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Along with manufactured cigarettes (cigarettes) and other smoking tobacco products, bidis are major risk factors for tobacco-related diseases and deaths in India 3,6

The 5 Rs If the pregnant patient expresses an unwillingness to quit during the Assess task, we use a motivational intervention exploring the 5 Rs 12 : Encouraging the patient to state why quitting is personally relevant to them ( Relevance ) Identifying potential negative consequences of their tobacco use ( Risks ) Pointing out the potential benefits of quitting ( Rewards ) Identifying any potential obstacles to their quitting ( Roadblocks ) Repeating this intervention at each interaction with the unmotivated patient ( Repetition )

By the end, Cigarette Duet doesnt tell you to quit