Engaging Patients

Research suggests that although most patients want to quit tobacco, they are uncertain or fearful of the process and doubtful that they’ll succeed. Many have trouble knowing where to start. As a provider, you have more influence on a patient’s decision to quit tobacco than any other source. Your patients trust you and look to you for guidance and direction when it comes to leading healthier lives. Below are several tools and resources to help you support your patients in their efforts to quit tobacco.

Brief Intervention Using 2As & R

Following the 2As & R approach, health providers who ASK about tobacco use, ADVISE patients to quit and REFER the patients to resources, are a powerful source of motivation for patients. Referring often goes hand-in-hand with recommending nicotine replacement therapy and prescribing quit medications like Zyban® (Bupropion), which are low-cost or free in Vermont.
Use the 2As & R method as an efficient brief intervention with every tobacco or e-cigarette user.


E-Cigarettes, also referred to as electronic nicotine delivery systems (ENDS), are battery-powered devices that provide doses of nicotine and other additives to the user in an aerosol. In addition to e-cigarettes, ENDS products include personal vaporizers, vape pens, e-cigars, e-hookah and vaping devices. According to the CDC, e-cigarettes are not safe for youth, young adults, pregnant people or adults who do not currently use tobacco products.

E-cigarettes are:

  • NOT regulated by the U.S. Food and Drug Administration (FDA)
  • NOT approved by the FDA as a cessation aid

The long-term health effects of e-cigarettes are unknown. Most e-cigarettes contain nicotine, which has known health effects (CDC):

  • Nicotine is highly addictive.
  • Nicotine is toxic to developing fetuses.
  • Nicotine can harm adolescent brain development, which continues into the early to mid-20s.
  • Nicotine is a health danger for pregnant women and their developing babies.

Resources to Support Tobacco Cessation Conversations

Resources on Tobacco and Special Topics


VT Quitline’s Pregnancy Program
1-800-QUIT-NOW has a special program for Vermonters who are pregnant and use tobacco. Your patient will work with a supportive Pregnancy Quit Coach during and after their pregnancy.

The program includes: