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RESEARCH PAPER
Factors associated with implementation of the 5A’s smoking cessation model
E. Fernández
1,2,7
| 1 | Tobacco Control Unit, Cancer Control and Prevention Programme, Institut Català d’Oncologia-ICO, Barcelona, Spain |
| 2 | Cancer Control and Prevention Group, Institut d’Investigació Biomèdica de Bellvitge-IDIBELL, Barcelona, Spain |
| 3 | Medicine and Health Sciences School, Barcelona, Spain |
| 4 | National Institute of Physical Education of Catalonia (INEFC), Barcelona, Spain |
| 5 | Addictions Unit, Institute of Neurosciences, Hospital Clínic de Barcelona, Barcelona, Spain |
| 6 | Nursing Research Unit, Institut Català
d’Oncologia-ICO, Barcelona, Spain |
| 7 | Department of Clinical Sciences, School of
Medicine, Universitat de Barcelona, Barcelona, Spain |
CORRESPONDING AUTHOR
C. Martínez
Tobacco Control Unit, Cancer Control and Prevention Programme, Institut Català d’Oncologia-ICO, Av. Granvia de L’Hospitalet, 199-203, E-08908 L’Hospitalet de Llobregat, Barcelona, Spain
Tobacco Control Unit, Cancer Control and Prevention Programme, Institut Català d’Oncologia-ICO, Av. Granvia de L’Hospitalet, 199-203, E-08908 L’Hospitalet de Llobregat, Barcelona, Spain
Submission date: 2017-05-21
Acceptance date: 2017-10-23
Publication date: 2017-11-02
Tob. Induc. Dis. 2017;15(November):41
KEYWORDS
ABSTRACT
Background:
Several health organizations have adopted the 5A’s brief intervention model (Ask, Advise, Assess, Assist, Arrange), based on evidence-based guidelines for smoking cessation. We examine individual, cognitive, behavioral, and organizational factors associated with the 5A’s performance among clinical healthcare workers in Catalonia. We also investigate how these factors interact and potentially predict the implementation of each component of the 5A’s.
Methods:
A cross-sectional survey was conducted among clinical health workers enrolled in an online smoking cessation training course (n = 580). The survey included questions about individual characteristics as well as cognitive, behavioral, and organizational factors previously identified in research. We assessed self-reported performance of the 5A’s, assessed on a scale from 0 to 10, and used Multivariate regression to examine factors associated with its performance.
Results:
The performance means (standard deviation) were moderate for the first 3A’s [Ask: 6.4 (3.1); Advise: 7.1 (2.7); Assess: 6.3 (2.8)] and low for the last 2A’s [Assist: 4.4 (2.9); Arrange: 3.2 (3.3)]. We observed a high correlation between Assist and Arrange (r = 0.704, p < 0.001). Having positive experiences and feeling competent were positively associated with performing the 5A’s model and having organizational support with Assist and Arrange. Personal tobacco use among healthcare workers was negatively associated with Advice and Arrange.
Conclusions:
Our study found that clinical healthcare workers do not perform the 5A’s completely. The main barriers identified suggest the need of training and making available practical guidelines in healthcare services. Organizational support is essential for moving towards the implementation of Assist and Arrange.
Several health organizations have adopted the 5A’s brief intervention model (Ask, Advise, Assess, Assist, Arrange), based on evidence-based guidelines for smoking cessation. We examine individual, cognitive, behavioral, and organizational factors associated with the 5A’s performance among clinical healthcare workers in Catalonia. We also investigate how these factors interact and potentially predict the implementation of each component of the 5A’s.
Methods:
A cross-sectional survey was conducted among clinical health workers enrolled in an online smoking cessation training course (n = 580). The survey included questions about individual characteristics as well as cognitive, behavioral, and organizational factors previously identified in research. We assessed self-reported performance of the 5A’s, assessed on a scale from 0 to 10, and used Multivariate regression to examine factors associated with its performance.
Results:
The performance means (standard deviation) were moderate for the first 3A’s [Ask: 6.4 (3.1); Advise: 7.1 (2.7); Assess: 6.3 (2.8)] and low for the last 2A’s [Assist: 4.4 (2.9); Arrange: 3.2 (3.3)]. We observed a high correlation between Assist and Arrange (r = 0.704, p < 0.001). Having positive experiences and feeling competent were positively associated with performing the 5A’s model and having organizational support with Assist and Arrange. Personal tobacco use among healthcare workers was negatively associated with Advice and Arrange.
Conclusions:
Our study found that clinical healthcare workers do not perform the 5A’s completely. The main barriers identified suggest the need of training and making available practical guidelines in healthcare services. Organizational support is essential for moving towards the implementation of Assist and Arrange.
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Frontiers in Public Health
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Frontiers in Public Health
31.
Smoking cessation knowledge and perceptions of cancer care providers at six Latin American cancer institutions
Irene Tamí-Maury, Hector Garcia, Modupe Onigbogi, Julia Ismael, Javier Manrique, Vinicius Vazquez, Carlos Rojas, Laura Suchil
Revista Panamericana de Salud Pública
Irene Tamí-Maury, Hector Garcia, Modupe Onigbogi, Julia Ismael, Javier Manrique, Vinicius Vazquez, Carlos Rojas, Laura Suchil
Revista Panamericana de Salud Pública
32.
Tobacco cessation programs and factors associated with their
effectiveness in the Middle East: A systematic review
Maha Al-Qashoti, Retaj Aljassim, Mohamed Sherbash, Nour Alhussaini, Ghadir Al-Jayyousi
Tobacco Induced Diseases
Maha Al-Qashoti, Retaj Aljassim, Mohamed Sherbash, Nour Alhussaini, Ghadir Al-Jayyousi
Tobacco Induced Diseases
33.
Behavioral Health Care Provider’s Beliefs, Confidence, and Knowledge in Treating Cigarette Smoking in Relation to Their Use of the 5A’s Intervention
Midhat Jafry, Jayda Martinez, Tzuan Chen, Maggie Britton, Leal Martinez, Anastasia Rogova, Bryce Kyburz, Teresa Williams, Mayuri Patel, Brian Carter, Lorraine Reitzel
Addictive Behaviors Reports
Midhat Jafry, Jayda Martinez, Tzuan Chen, Maggie Britton, Leal Martinez, Anastasia Rogova, Bryce Kyburz, Teresa Williams, Mayuri Patel, Brian Carter, Lorraine Reitzel
Addictive Behaviors Reports
34.
Refining a primary care shared decision-making aid for lifestyle change: a mixed-methods study
Neil Heron, Seán O’Connor, Frank Kee, David Thompson, Margaret Cupples, Michael Donnelly
BJGP Open
Neil Heron, Seán O’Connor, Frank Kee, David Thompson, Margaret Cupples, Michael Donnelly
BJGP Open
35.
WHO-PEN intervention in Iran's health system based on 5As healthy lifestyle counseling model: A randomized-clinical trial
Najmolmolook Amini, Sakineh Rakhshanderou, Ali Ramezankhani, Alireza Delavari, Mohtasham Ghaffari
Journal of Education and Health Promotion
Najmolmolook Amini, Sakineh Rakhshanderou, Ali Ramezankhani, Alireza Delavari, Mohtasham Ghaffari
Journal of Education and Health Promotion
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