Effectiveness of a brief intervention based on the '5A' model for smoking cessation at the primary care level in Santiago, Chile

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dc.contributor.authorPuschel, Klaus
dc.contributor.authorThompson, Beti
dc.contributor.authorCoronado, Gloria
dc.contributor.authorHuang, Ying
dc.contributor.authorGonzalez, Loreto
dc.contributor.authorRivera, Solange
dc.date.accessioned2024-01-10T12:05:04Z
dc.date.available2024-01-10T12:05:04Z
dc.date.issued2008
dc.description.abstractChilean women have the highest smoking rates in Latin America. Prevalence in this population is about 40%. There are no national programs for smoking cessation at the primary care level. This study explores the feasibility and effectiveness of a brief counseling intervention targeted to women smokers of childbearing age who seek primary care in Santiago, Chile. A quasi-experimental design was used to compare the effect of an intervention based on the '5A' model developed by the National Cancer Institute in the United States and the standard care provided in two control clinics. Women smokers seeking care at the three primary care clinics were contacted during a 2 months period and offer to participate in the study. Sampling was stratified according to the age groups to ensure comparability between cohorts. Quotas were calculated for each age group. Participants were asked about their willingness to quit, self-efficacy, smoking behavior, addiction level as well as support received for smoking cessation. After 18 months of intervention all women were re-evaluated. A total of 773 women were recruited for the study; 76% of them completed the trial. Women smokers are characterized by a large percentage of light smokers with a low self-efficacy for quitting and with very low information on where and how to get assistance to quit. At study end, 15.2% of women reported quitting smoking at least for 1 month in the intervention clinic versus 7.8% in one of the control clinics (p < 0.05) and 14.6% in the second control clinic (p = NS). Over 70% of women in the intervention clinic were asked, assessed and received advice for quitting in comparison with < 15% in the control clinics (p < 0.01). To conclude, a primary care intervention based on the '5A' model for smoking cessation is feasible and can have a significant effect in reducing smoking prevalence in this population.
dc.description.funderFIC NIH HHS
dc.description.funderFOGARTY INTERNATIONAL CENTER
dc.fechaingreso.objetodigital2024-04-30
dc.format.extent11 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1093/heapro/dan010
dc.identifier.eissn1460-2245
dc.identifier.issn0957-4824
dc.identifier.pubmedidMEDLINE:18397953
dc.identifier.urihttps://doi.org/10.1093/heapro/dan010
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/75941
dc.identifier.wosidWOS:000258862900005
dc.information.autorucMedicina;González L;S/I;10848
dc.information.autorucMedicina;Puschel K;S/I;83957
dc.information.autorucMedicina;Rivera S;S/I;123136
dc.issue.numero3
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.final250
dc.pagina.inicio240
dc.publisherOXFORD UNIV PRESS
dc.revistaHEALTH PROMOTION INTERNATIONAL
dc.rightsacceso restringido
dc.subjectchile
dc.subjecttobacco use
dc.subjectprimary care
dc.subjectbrief intervention
dc.subjectNICOTINE DEPENDENCE
dc.subjectATTITUDES
dc.subjectSERVICES
dc.subjectWOMEN
dc.subjectTIME
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleEffectiveness of a brief intervention based on the '5A' model for smoking cessation at the primary care level in Santiago, Chile
dc.typeartículo
dc.volumen23
sipa.codpersvinculados10848
sipa.codpersvinculados83957
sipa.codpersvinculados123136
sipa.indexWOS
sipa.trazabilidadCarga SIPA;09-01-2024
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