The 5 As

We have developed a series of treatment algorithms for quick navigation through the 5As counseling method, detailing approximate length of time to complete each step. Select to view the appropriate treatment algorithm for your patient:

Advise: In a clear, strong, and personalized manner, urge every tobacco user to quit.

Studies have shown that patients are more likely to quit when their doctor (and the health care team) advises them to, and that when they do, the patients are also more satisfied with their health care.


"I think it is important for you to quit smoking (tobacco use) now and I (or our clinic staff) can help you."
"Quitting tobacco is the single most important thing you can do for your health and the health of those around you."
"Cutting down while you are ill is not enough."
"Occasional or light smoking is still dangerous."


"As your clinician, I need you to know that quitting smoking is the most important thing you can do to protect your health now and in the future. The clinic staff and I will help you."


Tie tobacco use to current symptoms and health concerns:

"Continuing to smoke makes your asthma worse, and quitting may dramatically improve your health."

Tie tobacco use to the impact of tobacco use on children and others in the household.