TOBACCO CESSATION INTERVENTIONS IN HEALTH-CARE SETTINGS - RATIONALE, MODEL, OUTCOMES

Health care settings provide opportunities to reach populations of tob acco users with personalized cessation assistance. We describe a model for doing so which emphasizes a team approach, minimizes the burden o n clinicians, and uses brief counseling by allied professionals, video s, written materials, and telephone calls to augment clinician advice. The model has been implemented in several diverse settings including outpatient, inpatient, and dental clinic managed care; fee-for-service dentistry and pediatric practices; and planned parenthood clinics. Da ta from several randomized trials support the effectiveness of the app roach. The brief, low-intensity interventions derived from the model a ppear to be sustainable on a routine basis in many settings.