they can work with resistant smokers when the evidence-based interventions do not work. After a mini-didactic presentation, all participants will experience the process of developing personal evidence by completing a decision balance on themselves and assessing their own resistance and motivation to change their own behavior, based on what they thought and how they felt. A videotape will demonstrate how to initiate change dialogues with resistant smokers by using a decision balance to clarify their issues about change, assessing (emotional and cognitive) their resistance and motivation to quit, using non-direct interventions to reduce resistance and using direct interventions to enhance motivation.

Results: Participants will evaluate their own learning experience as part of the workshop. A brief summary will report the impact of a full day workshop for the Irish North West Regional Smoking Cessation Service.



Web Page: www.MotivateHealthyHabits.com