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The theoretical foundation of the SBIRT is also informed by more circumscribed but relevant perspectives, e.g., the precaution adoption model [46,47,48] and the transtheoretical models stages of change [35,36,37]

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During my time at the Department of Health and Human Services (HHS), we created and implemented the Departments first ever Tobacco Control Strategic Action Plan entitled Ending the Epidemic. In the era of the new Affordable Care Act, the plan helped unite HHS in leveraging FDAs new tobacco control authority