OBJECTIVE: To assess Ohio obstetrician/gynecologists' perceptions and use of the 5As method of smoking cessation (ask, advise, assess, assist, and arrange) with pregnant patients who smoke. METHODS: A three-wave mailing procedure was used with a statewide random sample of obstetrician/ gynecologists who responded to a valid and reliable 31-item questionnaire. RESULTS: Regarding the 5As method of smoking cessation, almost all (98%) asked their pregnant patients about smoking, but fewer respondents engaged in advising (66%), assessing (42%), assisting (29%), and arranging for follow-up visits or referrals (6%). Higher efficacy expectations were associated with greater use of the 5As method (r = 0.52, p < 0.001). A majority believed that two cessation activities would result in smoking cessation in pregnant smokers: explaining the dangers of smoking (65%) and referring pregnant smokers to smoking cessation programs (57%). However, 26% of physicians reported that they were "slightly confident" or "not confident at all" in their ability to refer pregnant smokers to such programs, and 6% of physicians reported always providing smoking cessation referrals. A significant proportion of respondents believed that prenatal smoking would not cause severe effects for the unborn child but would likely lead to moderate (46%) or minor (3%) health effects. CONCLUSION: Obstetrician/gynecologists face many competing demands for their time and energy, yet 62% believed smoking cessation advice would be of significant value. Physicians with higher levels of efficacy expectations reported significantly greater use of the 5 As. Future research should explore ways to facilitate obstetrician/gynecologists' use of the 5As method.
OBJECTIVE: To assess Ohio obstetrician/gynecologists' perceptions and use of the 5As method of smoking cessation (ask, advise, assess, assist, and arrange) with pregnant patients who smoke. METHODS: A three-wave mailing procedure was used with a statewide random sample of obstetrician/ gynecologists who responded to a valid and reliable 31-item questionnaire. RESULTS: Regarding the 5As method of smoking cessation, almost all (98%) asked their pregnant patients about smoking, but fewer respondents engaged in advising (66%), assessing (42%), assisting (29%), and arranging for follow-up visits or referrals (6%). Higher efficacy expectations were associated with greater use of the 5As method (r = 0.52, p < 0.001). A majority believed that two cessation activities would result in smoking cessation in pregnant smokers: explaining the dangers of smoking (65%) and referring pregnant smokers to smoking cessation programs (57%). However, 26% of physicians reported that they were "slightly confident" or "not confident at all" in their ability to refer pregnant smokers to such programs, and 6% of physicians reported always providing smoking cessation referrals. A significant proportion of respondents believed that prenatal smoking would not cause severe effects for the unborn child but would likely lead to moderate (46%) or minor (3%) health effects. CONCLUSION: Obstetrician/gynecologists face many competing demands for their time and energy, yet 62% believed smoking cessation advice would be of significant value. Physicians with higher levels of efficacy expectations reported significantly greater use of the 5 As. Future research should explore ways to facilitate obstetrician/gynecologists' use of the 5As method.
Authors: Cole Buchanan; Georges J Nahhas; Constance Guille; K Michael Cummings; Cameron Wheeler; Erin A McClure Journal: Matern Child Health J Date: 2017-09
Authors: David O Warner; Annie LeBlanc; Sandeep Kadimpati; Kristin S Vickers; Yu Shi; Victor M Montori Journal: Anesthesiology Date: 2015-07 Impact factor: 7.892
Authors: Nancy T Artinian; Gerald F Fletcher; Dariush Mozaffarian; Penny Kris-Etherton; Linda Van Horn; Alice H Lichtenstein; Shiriki Kumanyika; William E Kraus; Jerome L Fleg; Nancy S Redeker; Janet C Meininger; Joanne Banks; Eileen M Stuart-Shor; Barbara J Fletcher; Todd D Miller; Suzanne Hughes; Lynne T Braun; Laurie A Kopin; Kathy Berra; Laura L Hayman; Linda J Ewing; Philip A Ades; J Larry Durstine; Nancy Houston-Miller; Lora E Burke Journal: Circulation Date: 2010-07-12 Impact factor: 29.690
Authors: Judy C Chang; Diane Dado; Richard M Frankel; Keri L Rodriguez; Susan Zickmund; Bruce S Ling; Robert M Arnold Journal: Patient Educ Couns Date: 2008-07-11