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...
| Autores: | , , , , , , , , , , , , , |
|---|---|
| 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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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 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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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) |
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Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Recercat. Dipósit de la Recerca de Catalunya |
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Recercat. Dipósit de la Recerca de Catalunya |
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