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To achieve this, appropriate educational options, possibly a simplified version of the 5As or Dutch guidelines such as the ask-advise-refer (AAR) strategy, have already been tried out or proven effective in other settings 9

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It also suggests that we need to be more precise when we ask about cigarette smoking frequency. According to Jason Oliver, assistant professor of psychiatry and behavioral sciences, Duke University, when assessing nicotine addiction clinically referred to as tobacco use disorder clinicians are encouraged to fully assess the 11 criteria listed in the fifth edition of the Diagnostic and Statistical Manual (DSM-5)