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Staging algorithms

Smoking Algorithm

CLASSIFICATION OF THE STAGES OF CHANGE FOR SMOKING CESSATION

Smoking Algorithm

 

Smoking Stage of Change
Client ID#_______________________

Short Form                                                                                     Date:_________/_________/_______

Assessment Point:_________________

1.   Are you currently a smoker?

  • A) Yes, I currently smoke.
  • B) No, I quit within the last 6 months.
  • C) No, I quit more than 6 months ago.
  • D) No, I have never smoked.

Smokers only:

2.  In the last year, how many times have you quit smoking for at least 24 hours? _____

3.  Are you seriously thinking of quitting smoking?

  • A) Yes, within the next 30 days
  • B) Yes, within the next 6 months
  • C) No, not thinking of quitting

Divider

Smoking Stage of Change
Short Form
Scoring Sheet

1.   Are you currently a smoker?

  • A) Yes, I currently smoke.
  • B) No, I quit within the last 6 months. (ACTION STAGE)
  • C) No, I quit more than 6 months ago. (MAINTENANCE STAGE)
  • D) No, I have never smoked.             (NONSMOKER)

Smokers only:

2.  In the last year, how many times have you quit smoking for at least 24 hours? ______

3.  Are you seriously thinking of quitting smoking?

  • A) Yes, within the next 30 days (PREPARATION STAGE if they have one 24-hour quit attempt in the past year; if there was no quit attempt in the past year, then CONTEMPLATION STAGE)
  • B) Yes, within the next 6 months (CONTEMPLATION)
  • C) No, not thinking of quitting (PRECONTEMPLATION)

Divider

References

  • DiClemente, C.C., Prochaska, J.O., Fairhurst, S., Velicer, W.F., Rossi J.S., & Velasquez, M. (1991). The process of smoking cessation: An analysis of precontemplation, contemplation and contemplation/action. Journal of Consulting and Clinical Psychology, 59, 295-304.
  • Velicer, W.F., Fava, J.L., Prochaska, J.O., Abrams, D.B., Emmons, K.M., & Pierce, J. (1995). Distribution of smokers by stage in three representative samples. Preventive Medicine, 24, 401-411.