Factors associated with implementation of the 5A's smoking cessation model

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 perfor...

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Autores: Martínez Martínez, Cristina, Castellano, Yolanda, Andrés, Ana, Fu Balboa, Marcela, Antón, Laura, Ballbè i Gibernau, Montse, Fernández Ortega, Paz, Cabrera Jaime, Sandra, Riccobene, Anna, Gavilan, E., Feliu, Ariadna, Baena, Antoni, Margalef, Mercè, Fernández Muñoz, Esteve
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/127269
Acceso en línea:https://hdl.handle.net/2445/127269
Access Level:acceso abierto
Palabra clave:Tractament del tabaquisme
Hàbit de fumar
Personal de salut pública
Enquestes
Smoking cessation
Tobacco
Public health personnel
Surveys
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spelling Factors associated with implementation of the 5A's smoking cessation modelMartínez Martínez, CristinaCastellano, YolandaAndrés, AnaFu Balboa, MarcelaAntón, LauraBallbè i Gibernau, MontseFernández Ortega, PazCabrera Jaime, SandraRiccobene, AnnaGavilan, E.Feliu, AriadnaBaena, AntoniMargalef, MercèFernández Muñoz, EsteveTractament del tabaquismeHàbit de fumarPersonal de salut públicaEnquestesSmoking cessationTobaccoPublic health personnelSurveysBackground: 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.BioMed Central2019201920172019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion11 p.application/pdfhttps://hdl.handle.net/2445/127269Articles publicats en revistes (Ciències Clíniques)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1186/s12971-017-0146-7Tobacco Induced Diseases, 2017, vol. 15, p. 41https://doi.org/10.1186/s12971-017-0146-7cc-by (c) Martínez Martínez, Cristina et al., 2017http://creativecommons.org/licenses/by/3.0/esinfo:eu-repo/semantics/openAccessoai:recercat.cat:2445/1272692026-05-29T05:05:01Z
dc.title.none.fl_str_mv Factors associated with implementation of the 5A's smoking cessation model
title Factors associated with implementation of the 5A's smoking cessation model
spellingShingle Factors associated with implementation of the 5A's smoking cessation model
Martínez Martínez, Cristina
Tractament del tabaquisme
Hàbit de fumar
Personal de salut pública
Enquestes
Smoking cessation
Tobacco
Public health personnel
Surveys
title_short Factors associated with implementation of the 5A's smoking cessation model
title_full Factors associated with implementation of the 5A's smoking cessation model
title_fullStr Factors associated with implementation of the 5A's smoking cessation model
title_full_unstemmed Factors associated with implementation of the 5A's smoking cessation model
title_sort Factors associated with implementation of the 5A's smoking cessation model
dc.creator.none.fl_str_mv Martínez Martínez, Cristina
Castellano, Yolanda
Andrés, Ana
Fu Balboa, Marcela
Antón, Laura
Ballbè i Gibernau, Montse
Fernández Ortega, Paz
Cabrera Jaime, Sandra
Riccobene, Anna
Gavilan, E.
Feliu, Ariadna
Baena, Antoni
Margalef, Mercè
Fernández Muñoz, Esteve
author Martínez Martínez, Cristina
author_facet Martínez Martínez, Cristina
Castellano, Yolanda
Andrés, Ana
Fu Balboa, Marcela
Antón, Laura
Ballbè i Gibernau, Montse
Fernández Ortega, Paz
Cabrera Jaime, Sandra
Riccobene, Anna
Gavilan, E.
Feliu, Ariadna
Baena, Antoni
Margalef, Mercè
Fernández Muñoz, Esteve
author_role author
author2 Castellano, Yolanda
Andrés, Ana
Fu Balboa, Marcela
Antón, Laura
Ballbè i Gibernau, Montse
Fernández Ortega, Paz
Cabrera Jaime, Sandra
Riccobene, Anna
Gavilan, E.
Feliu, Ariadna
Baena, Antoni
Margalef, Mercè
Fernández Muñoz, Esteve
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Tractament del tabaquisme
Hàbit de fumar
Personal de salut pública
Enquestes
Smoking cessation
Tobacco
Public health personnel
Surveys
topic Tractament del tabaquisme
Hàbit de fumar
Personal de salut pública
Enquestes
Smoking cessation
Tobacco
Public health personnel
Surveys
description 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.
publishDate 2017
dc.date.none.fl_str_mv 2017
2019
2019
2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/127269
url https://hdl.handle.net/2445/127269
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1186/s12971-017-0146-7
Tobacco Induced Diseases, 2017, vol. 15, p. 41
https://doi.org/10.1186/s12971-017-0146-7
dc.rights.none.fl_str_mv cc-by (c) Martínez Martínez, Cristina et al., 2017
http://creativecommons.org/licenses/by/3.0/es
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Martínez Martínez, Cristina et al., 2017
http://creativecommons.org/licenses/by/3.0/es
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 11 p.
application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
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repository.mail.fl_str_mv
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