Effectiveness of a brief intervention for smoking cessation using the 5A model with self-help materials and using self-help materials alone: A randomised controlled trial
- Author:
Maurice Steve Utap
;
Christina Phoay Lay Tan
;
Anselm Su Ting
- Publication Type:Journal Article
- Keywords:
Smoking cessation;
brief intervention;
5A model;
selfhelp materials;
primary care
- From:Malaysian Family Physician
2019;14(2):2-9
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: The ‘5A’ model for smoking cessation was introduced in 2000 by the US Department
of Health and Services. This brief intervention was recommended worldwide for smoking cessation.
However, little is known about its effectiveness for smoking cessation in a primary care setting in
Malaysia.
Objective: To determine the effectiveness of a brief intervention for smoking cessation using the ‘5A’
model with self-help materials compared to using self-help materials alone.
Methods: This randomised controlled trial was conducted at the Primary Care Clinic at the University
Malaya Medical Centre (UMMC) between June and October 2009. Subjects were all current smokers
aged 18 years and above. A total of 208 subjects were recruited and randomised into two groups.
Subjects in the intervention group were given a brief intervention based on the ‘5A’ model with selfhelp materials, while the control group received self-help materials alone. Subjects were later followed
up at one and four months via telephone calls. The outcome measure was a self-reported attempt to
quit smoking.
Results: At one-month follow-up, 15/77 (19.5%) of the participants in the intervention group had
attempted to quit smoking compared to 8/80 (10.0%) in the control group. There was no significant
difference between the two groups (p=0.09). At the four-month follow-up, 13/58 (22.4%) participants
in the intervention group had attempted to quit smoking compared to 9/57 (15.8%) in the control
group. Once more, there was no significant difference between the two groups (p=0.37).
Conclusion: This study showed that there was no significant difference between a brief intervention
using the ‘5A’ model with self-help materials and using self-help materials alone for smoking cessation
in a Malaysian primary care setting. However, these results do need to be treated with caution when
taking into consideration the high dropout rate and bias in the study design.
- Full text:2.2019my0034.pdf
