Adapted from "A State Model of the Process of Change" (Prochaska and DiClemente)
|
Prochaska JO, Goldstein MG, Process
of smoking cessation: implications for clinicians, Clin Chest Med
1991, 12,727-735
|
Sample Decision Balance
|
Choice A: Reasons to smoke
|
Choice B: Reasons to quit
|
|
Benefits of smoking My pacifier Relieves tension and anger Something to do when I'm not doing anything Something to do when I am doing something |
Concerns about smoking Deadly pacifier Health problems Secondhand smoke for my family Be an outcast and excluded |
|
Concerns about quitting I would like to be strong physically How will I occupy my spare time? Will I need a new crutch? I have difficulties in concentrating |
Benefits of quitting Taste food Smell the air Save money over time Gaining some stamina |
|
0 1 2 3 4 5 6 7 8 9 10
Resistance score = 10 |
0 1 2 3 4 5 6 7 8 9 10
Motivation Score = 10 |
| Botelho RJ, Sinner H, Motivating change in health behavior, PrimCare 1995, 22:565-589 |
Actual Causes of Death in the United States in 1990
|
Deaths
|
||
|
Cause
|
Estimated No.
|
% of Total Deaths
|
| Tobacco |
400,000
|
19
|
| Diet/activity patterns |
300,000
|
14
|
| Alcohol |
100,000
|
5
|
| Microbial agents |
90,000
|
4
|
| Toxic agents |
60,000
|
3
|
| Firearms |
35,000
|
2
|
| Sexual Behavior |
30,000
|
1
|
| Motor vehicles |
25,000
|
1
|
| Illicit use of drugs |
20,000
|
<1
|
|
Total
|
1,060,000
|
50
|
| McGinnis JM, Foege WH, "Actual Causes of Death in the United States," JAMA 1993, 270, 2007-2212 |