Five As Technique

Aka: Five As Technique, Health Risk Behavior Counseling

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II. Indications

  1. Counseling health behavior change

III. Technique: Five As

  1. Ask: How much Tobacco do you use?
  2. Advise: As your doctor, I strongly recommend that you quit Tobacco.
  3. Assess: Are your ready to quit Tobacco in the next 30 days? I can help you quit.
  4. Assist (or refer):
    1. Quitting Tobacco can be a real challenge
      1. Nicotine withdrawal
      2. Adjustment Disorder with Depressed Mood
      3. Weight gain
    2. We have medications such as Buproprion and Nicotine Replacement to help you.
  5. Arrange
    1. I would ask the clinic nurse to see how you are doing in 1-2 weeks.

IV. References

  1. Searight (2007) Prim Care 34(3): 551-70 [PubMed]
  2. Searight (2009) Am Fam Physician 79:277-84 [PubMed]

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