ArticleThe American journal of managed care2014
Documentation of the 5 as for smoking cessation by PCPs across distinct health systems.
Article in The American journal of managed care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed.
- Patterns of cigarette, e-cigarette, and cannabis use among adult smokers in primary care 2014-2015.Addictive behaviors · 2020Trial
- Computer-Facilitated 5A's for Smoking Cessation: A Randomized Trial of Technology to Promote Provider Adherence.American journal of preventive medicine · 2018Trial
- Association of racial discrimination in health care settings and use of electronic cigarettes to quit smoking among Black adults.Journal of substance use and addiction treatment · 2023Article
- Do preventative care guidelines emphasize behaviour change? A content analysis of three commonly used Australian general practice guidelines.Journal of evaluation in clinical practice · 2023Article
- Rate and correlates of tobacco treatment during a primary care visit for a largely urban and African American sample of smokers.Drug and alcohol dependence reports · 2021Article
- Tobacco Treatment Guideline Use and Predictors Among U.S. Physicians by Specialty.American journal of preventive medicine · 2021Article
- Smoking cessation and shared decision-making practices about lung cancer screening among primary care providers.Cancer medicine · 2021Article
- Provider-Level Variation in Smoking Cessation Assistance Provided in the Cardiology Clinics: Insights From the NCDR PINNACLE Registry.Journal of the American Heart Association · 2019Article
- Considerations of Privacy and Confidentiality in Developing a Clinical Support Tool for Adolescent Tobacco Prevention: Qualitative Study.JMIR formative research · 2019Article
- Long-Term Outcomes From Repeated Smoking Cessation Assistance in Routine Primary Care.American journal of health promotion : AJHP · 2018Observational
- Retrospective reports of former smokers: Receiving doctor's advice to quit smoking and using behavioral interventions for smoking cessation in the United States.Preventive medicine reports · 2018Article
- Disparities in Smoking Cessation Assistance in US Primary Care Clinics.American journal of public health · 2018Article
- Smoking-Cessation Assistance: Before and After Stage 1 Meaningful Use Implementation.American journal of preventive medicine · 2017Article
- Personalized medicine and Hispanic health: improving health outcomes and reducing health disparities - a National Heart, Lung, and Blood Institute workshop report.BMC proceedings · 2017Article
- Physicians' attitudes and use of e-cigarettes as cessation devices, North Carolina, 2013.PloS one · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
objectivesPhysicians can help patients quit smoking using the 5 As of smoking cessation. This study aimed to (1) identify the proportion of known smokers that receive smoking cessation services in the course of routine clinical practice; (2) describe demographic and comorbidity characteristics of patients receiving the 5 As in these systems; and (3) evaluate differences in performance of the 5 As across health systems, gender, and age categories. STUDY
designElectronic medical records of 200 current smokers from 6 unique health systems (N = 1200) were randomly selected from 2006 to 2010. Primary care encounter progress notes were hand coded for occurrences of the 5 As.
methodsBivariate comparisons of delivery of the 3 smoking-cessation services by site, gender, and age category were analyzed using χ² tests.
resultsAbout 50% of smokers were advised to quit smoking, 39% were assessed for their readiness to quit, and 54% received some type of assistance to help them quit smoking. Only 2% had a documented plan for follow-up regarding their quitting efforts (arrange). Significant differences were found among sites for documentation of receiving the 5 As and between age groups receiving assistance with quitting. There was no statistically significant difference between genders in receipt of the 5 As.
conclusionsDocumentation of adherence to the 5 As varied by site and some demographics. Adjustments to protocols for addressing cessation and readiness to quit may be warranted. Health systems could apply the methodology described in this paper to assess their own performance, and then use that as a basis to guide improvement initiatives.
Indexed as
Identifiers
24773327PMC6358171What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.