Use of 5 A’s Model for Smoking-Cessation by Residents in Siriraj Hospital

Abstract

Objective : This study aims to evaluate the percentage of residents in Siriraj hospital delivering the 5 A’s model for smoking cessation, the percentage of residents having received training in treating smokers, and factors associated with delivery of the 5 A’s.
Method : This research is a descriptive study. Residents in Siriraj hospital were invited to complete a questionnaire asking about their practices in delivering the 5 A’s, and their smoking
cessation training. The data were analyzed by descriptive statistics. Also, factors associated with delivery of the 5 A’s were tested by chi-square, Fisher’s exact test, Mann-Whitney U-test
and logistic regression.
Result : 236 residents were recruited in the study. 8.1 percent of them reported delivering all 5 items of the 5 A’s, and 27.1 percent reported having received training. Moreover, trained
residents were more likely to deliver all 5 items of the 5 A’s than untrained residents (OR 2.65, p = 0.04), and residents in psychiatry were more likely to deliver at least 4 items of the 5 A’s
(OR 4.97, p = 0.005), deliver the item assess (OR = 7.07, p = 0.01) and arrange (OR = 4.38, p = 0.02) than residents in other departments.
Conclusion : Only a small proportion of residents delivered all 5 items of the 5 A’s and have received training. Factors associated with delivery of the 5 A’s were having received training and residents in psychiatry.