Increasing treatment enrollment among smokers who are not motivated to quit: a randomized clinical trial

There is a significant research-to-practice gap with respect to reaching underserved populations with evidence-based tobacco cessation treatments. Increasing enrollment in evidence-based treatments is necessary to reduce tobacco use and tobacco-related health inequities. The purpose of the current study was to evaluate whether Motivation And Problem Solving (MAPS), a flexible, holistic counseling/navigation approach delivered via phone, and proactive provision of Nicotine Replacement Therapy (NRT) would improve Quitline enrollment among a sample of low SES smokers who were not motivated to quit. In a 3×2 factorial design, cigarette smokers (N = 603) were randomized to one of six treatment conditions (Standard Treatment, MAPS-6, or MAPS-12 by NRT or no NRT). Results indicated that both MAPS-6 and MAPS-12 increased Quitline enrollment compared to Standard Treatment (ps < .03). There were no differences between MAPS conditions. NRT did not increase Quitline enrollment. MAPS is an effective intervention with the potential to be disseminated and implemented in healthcare and community settings to increase the reach of evidence-based interventions for tobacco cessation.

Predietary Counseling in Ketogenic Diet: The 5R Model

A major determinant of success while following a ketogenic diet is the counseling that precedes and accompanies the dietary advice. Effective predietary counseling lays a strong foundation upon which successful outcomes can be built. Predietary counseling, an art as well as a science, is best understood through a bio-psychosocial viewpoint. This brief communication shares an alliteratively named model, the 5R rubric. Rapport, realistic realization, reliability, readiness to change, and relationship must be explored and improved during the process of counseling. These five R's remind one to practice continuous, holistic counseling, without forgetting any of the factors that may impact outcomes. Pre-ketodietary counseling is a theranostic intervention, as it helps in both assessment (diagnosis) and improving outcomes (therapeutics).

Pandangan Holistik Manusia Sebagai Akar Pengembangan Inovasi Konseling

Humans are holistic beings, aspects of human life can be classified into four main aspects, namely physical, mental, social, and spiritual. In this paper aims to find out the concept of holistic guidance and counseling services as an innovation in the field of counseling. As a counselor should make holistic counseling as a foundation for the development of counseling innovation, so that in counseling practice can view human as holistic in terms of humanity, problem complexity and cooperation among counselor team since searching data, and look for conclusions on the data (diagnosis), create a plan of action (treatment planning), and perform treatment measures (treatment), evaluation process, until termination (termination).