Is Implementation of the 5 A's of Smoking Cessation at Community Mental Health Centers Effective for Reduction of Smoking by Patients with Serious Mental Illness?

Is Implementation of the 5 A's of Smoking Cessation at Community Mental Health Centers Effective for Reduction of Smoking by Patients with Serious Mental Illness?
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DOI:
10.3109/10550490903077747
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发表时间:
2009-01-01
影响因子:
3.7
通讯作者:
Afful, Joseph
Afful, Joseph
中科院分区:
医学4区
文献类型:
--
作者:
Dixon, Lisa B.;Medoff, Deborah;Afful, Joseph

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我们测试了在六个精神卫生中心实施“5A”(询问、建议、评估、协助、安排)是否能减少严重精神疾病患者的吸烟。156名患者在开始5A之前、6个月和12个月后进行了评估。延迟控制条件在5A实施前6个月、实施前6个月和实施6个月后对148名患者进行评估。5A方案中有6个月没有效果。在12个月后,注意到适度的停药和减量益处。在社区精神卫生中心实施5A可能会在12个月后产生一定的好处。(Am J Addit 2009;18:386-392)
We tested whether implementing the "5 A's" ( Ask, Advise, Assess, Assist, Arrange) at six mental health centers reduces smoking among persons with serious mental illness. One hundred and fifty six patients were evaluated just before initiating the 5 A's and after six and 12 months. A delayed control condition evaluated 148 patients six months before 5 A's implementation, just before and then after six months. Six months of the 5 A's produced no effect. Modest cessation and reduction benefits were noted after 12 months. Implementing the 5 A's at community mental health centers may have modest benefit after twelve months. ( Am J Addict 2009; 18: 386-392)