Oncology healthcare providers鈥?implementation of the 5A's model of brief intervention for smoking cessation: Patients鈥?perceptions

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• 作者：Vani Nath Simmons^a ; ^b ; ^c ; ^{Vani.simmons@moffitt.org} ; Erika Beth Litvin^c ; Marina Unrod^a ; Thomas Henry Brandon^a ; ^b ; ^c
• 关键词：Tobacco use ; Smoking cessation intervention ; Health provider intervention ; Brief clinician intervention
• 刊名：Patient Education and Counseling
• 出版年：2012
• 期刊代码：217_07383991
• 类别：med
• 出版时间：March, 2012
• 卷：86
• 期：3
• 页码：414-419
• 文件大小：221 K

摘要

Objective

Health care providers (HCPs) can play an important role in promoting smoking cessation and preventing relapse. Public Health Service guidelines recommend the 鈥?span class="underline">5A's鈥?/span> model of brief intervention. The goal of the current study was to examine cancer patients鈥?perceptions of 5A's model implementation by their oncology HCPs.

Methods

This study included 81 thoracic and 87 head and neck cancer patients at a large NCI-designated comprehensive cancer center. Patients completed questionnaires assessing perceptions of their oncology HCPs鈥?implementation of the 5A's model of brief intervention.

Results

Results indicate partial implementation of the 5A's model. The majority of patients reported that their providers had asked about smoking and advised them to quit, however; only half reported that their interest in quitting had been assessed, and few reported assistance in quitting or follow-up. Delivery of the 5A's was greater among patients who requested cessation advice from their HCPs.

Conclusion

The current findings suggest a need to increase adherence to the 5A's in the oncology setting.

Practical implications

Efforts to increase smoking cessation treatment provision by HCPs may improve the rate of cessation among cancer patients, and ultimately translate into better long-term cancer treatment outcomes.