From: Tobacco cessation intervention for pregnant women in Argentina and Uruguay: study protocol
Step 1: ASK | Ask the patient about her smoking status: |
A. I have NEVER smoked, or I have smoked less than 100 cigarettes in my lifetime. | |
B. I stopped smoking BEFORE I found out I was pregnant, and I am not smoking now. | |
C. I stopped smoking AFTER I found out I was pregnant, and I am not smoking now. | |
D. I smoke some now, but I cut down on the number of cigarettes I smoke SINCE I found out I was pregnant. | |
E. I smoke regularly now, about the same as BEFORE I found out I was pregnant. | |
Step 2: ADVISE | Provide clear, strong advice to quit with personalized messages about the impact of smoking and quitting on the mother and fetus. |
Step 3: ASSESS | Assess the willingness of the patient to make a quit attempt within the next 30 days. |
Step 4: ASSIST | - Provide pregnancy-specific, self-help smoking cessation materials. |
- Suggest and encourage the use of problem solving methods and skills for cessation. | |
- Arrange social support in the smoker’s environment. | |
- Provide social support as part of the treatment. | |
Step 5: ARRANGE | - Periodically assess smoking status and, if she is a continuing smoker, encourage cessation. |