Smoking - PowerPoint PPT Presentation

Loading...

PPT – Smoking PowerPoint presentation | free to download - id: 1ac2db-ZDc1Z



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Smoking

Description:

... likely to experience high dissonance: most know smoking is bad ... Thoughts are therefore dissonant rather than consonant leads to feelings of discomfort ... – PowerPoint PPT presentation

Number of Views:8
Avg rating:3.0/5.0
Slides: 11
Provided by: itserv5
Learn more at: http://blogs.warwick.ac.uk
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Smoking


1
Smoking
2
1. What is Addiction?
  • Addiction occurs when there is
  • a strong desire to engage in a behaviour
  • an impaired capacity to control the behaviour
  • discomfort / distress when the behaviour is
    ceased
  • persistence of the behaviour despite evidence
    that it leads to social disapproval / morbidity
  • Chronic disorder precipitated and maintained by
    various biopsychosocial factors
  • uncontrolled, compulsive use
  • Smoking physical and psychological dependency

3
2. Biopsychosocial
  • Psychological processes lead to smoking
  • Smoking has direct effects on physical health

4
3. Core processes
  • Background factors SES, parental smoking
  • Stable factors explanatory styles, emotional
    disposition, generalised expectancies
  • Social factors social support and peer pressure
  • Situational factors appraisal and coping

Distal Proximal
5
4. Theory Transtheoretical Model
(Prochaska DiClemente, 1983)
Experiential ? Processes of Change ?
Behavioural
Stages of Change
PC
C
P
A
M
Self-Efficacy
Temptations
Pros
Cons
6
5. Processes Relapse
Increased Self-Efficacy
Coping Response
No Relapse
High Risk Situation
Relapse
Decreased Self-Efficacy
No Coping Response
Abstinence Violation Effect
Lapse
(Marlatt Gordon, 1986)
Vulnerable phase 6 months for smoking
7
6. Cognitive dissonance
  • To entertain two or more contradictory
    thoughts/beliefs at the same time
  • Smokers likely to experience high dissonance
    most know smoking is bad and many want to give
    up, but often continue to smoke. Thoughts are
    therefore dissonant rather than consonant leads
    to feelings of discomfort

8
7. Practice Screening
  • Questions
  • - Level of addiction strongest factor
    determining quit after decision to give up
  • Do you smoke ?
  • Number cigarettes per day gt15/day
  • How long after waking lt30mins
  • Have you thought of giving up ?

9
8. Practice FRAMES (motivational
interviewing)
  • Feedback regarding personal risk or impairment
    after assessment of substance use patterns and
    associated problems
  • Responsibility for change is placed squarely and
    explicitly on the patient
  • Advice about changing (reducing or stopping)
    substance use is clearly given in a
    non-judgemental manner
  • Menus of self-directed change options and
    treatment alternatives are offered to the patient
  • Empathic counselling is emphasised, e.g. showing
    warmth, respect, and understanding
  • Self-efficacy or optimistic empowerment is
    engendered in the to encourage change

10
9. Practice Tailoring Intervention to Patient
Stage
Patients Stage Clinicians Task
Precontemplation Health advice harm minimisation, informed choice
Contemplation Motivational interviewing Ideal self imagery Value clarification
Preparation Negotiate change date and preparatory tasks and goals Enhance commitment
Action Support and monitor abstinence promote self-reinforcements
Maintenance Relapse prevention, and ongoing support and input
Relapse Damage control - encourage change and learning from past behaviour (strategy)
About PowerShow.com