Download The 5As

Quit Information Seminar
Aims of session
To:
• help you to understand why people smoke
• provide information about quitting methods and
products
• discuss strategies to assist quitting
• provide information about resources and
support
Stages of the quitting process
Thinking about quitting: making the
decision to quit
• conflict
• I want to quit more than I want to smoke
• reasons for quitting
Three aspects of addiction and
dependence
• physical
• habitual
• emotional
What are your triggers?
Chemical addiction
• nicotine is the drug in tobacco that causes
addiction
• some common symptoms of withdrawal
(positively known as recovery symptoms)
– headaches
– upset digestion
– changed sleeping patterns
– coughing
– irritability
Habitual connection
Smokers link behaviour with cigarettes
triggers:
coffee 
alcohol 
phone 
food

craving
craving
craving
craving
What are your triggers?




cigarette
cigarette
cigarette
cigarette
Emotional/psychological
connection
Smokers link feelings with cigarettes
triggers:
stress

happy 
sad

angry

craving
craving
craving
craving




cigarette
cigarette
cigarette
cigarette
What are your triggers?
Many smokers are influenced by each of
the different aspects of smoking behaviour.
Planning to quit – cigarettes,
medication and mental health
• chemicals in cigarettes change the way some
medications work
• see your doctor if you are taking any medication
• quitting can be stressful
• if you have experienced depression, anxiety, or
other mental health conditions, consult your
doctor before quitting
Planning to quit - quitting methods
• going cold turkey
• cutting down
• postponing
Planning to quit – quitting products
• nicotine replacement therapy (NRT)/therapeutic
nicotine:
– nicotine patch, gum, lozenges (mini), inhaler and
mouth spray
– for nicotine dependent smokers
– available over the counter
• medications
– bupropion (nicotine free pill; prescription drug)
– varenicline (Champix; nicotine free pill;
prescription drug)
Subsidised products
• patches (a variety of strengths)
• Varenicline
• Buproprion
• doctors will also ask the smoker to provide a
commitment to enter a comprehensive
support and counselling program
Planning to quit – quitting products
• helps relieve physical withdrawal symptoms
and cravings
• can double your chance of quitting
successfully compared to a smoker who quits
using nothing, if used correctly and for the right
amount of time
• combined with counselling and ongoing
support (such as the Fresh Start course or
Quitline), it further increases your chance of
quitting successfully
Some important information
about NRT/therapeutic nicotine
• nicotine by itself has not been shown to cause
cancer or heart disease
• nicotine replacement products do not contain
the many dangerous chemicals found in
tobacco smoke
• using nicotine replacement therapy/therapeutic
nicotine to quit is always safer than continuing
to smoke
Some important information about
NRT/ therapeutic nicotine
For quitting products to be effective, a person needs:
• to be nicotine dependent
1. smoke your first cigarette within 30 minutes of waking
OR
2. smoke10 or more cigarettes a day OR
3. had cravings and/or withdrawal symptoms in previous
quit attempts
• use the product as recommended
• stick to the program for an appropriate length of
time
Some general information about NRT/
therapeutic nicotine
• combination therapy is another option:
16hr patch is combined with 2mg nicotine gum, 2
mg/1.5 mg lozenge or mouth spray
• combination therapy may benefit those who
have relapsed while on one nicotine replacement
type or if they are still experiencing withdrawal
symptoms using a single type
Dealing with concerns about
quitting
• withdrawal symptoms
– 4Ds, NRT and prescription medications
• weight gain
– healthy eating and exercise
• stress
– relaxation exercises, stress management
• alcohol and social situations
– planning ahead
• loss of a friend
– normalise; there is light at the end of the tunnel
Quit plan
A quit plan includes:
• quitting method
• quit date or cutting down chart
• strategies to replace smoking
• reward system
• support network
Relapse
•
•
•
•
distinguish between slip up and relapse
slip up: a cigarette or two or a few puffs
relapse: a return to full time smoking
look at slip ups and relapse as a learning
opportunity – you have not failed
• review reasons for quitting
Quit’s services and resources
•
•
•
•
•
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Quitline 13 QUIT (13 7848) - fax referral sheets
telephone call-back service
Quit courses
Quit pack/multicultural resources
information sheets
self-help DVD
relaxation CD
websites:
– www.quit.org.au
– www.quitcoach.org.au
Quitline
National Quitline number:
• 13 QUIT (13 7848)
• cost of a local call (approx. 30c; mobile phones
extra)
Hours of operation:
• Telecentre - 24 hours
• Quit counselling: 8am - 8pm, Monday to Friday
Link to Translating and Interpreter Service (TIS)
and Aboriginal Advisors also available
Quitline - flow chart of service
Telephone callback service
•
•
•
•
2 calls during the preparation stage
up to 4 calls commencing around quit date
a practical service
assists smokers to plan and make a quit
attempt
• helps smokers get through withdrawal and
daily cravings
• helps smokers understand that quitting is a
process rather than a single event
Quit’s courses
Quit’s courses are for smokers who want to quit, cut
down and/or learn to manage their smoking during
smokefree times and when desired.
Fresh Start
• 8 sessions over 4 weeks
• sessions are between 1-1.5 hours
Short course
• 2 sessions, 2-3 weeks apart
• sessions are 3 hours
• Quitline support between sessions
Fresh Start Course outline
•
•
•
•
•
•
•
•
Session 1 – Understanding smoking and quitting
Session 2 – Planning to quit
Session 3 – Health effects of smoking & quitting methods
Session 4 – Coping without cigarettes physically
Session 5 – Coping without cigarettes emotionally
Session 6 – Staying stopped in the short term
Session 7 – Staying stopped in the long term
Session 8 – Enjoy being a non-smoker forever
Short Course outline
• Session 1 – Understanding your smoking and
preparing to quit
• Quitline support
• Session 2 – Dealing with quitting challenges
and staying quit
Summary
• identify reasons to quit that are important to
you
• make a firm decision
• understand your own smoking behaviour
• plan your quit attempt
• learn from previous experiences and start
again
• access resources and support
Questions?