Registered Nurses´ Association of Ontario
Page 9 of 13 Main Menu <<Back Next>>
Stages of Change Model
Stages:
Precontemplation: Description
- Unaware or unwilling to change.
- Not thinking of quitting in the next 6 months.
Precontemplation: Goal
- To help the client begin to think seriously about quitting.
Precontemplation: What to do
- ASK regarding feelings about smoking.
- ASK about the pros and possible cons of smoking.
- ADVISE by offering quitting information and assistance at any time.
Contemplation: Description
- Ambivalent, but thinking about quitting within 6 months.
Contemplation: Goal
- To help smoker move towards a decision to stop smoking.
- To help the client feel more confident.
Contemplation: What to do
- ASK about the pros and cons of both continuing to smoke and quitting (decision balance).
- Acknowledge ambivalent feelings.
- ASSIST by reinforcing their reasons for change, and exploring new ones.
- Suggest they cut back or stop for a day.
- ASSIST by offering a future visit and information.
Preparation: Description
- Getting ready to stop within the next 30 days.
- Have set stop smoking date.
- Have made a 24 hour quit attempt in the last 12 months.
Preparation: Goal
- To help smoker prepare for and anticipate positively a quit date.
Preparation: What to do
- ASK about concerns, preparations and lessons learned from previous attempts.
- ADVISE by identifying barriers to stopping and elicit solutions.
- ASSIST by Booklet, Action Plan, Nicotine Replacement, Date for quitting (BAND).
Action: Description
- Have quit smoking within past 6 months and are actively applying cessation skills.
Action: Goal
- To help client stay off tobacco products and recover from relapses.
Action: What to do
- ASK how the client is doing: relapses, temptations, successes, NRT use.
- ADVISE re: relapse prevention, weight gain, triggers.
- ASSIST by focusing on successes, encourage self rewards and increase support, elicit solutions for problems.
Maintenance: Description
- Quit for more than 6 months.
- Integrating smoke-free living into their routine.
Maintenance: Goal
- To help client remain smoke-free for a life time.
Maintenance: What to do
- ASK how the client is doing: risk situations, relapses.
- ASSIST by offering suggestions for difficult times, support, encouragement.
- Congratulate!
