title: 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?
abstract: 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.
authors.affiliation: University of Maryland School of Medicine, Department of Psychiatry, Division of Services Research, 737 W Lombard St. Room 520, Baltimore, MD 21201, USA. Ldixon@psych.umaryland.edu
authors.forename: Lisa B
authors.initials: LB
authors.lastname: Dixon
authors.forename: Deborah
authors.initials: D
authors.lastname: Medoff
authors.forename: Richard
authors.initials: R
authors.lastname: Goldberg
authors.forename: Alicia
authors.initials: A
authors.lastname: Lucksted
authors.forename: Julie
authors.initials: J
authors.lastname: Kreyenbuhl
authors.forename: Carlo
authors.initials: C
authors.lastname: DiClemente
authors.forename: Wendy
authors.initials: W
authors.lastname: Potts
authors.forename: Jaclyn
authors.initials: J
authors.lastname: Leith
authors.forename: Clayton
authors.initials: C
authors.lastname: Brown
authors.forename: Curtis
authors.initials: C
authors.lastname: Adams
authors.forename: Joseph
authors.initials: J
authors.lastname: Afful
mesh_terms: D000328:Adult; D003155:Community Mental Health Centers; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications*; D010349:Patient Compliance; D011364:Professional Practice; D012907:Smoking / Q000628:therapy*; D016540:Smoking Cessation / Q000379:methods*; D013997:Time Factors; D014029:Tobacco Use Disorder / Q000150:complications / Q000628:therapy*; D016896:Treatment Outcome