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The 4 A’s

The Ask, Advise, Assist, Arrange protocol provides guidance in implementing both brief and intensive intervention for smoking cessation.

 

Motivational Interviewing
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Motivational Interviewing may be beneficial for clients who are unwilling to make a quit attempt or require motivation to think about quitting in the next 6 months.

Stages of Change

Quit rates aren't the only measure of success when you counsel clients. Moving a person from one stage to another can be considered a success as it is one step closer to a quit attempt.

Identifying your Client’s Readiness to Quit

Assessing your client’s readiness to quit allows you to develop a strategy for intervention based on their needs and willingness to change behaviour.

Prescription Pharmacotherapy

Medications avaiable by prescription that may double the long-term abstinence rates of persons who smoke, compared to placebo. 

Nicotine Replacement Therapy (NRT)

Provides a "clean" alternative source of nicotine to replace nicotine from cigarettes and reduce intensity and incidence of withdrawal symptoms. 

Pharmacotherapy Options

In addition to intervention and counseling, clients who smoke may benefit from information and education on quit smoking medications available over-the-counter and by prescription.

Intervention Strategies

See below for information relating to intervention strategies.

 

The 4 A’s

  • The Ask, Advise, Assist, Arrange protocol provides guidance in implementing both brief and intensive intervention for smoking cessation.

 

 Motivational Interviewing

  • Motivational Interviewing may be beneficial for clients who are unwilling to make a quit attempt or require motivation to think about quitting in the next 6 months.