Smoking is one of the most significant systemic risk factors associated with the development of gum disease (Research, 2013). Over the past two decades, the percentile of daily smokers over the age of 18 has decreased from 23.8% in 1995 to 14.5% of individuals in the years 2014-15 (Statistics, 2015). Prochaska and DiClemente developed the trans-theoretical model which uses the stages of change model; pre-contemplation, contemplation, preparation, action and maintenance, to create an integrated model applicable to the broad range of ways individuals change (Prochaska & Diclemente, 1986). By conjunctively applying the trans-theoretical model to the 5A’s; ask, advise, assess, assist and arrange, to implement a program executed by allied health
…show more content…
A quit plan should include setting a termination date, ideally within the succeeding two weeks, and support from family and friends. Educational material and social support, such as counselling to discuss withdrawal symptoms, managing tips and nicotine replacement therapy should be integrated within the plan to assist the patient in a positive transition (Monson & Engeswick, 2005; Dawson, Noller, & Skinner, 2013).
The final stage in the trans-theoretical model; maintenance, comprises of the clinician to arrange a series of follow-up meetings. The first follow-up would be most ideal if scheduled within the first week of the quit date. A second follow-up should occur within the first month (Monson & Engeswick, 2005). If the patient is a successful abstinence, the clinician has the opportunity to congratulate and affirm decision and discuss relapse prevention. If the patient has relapsed, the clinician should offer ongoing support and explore reasons for relapse for future quit attempts (Practitioners, 2011). …show more content…
The trans-theoretical model can take months to years to become successful, this contributing to another area of limitation as health professionals found time limited and had other clinical priorities. Additionally, clinicians found difficulty approaching patients about their smoking status; particularly to young people with parents or when responded with negative responses (Trotter & Worcester, 2003; Kerr, Woods, Knussen, Watson, & Hunter, 2013; Dawson, Noller, & Skinner, 2013; Bhat, et al., 2014). This led to clinicians providing ineffective delivery of smoking cessation intervention due to fear of damaging patient rapport (Kerr, Woods, Knussen, Watson, & Hunter,
A quit plan should include setting a termination date, ideally within the succeeding two weeks, and support from family and friends. Educational material and social support, such as counselling to discuss withdrawal symptoms, managing tips and nicotine replacement therapy should be integrated within the plan to assist the patient in a positive transition (Monson & Engeswick, 2005; Dawson, Noller, & Skinner, 2013).
The final stage in the trans-theoretical model; maintenance, comprises of the clinician to arrange a series of follow-up meetings. The first follow-up would be most ideal if scheduled within the first week of the quit date. A second follow-up should occur within the first month (Monson & Engeswick, 2005). If the patient is a successful abstinence, the clinician has the opportunity to congratulate and affirm decision and discuss relapse prevention. If the patient has relapsed, the clinician should offer ongoing support and explore reasons for relapse for future quit attempts (Practitioners, 2011). …show more content…
The trans-theoretical model can take months to years to become successful, this contributing to another area of limitation as health professionals found time limited and had other clinical priorities. Additionally, clinicians found difficulty approaching patients about their smoking status; particularly to young people with parents or when responded with negative responses (Trotter & Worcester, 2003; Kerr, Woods, Knussen, Watson, & Hunter, 2013; Dawson, Noller, & Skinner, 2013; Bhat, et al., 2014). This led to clinicians providing ineffective delivery of smoking cessation intervention due to fear of damaging patient rapport (Kerr, Woods, Knussen, Watson, & Hunter,