• English
    X

    Google Translate Disclaimer

    The Maryland Department of Information Technology (“DoIT”) offers translations of the content through Google Translate. Because Google Translate is an external website, DoIT does not control the quality or accuracy of translated content. All DoIT content is filtered through Google Translate which may result in unexpected and unpredictable degradation of portions of text, images and the general appearance on translated pages. Google Translate may maintain unique privacy and use policies. These policies are not controlled by DoIT and are not associated with DoIT’s privacy and use policies. After selecting a translation option, users will be notified that they are leaving DoIT’s website. Users should consult the original English content on DoIT’s website if there are any questions about the translated content.

    DoIT uses Google Translate to provide language translations of its content. Google Translate is a free, automated service that relies on data and technology to provide its translations. The Google Translate feature is provided for informational purposes only. Translations cannot be guaranteed as exact or without the inclusion of incorrect or inappropriate language. Google Translate is a third-party service and site users will be leaving DoIT to utilize translated content. As such, DoIT does not guarantee and does not accept responsibility for, the accuracy, reliability, or performance of this service nor the limitations provided by this service, such as the inability to translate specific files like PDFs and graphics (e.g. .jpgs, .gifs, etc.).

    DoIT provides Google Translate as an online tool for its users, but DoIT does not directly endorse the website or imply that it is the only solution available to users. All site visitors may choose to use alternate tools for their translation needs. Any individuals or parties that use DoIT content in translated form, whether by Google Translate or by any other translation services, do so at their own risk. DoIT is not liable for any loss or damages arising out of, or issues related to, the use of or reliance on translated content. DoIT assumes no liability for any site visitor’s activities in connection with use of the Google Translate functionality or content.

    The Google Translate service is a means by which DoIT offers translations of content and is meant solely for the convenience of non-English speaking users of the website. The translated content is provided directly and dynamically by Google; DoIT has no direct control over the translated content as it appears using this tool. Therefore, in all contexts, the English content, as directly provided by DoIT is to be held authoritative.

    SCREENING

    “The USPSTF [U.S. Preventive Services Task Force] recommends that clinicians ask all adults about tobacco use and provide tobacco cessation interventions for those who use tobacco products.” Level A recommendation1


    Counseling

    • Quit rates increase with the intensity of counseling (i.e. frequency and length) up to about 90 minutes of total counseling time.1
    • However, brief counseling (3 minutes or less) has been shown to be effective at increasing tobacco abstinence.1-3

    2 A’s + R Model

    • Ask about tobacco use2
    • Advise tobacco users to quit2
    • Refer them to cessation services (e.g. 1-800-QUIT-NOW)2
     
    5 A’s Model
    •  
    Ask about tobacco use2,3
  • Advise tobacco users to quit2,3
  • Assess willingness to attempt quitting2,3
  • Assist in quit attempt2,3
  • Arrange for follow-up2,3
  • Motivational Interviewing

    • A directive, patient-centered counseling technique that helps patients recognize thoughts and feelings that lead to their continuation of unhealthy behaviors and helps them alter thought patterns to assist behavior change.4
    • The goal of motivational interviewing is to help patients move through the stages of readiness for change:he goal of motivational interviewing is to help patients move through the stages of readiness for change:
      • Precontemplation: The patient does not acknowledge a problem.4
      • Contemplation: The patient recognizes a problem and is thinking about treatment or behavior modification.4
      • Action: The patient starts treatment or behavior modification.4
      • Maintenance: The patient integrates new behavior into everyday life.4
      • Relapse: The patient falls back to the undesired behavior.4 

     


     
     Resources
     
    1. Final Recommendation Statement: Tobacco Use in Adults and Pregnant Women: Counseling and Interventions. Retrieved October 7, 2014 from U.S. Preventive Services Task Force Website:  http://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions.
    2. Counseling About Smoking Cessation. Retrieved October 3, 2014 from American Academy of Pediatrics: Julius B. Richmond Center of Excellence Website: http://www2.aap.org/richmondcenter/CounselingAboutSmokingCessation.html.
    3. American College of Obstetricians and Gynecologists. (2011). ACOG Committee Opinion 503: Tobacco Use and Women’s Health. Washington, DC:  American College of Obstetricians and Gynecologists.  Available Online: http://www.acog.org/-/media/Committee-Opinions/Committee-on-Health-Care-for-Underserved-Women/co503.pdf?dmc=1&ts=20141016T2150223316. 
    4. American College of Obstetricians and Gynecologist. (2009). ACOG Committee Opinion 423: Motivational Interviewing: A Tool for Behavior Change. Washington, DC: American College of Obstetricians and Gynecologist. Available Online: http://www.acog.org/-/media/Committee-Opinions/Committee-on-Health-Care-for-Underserved-Women/co423.pdf?dmc=1&ts=20141016T2154558634.
     
    October 2014