Use the 5 A's to Assess and Address Tobacco Use

When you integrate the brief, supportive 5 A's counseling intervention into your routine clinical practice, you and your team can motivate your patients or clients who use tobacco to consider or make a quit attempt and reinforce abstinence in those who have quit.


Patients who use tobacco are more likely to make a quit attempt when they have your support.

Brief cessation counseling, particularly when combined with FDA-approved medications, is effective and improves quit rates.

Use the 5 R's to Motivate Patients Unwilling to Quit

Patients not ready to make a quit attempt may respond to a brief, motivational intervention. Use the 5 R's to motivate patients to consider a quit attempt.

For More Information


  1. Fiore MC, Jaén CR, Baker TB, et al. Treating Tobacco Use and Dependence: 2008 Update—Clinical Practice Guidelines. Rockville (MD): U.S. Department of Health and Human Services, Public Health Service, Agency for Healthcare Research and Quality, 2008.