Ask-Advise-Refer
Ask, Advise, Refer is a brief tobacco cessation intervention designed for healthcare providers to help patients quit smoking, vaping, or using other nicotine products. Providers are trained to consistently ask about tobacco and nicotine use, advise patients to quit in a clear and supportive way, and refer them to evidence-based resources such as The Colorado QuitLine and offer to write a prescription for FDA-approved medications like bupropion and varenicline.
This simple, evidence-based approach helps connect patients to effective support and increase the likelihood of successfully quitting, even when time in clinical settings is limited.
Combining Behavior Change Therapy and Quit-Nic Medications
Combining behavioral counseling from The Colorado QuitLine with 1-3 quit-smoking medications can increase quit success rates from about 5% to nearly 30%. The Colorado QuitLine provides free, evidence-based coaching and can mail nicotine replacement products like patches, gum, or lozenges to eligible participants.
The Centers for Disease Control and Prevention recommend using more than one quit medication when appropriate, as this can improve effectiveness. Providers may also consider prescribing non-nicotine options such as varenicline (formerly Chantix) or bupropion SR (Zyban), typically started 1-2 weeks before a planned quit date.
Ways to Support Patients
- Have patients self-refer by calling the CO QuitLine at 1-800-Quit-Now (784-8669)
- If the patient has consented, send a referral on their behalf (see below). Oftentimes, referrals from a provider increase a patient’s likelihood of connecting with a cessation coach.
- If you’re a prescribing provider, consider becoming a Tobacco Treatment Specialist (TTS) or complete a Dimensions Nicotine Cessation workshop sponsored by WCTEPP.
For information on completing a TTS or Dimension training, contact Heather Mortenson at Hmortenson@weld.gov.
Referral Process for Healthcare Providers:
Referring to the Colorado QuitLine (various methods)
- Obtain patient consent in accordance with your organization’s policies and procedures.
- You can submit an E-Referral through your organization’s electronic health record (EHR) system if available.
Please note: If the patient is pregnant, has uncontrolled high blood pressure, or has heart disease, and you agree to the QuitLine providing nicotine replacement therapy, a faxed referral form will be required with your signature. Advise patients that The Colorado QuitLine will call within 2 days and your phone may list the caller as spam.
Referring Pregnant Individuals to Strong Start Colorado ® (formerly Baby & Me Tobacco-Free):
- Obtain patient consent in accordance with your organization’s policies and procedures.
- Refer patients electronically through the external referral form.
Referring Patients 12 to 17 years old to My Life, My Quit Program
My Life, My Quit is designed as a texting platform for youth seeking quit support. Active referrals from providers are often more effective than providing the phone number for youth to enroll themselves. If a youth wishes to enroll themselves, they can text “START” to 36072. If you are a provider submitting a referral on the youth’s behalf, complete the referral.
If you would like to learn more about The CO QuitLine Counseling, the 7 FDA-Approved nicotine cessation medications, the newest nicotine and tobacco products sold on the market, or to schedule a training or education workshop for your healthcare organization, contact Heather Mortenson, MSPH, TTS at HMortenson@weld.gov or call 970-400-2423.