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theses

Background: Tobacco is the largest preventable cause of disease and death in the United States (U.S), causing 480,000 premature deaths and $300 billion cost annually (Centers for Disease Control and Prevention, 2019; Jamal et al., 2016). The gold standard of care for patients is the “5As” from the U.S. Department of Health and Senior Services (Fiore et al., 2008). The five steps in the “5As”: Ask, Advise, Assess, Assist and Arrange for Follow-up can be difficult in some settings. One shortened variation of the “5As” is Ask, Advise, and Refer (AAR). This project evaluated the effect of an AAR-based education session. Methods: A study with pre-post-post evaluation was conducted at a healthcare office in New Jersey after an AAR-based education session. Participants were informed about the benefits of quitting smoking and resources available to help them quit. Participants intention to quit smoking and intention to seek help to quit smoking were measured before and after the education session. Use of cessation resources and quit attempts in the two weeks after the education were compared those in the year prior to the education session. Outcomes: This project could not show statistical significance because if a small sample size and high attrition. The educational intervention was easy to incorporate. Implications for practice: This study showed that provider education was feasible. More research should be completed on this technique. For settings where providing the “5As” is impractical, an AAR intervention can be useful.

ETD_10866

DNP

Includes bibliographical references

doi:10.7282/t3-etnf-7k17

ETD doctoral

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