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Counseling from the Heart: Helping Women Eliminate Tobacco Use and Exposure

Video - 25 minutes

Helping women across their life span eliminate tobacco and secondhand smoke exposure are the burning issues addressed in this smoking cessation counseling training video.

Counselors effectively model evidence-based counseling techniques using the 5A's (Ask, Advise, Assess, Assist and Arrange Follow-up) to assist patients engaged in varying stages of tobacco use.

Two contrasting styles of smoking cessation counseling demonstrate how effective counseling can be achieved by using reflective listening and by incorporating the "Stages of Behavior Change" framework.

This video:

  • Pays particular attention to helping women who smoke and are pregnant
  • Addresses nicotine as an addictive drug
  • References pharmacotherapy
  • Discusses relapse prevention and the importance of staying quit for women who stopped smoking during pregnancy but have the urge to resume smoking after the baby is born
  • Advocates for the elimination of exposure to secondhand smoke exposure during pregnancy and afterwards
  • Models appropriate referral to the North Carolina Tobacco Use Quitline

The patients featured in the video represent a range of ethnic and racial backgrounds, as do the counselors and narrators.

Counseling from the Heart Video cover

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For information about:

  • Smoking Guide coverHow to order this video
  • Who to contact for smoking cessation training using
    A Guide for Counseling
    Women Who Smoke
    Judy Ruffin
    NC Division of Public Health Women's and Children's Health Section
    Women's Health Branch
    Direct #: (919) 707-5700,
    or visit the web site.

Infant Safe Sleep Resources - North Carolina presentation at Carolinas Medical Center, Charlotte, NC (Sept., 2007).


North Carolina

North Carolina Tobacco Use Quit Line - provides free one-on-one support that can make all the difference when trying to quit smoking.
6AM - 3 AM; 7 days a week
English, Spanish and other languages
For youth and adults
TTY: 1-877-777-6534

NC Prevention Partners - a statewide non-profit, membership organization dedicated to building effective prevention systems in NC communities and health systems in order to improve health of all North Carolinians.
1-888-919-NCPP (6277)
Fax: 919-960-0592

Web-Based Resources

N.C. Good Health Directory - Comprehensive, web-based referral directory of N.C. health-related resources to help individuals to be physically active, eat healthy and quit all tobacco use. (For healthcare providers, programs, hospitals and clinics.)

Healthy Hospital Initiative - Comprehensive resources for hospitals going tobacco-free. Updated listing of tobacco-free hospitals.

National Resources

Agency for Healthcare Research & Quality - Treating Tobacco Use and Dependence: Clinician's Packet - A how-to guide for implementing the Public Health Service clinical practice guideline

National Cancer Institute - Facts Sheets: Tobacco/Smoking Cessation

Child Trends DataBank - Drugs, Alcohol and Tobacco

Centers for Disease Control - Preventing Smoking and Exposure to Secondhand Smoke Before, During, and After Pregnancy

Centers for Disease Control - 2006 Surgeon General's Report—The Health Consequences of Involuntary Exposure to Tobacco Smoke

American Lung Association - All About Smoking

United States Department of Health and Human Services - The Health Consequences of Involuntary Exposure to Tobacco Smoke:A Report of the Surgeon General, June 27, 2006


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Last updated: February2013



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