Adult Patients

ASK: 1 minute

  • Health care providers should ASK all patients about tobacco use at every visit.
    1. Implement a system in your clinic that ensures that tobacco-use status is obtained and documented at every patient visit (EMR, sticker, stamp).
    2. To make asking about tobacco use easy, give your patient this easy to complete questionnaire.
    3. Make it a vital sign or make use of an alternative universal identification system that can serve as a reminder to continue the conversation.
    4. Make sure that you congratulate those who do not use tobacco.
  • If patient is a tobacco user, continue to ADVISE.

ADVISE: 1 minute

  • Use clear, strong, and personalized language to ADVISE all tobacco users to quit.

ASSESS: 1 minute

  • Assess (determine and document) readiness and willingness to quit.
  • If patient is not ready to quit within the next 30 days, go to 5Rs.

Assist: 3 minutes +

Arrange: 1 minute

  • Schedule follow-up contact, in person or by telephone, preferably within the first week after the quit date.