PT - JOURNAL ARTICLE AU - Bertrand Dautzenberg AU - Margaret Zaleski-Zamenhof AU - Marie-Dominique Dautzenberg AU - Agnès Delrieu AU - Joseph Osman TI - Therapeutic education sessions better than motivation session in dependant smokers none ready to quit DP - 2011 Sep 01 TA - European Respiratory Journal PG - p1072 VI - 38 IP - Suppl 55 4099 - http://erj.ersjournals.com/content/38/Suppl_55/p1072.short 4100 - http://erj.ersjournals.com/content/38/Suppl_55/p1072.full SO - Eur Respir J2011 Sep 01; 38 AB - Tobacco dependence is mainly a chronic relapsing disease acquired by a behavior during adolescent period. motivation is always welcome, BUT smoking cessation had to be initiated in all smokers nevertheless they are or not motivated to quit.After having tested in situation of elective surgery, we assess at workplace replacement of motivational session by therapeutic educational sessions to increase the standard of 20% accrual after awareness session based on a two years experience.Methods: In a company of 600 employees, the management wishes to provide assistance to smokers before a total ban. In agreement with the management, will focus on learning to smoking cessation and not on motivation to quitAfter a collective awareness, individual therapeutic information is offered to all smokers without taking into account the motivation to quit.Results: Of 600 employees 180 are smokers (30%). 130 are coming to awareness sessions (72%). The 130 have requested a measurement of CO in the session (100%). 120 attended the educational therapy session (92%) At the end of educational therapy session it was proposed to follow up smokers to stop in 6 face-to-face sessions. 110 smokers were enrolled (92%), 98 immediately, 12 later.The smoking cessation sessions were conducted by 4 tobacco specialists with usual success rate.Conclusions: Proposing therapeutic education instead of motivational interview in smoker who don't initially request to stop to smoke increase dramatically the number of patient making an attempt to quit (from 20% to 85%). Smoking cessation had to be the decision of health professional and not only the choice of the patient.