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?
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.
Dixon
Lisa B
LB
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
Medoff
Deborah
D
Goldberg
Richard
R
Lucksted
Alicia
A
Kreyenbuhl
Julie
J
DiClemente
Carlo
C
Potts
Wendy
W
Leith
Jaclyn
J
Brown
Clayton
C
Adams
Curtis
C
Afful
Joseph
J
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