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 patient who uses tobacco or e-cigarettes.

For more details on this method, watch QuitNow New Hampshire’s Module on 2As & R. (13:30)

2As & R: Ask, Advise, Refer

Download the American Academy of Pediatrics presentation (PPT) on how to use 2As & R in your practice.

Download 2As & R info cards (PDF)  for you and your practice.

Ask your coding and billing team to review these counseling codes to get reimbursed for using this method.

Find additional provider tips and talking points here (PDF).

E-cigarettes and Other ENDS

Electronic nicotine delivery systems (ENDS) are not regulated by the U.S. Food and Drug Administration and not approved by the FDA as a cessation aid.