The Five A's Model for Facilitating Smoking Cessation

Ask about tobacco use during every office visit: Ask: "Do you use tobacco products?"

Advise all smokers to quit:
Clear: "I think it is important for you to quit smoking now. Cutting down or changing to light cigarettes is not enough."
Strong: "As your physician, I need to tell you that smoking cessation is one of the most important decisions you can make for your health."
Another example: "Quitting smoking is the single most important thing you can do for your health."
Personalize: "And you've given your":

Assess the patient's willingness to quit: "On a scale from 0 to 10, with 0 being 'not at all motivated' and 10 being 'extremely motivated,' how motivated are you to quit smoking?"
Use the patient's level of motivation to determine the next step:

Assist the patient in his or her attempt to quit.

Arrange follow-up contact. Follow-up should occur within the first week after the quit date. A second follow-up contact is recommended within the first month. Further follow-up visits should be scheduled as needed.
During a follow-up visit, success should be congratulated. If the patient has relapsed, review the circumstances and elicit a new commitment to quit. Consider referral for more intensive treatment. Follow-up contact can be by telephone, e-mail, or in person.