Computer-Facilitated 5A's for Smoking Cessation in Primary Care
| Status: | Completed |
|---|---|
| Conditions: | Smoking Cessation, Psychiatric, Tobacco Consumers |
| Therapuetic Areas: | Psychiatry / Psychology, Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 18 - 100 |
| Updated: | 4/21/2016 |
| Start Date: | July 2012 |
| End Date: | September 2015 |
This study tests the use of handheld computer tablets to promote the integration of 5A's
(Ask, Advise, Assess, Assist, Arrange) for smoking cessation in academic and community
primary care clinics. Although most patients receive the "ask" and "advise" steps, only
slightly more than half are "assessed" for readiness to change, less than half receive
"assistance" in changing, and only 9% have an "arranged" follow-up. While the large majority
of primary care providers support the 5A's model, negative attitudes and the lack of time,
knowledge, and cessation skills are common obstacles. Alternate service delivery systems
that address these obstacles and evidence-based strategies to promote their implementation
are needed to improve provider adherence and 5A's fidelity.
(Ask, Advise, Assess, Assist, Arrange) for smoking cessation in academic and community
primary care clinics. Although most patients receive the "ask" and "advise" steps, only
slightly more than half are "assessed" for readiness to change, less than half receive
"assistance" in changing, and only 9% have an "arranged" follow-up. While the large majority
of primary care providers support the 5A's model, negative attitudes and the lack of time,
knowledge, and cessation skills are common obstacles. Alternate service delivery systems
that address these obstacles and evidence-based strategies to promote their implementation
are needed to improve provider adherence and 5A's fidelity.
This project develops and tests a computer-facilitated 5A's (CF-5A's) model that administers
the 5A's intervention to patients then prompts providers for reinforcing next steps. CF-5A's
could efficiently and effectively promote smoking cessation while educating providers about
cessation resources and appropriate follow-up. Based on the Technology Acceptance Model,
clinically tailored strategies to promote CF-5A's implementation will be developed and
tested to ensure the appropriate use and uptake of this new service delivery model.
Development of the model, materials, and strategies will occur in years 1 and 2.
Baseline data collection occurs in year 2, followed by a randomized trial of CF- 5A's where
the provider is the unit of randomization. Provider use of the 5A's will primarily be
assessed with a brief phone call to the patient after the primary care visit has occurred.
Although focused on 5A's for smoking cessation, this study examines the underlying
implementation science of computer-aided service delivery models with important implications
for the integration of other substance use or behavioral health interventions in primary
care. Implementation factors will be assessed using qualitative interviews and brief
pre-post surveys.
the 5A's intervention to patients then prompts providers for reinforcing next steps. CF-5A's
could efficiently and effectively promote smoking cessation while educating providers about
cessation resources and appropriate follow-up. Based on the Technology Acceptance Model,
clinically tailored strategies to promote CF-5A's implementation will be developed and
tested to ensure the appropriate use and uptake of this new service delivery model.
Development of the model, materials, and strategies will occur in years 1 and 2.
Baseline data collection occurs in year 2, followed by a randomized trial of CF- 5A's where
the provider is the unit of randomization. Provider use of the 5A's will primarily be
assessed with a brief phone call to the patient after the primary care visit has occurred.
Although focused on 5A's for smoking cessation, this study examines the underlying
implementation science of computer-aided service delivery models with important implications
for the integration of other substance use or behavioral health interventions in primary
care. Implementation factors will be assessed using qualitative interviews and brief
pre-post surveys.
Inclusion Criteria: All primary care providers and clinic staff are eligible to
participate. Patients must have
- a primary care appointment
- smoked a cigarette in past 7 days
- smoked at least 100 cigarettes in lifetime
- speak English or Spanish
- be cognitively able to use computer tablet
Exclusion Criteria:
- Moderate to severe cognitive impairment
- Does not speak English or Spanish
- acute intoxication on alcohol or illicit drugs
We found this trial at
2
sites
San Francisco General Hospital San Francisco General Hospital and Trauma Center (SFGH) is an essential...
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