A Mixed-Methods Assessment of a Brief Smoking Cessation Intervention Implemented in Ohio Public Health Clinics, 2013

Agaku, Israel; Olaiya, Oluwatosin; Quinn, Celia; Tong, Van T.; Kuiper, Nicole M.; Conrey, Elizabeth J.; Sharma, Andrea J.; Mullen, S; Dee, Deborah L.

doi:10.1007/s10995-015-1786-y

Cited by 6 publications

(13 citation statements)

References 10 publications

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“…It may be the professionals’ preconceived notions of pregnant women. This is an element that was mentioned in seven of the thirteen studies in this review (53.9%) 34 , 35 , 38 , 39 , 41 , 43 , 44 . This category did not require sub-categorization.…”

Section: Resultsmentioning

confidence: 78%

“…Finally, the last sub-category to be considered for the implementation of the 5As model is the self-efficacy of professionals. This was cited by seven studies (53.9%) 32 , 34 , 35 , 40 , 41 , 43 , 44 .…”

Section: Resultsmentioning

confidence: 99%

“…It was not necessary to create subcategories here. Four of the thirteen studies included in this scoping review discussed this theme (30.8%) 34 , 38 , 40 , 41 .…”

Section: Resultsmentioning

confidence: 99%

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Factors associated with the implementation of the 5As model of smoking cessation support during pregnancy: A scoping review

Burtin^*,

Clet^*,

Stevens

et al. 2023

Tob. Induc. Dis.

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INTRODUCTION The prevalence of smoking among pregnant women is the highest in the European region, making smoking cessation a public health priority. In order to address this, pregnant smokers need to be better supported by their healthcare professionals in their attempts to quit smoking. The 5As model, which is a psychosocial intervention, seems to be effective in this specific population. The objective of this review is to identify the factors that act as barriers or facilitators to the implementation of the 5As model within prenatal practices. METHODS We conducted a scoping review of the literature on PubMed and Scopus databases, using the terms: ‘smoking cessation’, ‘pregnan*’, and (‘5A’ or ‘5As’). The identified factors were categorized using a theoretical framework of The European Observatory on Health Systems and Policies. RESULTS Among the 43 articles identified in the databases, 13 articles were included in this review. In total, we identified 48 factors. When necessary, we grouped them together, resulting in 12 sub-categories, which in turn were grouped into 9 categories. Those 9 categories were then classified into the 3 levels of the theoretical framework: the clinical level (motivation), the organizational level (healthcare pathway), and the health system level (political environment). CONCLUSIONS The factors identified are varied and numerous and are involved in each level of the theoretical framework.

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Section: Resultsmentioning

confidence: 78%

Section: Resultsmentioning

confidence: 99%

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Factors associated with the implementation of the 5As model of smoking cessation support during pregnancy: A scoping review

Burtin^*,

Clet^*,

Stevens

et al. 2023

Tob. Induc. Dis.

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“…Many provider and systems-level barriers to implementing TUT have been identified (eg, Agaku et al, 2015). An important practical barrier to implementing the ACA mandate that has received less attention is TUT reimbursement policy.…”

mentioning

confidence: 99%

“…An important practical barrier to implementing the ACA mandate that has received less attention is TUT reimbursement policy. Issues include a perceived lack of reimbursement for counseling, inadequate reimbursement at a macro/systems level for treatment, and/or lack of knowledge regarding coding and documentation requirements to receive reimbursement (Bernstein et al, 2013;Agaku et al, 2015;Ku et al, 2016; Leone who did engage in fee-for-service billing, specific practices and codes used.…”

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confidence: 99%

Billing Practices Among US Tobacco Use Treatment Providers

Bloom

Burke

Kotsen

et al. 2018

Journal of Addiction Medicine

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Overall, results demonstrate a need for providers, administrators, and billing managers to work collaboratively. Even with the ACA mandate, and consistent with prior reports, reimbursement rates may be inadequate for intensive counseling. Areas for advocacy include recognizing that TUT requires similar intensity, expertise, and reimbursement as other substance use disorders and chronic medical conditions; giving Tobacco Treatment Specialists the ability to bill independently; and improving coordination between intensive therapies validated in research and "real-world" logistics.

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Smoking Cessation in the Context of Integrated Care

Sanford

2018

Behavioral Medicine and Integrated Care

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A Mixed-Methods Assessment of a Brief Smoking Cessation Intervention Implemented in Ohio Public Health Clinics, 2013

Abstract: Time constraints and documentation issues were major barriers to implementing the 5As. Simplified documentation processes and training enhancements, coupled with systems change, may enhance delivery of evidence-based smoking cessation interventions.

Cited by 6 publications

References 10 publications

Factors associated with the implementation of the 5As model of smoking cessation support during pregnancy: A scoping review

Factors associated with the implementation of the 5As model of smoking cessation support during pregnancy: A scoping review

Billing Practices Among US Tobacco Use Treatment Providers

Smoking Cessation in the Context of Integrated Care

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