What is the first step in the 5 A's of smoking cessation advising?

The first step in the 5 A's of smoking cessation advising is to ask about smoking use or exposure. This initial inquiry is essential as it establishes a clear understanding of the individual's current smoking habits, frequency, and any prior attempts to quit. By asking this question, healthcare providers can gather relevant information that will inform the subsequent steps in counseling.

Understanding the patient's smoking history and exposure also helps in building rapport and trust, making it easier for the clinician to guide the patient in their journey towards cessation. This foundational step is crucial for tailoring advice and support to the individual’s specific situation, which enhances engagement and the possibility of success in quitting smoking.

The subsequent steps—assessing readiness to quit, advising to quit, and arranging for follow-up—are based on the insights gathered from this initial assessment. Therefore, asking about smoking use or exposure is a fundamental and strategic starting point in the smoking cessation process.