Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL 33647, USA.
Patient Educ Couns. 2012 Mar;86(3):414-9. doi: 10.1016/j.pec.2011.06.016. Epub 2011 Jul 23.
Health care providers (HCPs) can play an important role in promoting smoking cessation and preventing relapse. Public Health Service guidelines recommend the "5A's" model of brief intervention. The goal of the current study was to examine cancer patients' perceptions of 5A's model implementation by their oncology HCPs.
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' implementation of the 5A's model of brief intervention.
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.
The current findings suggest a need to increase adherence to the 5A's in the oncology setting.
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.
医疗保健提供者（HCPs）在促进戒烟和预防复发方面可以发挥重要作用。《美国公共卫生署服务指南》推荐使用“5A 法”模型进行简短干预。本研究旨在调查癌症患者对其肿瘤学 HCPs 实施“5A 法”模型的看法。
本研究纳入了一家大型 NCI 指定的综合性癌症中心的 81 例胸部癌症患者和 87 例头颈部癌症患者。患者完成了评估他们的肿瘤学 HCP 实施简短干预“5A 法”模型的问卷。
结果表明，该模型得到了部分实施。大多数患者报告说他们的提供者询问了他们的吸烟情况并建议他们戒烟，但只有一半的患者报告说他们的戒烟意愿得到了评估，很少有患者报告得到戒烟帮助或随访。向 HCPs 请求戒烟建议的患者接受“5A 法”的程度更高。
目前的研究结果表明，需要增加肿瘤学领域对“5A 法”的依从性。
增加 HCPs 提供戒烟治疗的努力可能会提高癌症患者的戒烟率，并最终转化为更好的长期癌症治疗结果。
