Many smokers will not engage in counseling, especially if it is lengthy or requires multiple contacts (e.g., 41). Therefore, the patient should be offered options for quitting, including brief and accessible counseling. Nonadherence to cessation medications is also common and is linked with beliefs that they are dangerous, ineffective, and should not be used if a person has lapsed42. Because medication nonadherence is related to cessation failure18 the clinician should discuss with the patient the safety and effectiveness of cessation medications and encourage their adherent use.
