Strategies used in intensive behavioural support
• Review smoking history—number smoked per day, time of first cigarette in the day. Ask smoker to keep diary of activities that coincide with smoking
• Review smoking behaviour—past quit attempts, what helped, and reasons for failure
• Emphasise need for total abstinence
• Emphasise need to combat psychological and physical nicotine addiction, where appropriate
• Identify triggers to smoking and encourage smoker to develop strategies for countering these (for example, avoid places or activities associated with smoking)
• If relevant, encourage smoker to develop strategies for avoiding relapse when drinking alcohol
• Encourage appropriate action: set quit date, inform or enlist support of peer group or family, and prescribe nicotine addiction treatment
• Follow up to review progress and prescribe or issue nicotine addiction treatment