The Missouri Model for Brief Smoking Cessation Training


Emerging Practice

The Missouri Model for Brief Smoking Cessation Training

State/JurisdictionSettingPopulationTopic AreaNPMs
MissouriClinicalWomen/Maternal HealthSubstance Use14.1

This practice is no longer being implemented. Unfortunately, there is no contact information available for this practice.

Both cessation of tobacco use and prevention of relapse are key clinical intervention strategies during pregnancy. A 5 to 15 minute counseling session performed by appropriately trained health care providers has been found to be effective with women who smoke. This evidence-based intervention known as the 5 A’s is appropriate as a routine part of healthcare with women of reproductive age and includes the following five steps: Ask, Advise, Assess, Assist, and Arrange. Telephone quitlines provide essential social support during tobacco cessation efforts.

In the Missouri Model for Smoking Cessation Missouri health care providers are taught how to implement this intervention with their patients and are advised how to access the Missouri Tobacco Quitline and to encourage patients to use it. Using the quitline and its conveniently scheduled telephone consultations with trained counselors, patients are helped to deal with ambivalence, urges, triggers, relapses, and provided support.

*This practice is no longer being implemented. Please contact the AMCHP Evidence and Implementation team for more information.


contact information

Missouri Department of Health and Senior Services
AMCHP Evidence and Implementation Staff
evidence@amchp.org