Motivating People who use Tobacco to Change

Stopping smoking involves a process of change that takes place in stages over time. It often takes many attempts to quit before a tobacco user achieves long-term success. This “stages of change” model defines five stages in the process of quitting. Your patients will benefit from different intervention approaches at every stage.

Not thinking about stopping – is neither considering stopping nor actively paying attention to tobacco and health information. Does not see him/herself as vulnerable to health risks. Raise doubt – and provide strong recommendation to quit. Describe treatment supports available. Repeat at each visit.

Thinking about stopping – is actively paying attention to information about the effects of tobacco use and ways to stop. Identify pros and cons – of continuing to use tobacco in order to tip the balance toward making a quit attempt.

Trying to stop – has developed strategies to help him/herself stop. Support setting a quit date soon

  • Refer to QuitWorks-NH program, provide QuitWorks-NH Welcome Guide enrollment pamphlet.
No longer using tobacco – has been without tobacco for up to six months. This is a crucial period in terms of relapse. Maintaining abstinence – has been without tobacco for over six months and is establishing long-term abstinence. Prevent relapse – by reviewing benefits of staying quit and of successes experienced.

  • Reiterate help is available if needed. Give QuitWorks-NH Quit Tips number (1-800-Get-A-Tip) and website address (
Back to regular smoking – has recycled to any of the first three stages. Encourage another quit attempt.

  • Re-enroll in the QuitWorks-NH program, provide “QuitWorks Welcome Guide” enrollment pamphlet if needed.