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  1. Ask the patient if they smoke, and if so, have they considered quitting.
  2. Their response to this will help you place the patient in a stage of motivation.
  3. Click on the appropriate stage for information on how you could respond to achieve your aim of moving your patient towards their quit attempt.


Pre-contemplation: Smokers in this stage have not yet considered quitting.
Aim: Make the smoker aware of the importance of cessation for them and that you can offer help as and when they want it.
Response: Be a positive partner in the dialogue and obtain their permission to ask more about their habits. Explore nicotine dependence, previous attempts and focus on the positive health effects of cessation.

How to use the Five A’s to guide smokers through their quit attempt


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