title: Oncology healthcare providers' implementation of the 5A's model of brief intervention for smoking cessation: patients' perceptions.
abstract: OBJECTIVE
  Health care providers (HCPs) can play an important role in promoting smoking cessation and preventing relapse. Public Health Service guidelines recommend the "5A's" model of brief intervention. The goal of the current study was to examine cancer patients' perceptions of 5A's model implementation by their oncology HCPs.
  
  
  METHODS
  This study included 81 thoracic and 87 head and neck cancer patients at a large NCI-designated comprehensive cancer center. Patients completed questionnaires assessing perceptions of their oncology HCPs' implementation of the 5A's model of brief intervention.
  
  
  RESULTS
  Results indicate partial implementation of the 5A's model. The majority of patients reported that their providers had asked about smoking and advised them to quit, however; only half reported that their interest in quitting had been assessed, and few reported assistance in quitting or follow-up. Delivery of the 5A's was greater among patients who requested cessation advice from their HCPs.
  
  
  CONCLUSIONS
  The current findings suggest a need to increase adherence to the 5A's in the oncology setting.
  
  
  CONCLUSIONS
  Efforts to increase smoking cessation treatment provision by HCPs may improve the rate of cessation among cancer patients, and ultimately translate into better long-term cancer treatment outcomes.
authors.affiliation: Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL 33647, USA. Vani.simmons@moffitt.org
authors.forename: Vani Nath
authors.initials: VN
authors.lastname: Simmons
authors.forename: Erika Beth
authors.initials: EB
authors.lastname: Litvin
authors.forename: Marina
authors.initials: M
authors.lastname: Unrod
authors.forename: Thomas Henry
authors.initials: TH
authors.lastname: Brandon
mesh_terms: D000328:Adult; D000368:Aged; D003376:Counseling / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D019983:Guideline Adherence; D006258:Head and Neck Neoplasms / Q000601:surgery; D006282:Health Personnel; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods / Q000706:statistics & numerical data*; D017060:Patient Satisfaction; D010465:Perception; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D024382:Professional Role; D012907:Smoking / Q000523:psychology; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires; D013899:Thoracic Neoplasms / Q000601:surgery