Assessing the accuracy of patient report of the 5As (ask,assess,advise,assist,and arrange) for smoking cessation counseling

作     者：Susan A.Flocke Elizabeth Antognoli 

作者机构：Department of Family Medicine and Community HealthCase Western Reserve Univer-sityClevelandOHUSA 

出 版 物：《Family Medicine and Community Health》 (家庭医学与社区卫生（英文）)

年 卷 期：2017年第5卷第3期

页      面：164-169页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：This research was supported by a grant from the National Cancer Institute(PI:Flocke,NCI R03CA176132,R01CA105292) the Behavioral Measurement Shared Resource of the Case Comprehensive Cancer Center,NCI P30CA043703 

主　　题：5As(ask,assess,advise,assist,arrange) smoking cessation primary care 

摘      要：Objective:The 5As framework(ask,advise,assess,assist,arrange)is a recommended strat-egy for smoking cessation counseling in primary *** study compares patient report with direct observation to assess the degree of recall bias for each of the ***:Primary care visits by 107 adult smokers and 16 physicians were *** 48 hours after the visit,patients completed a survey assessing whether or not smoking was discussed and items specific to each of the *** audio recordings were evaluated to assess the presence of each *** sensitivity,specificity,positive predictive value,and negative predictive value of patient report versus direct observation were ***:The frequency of the 5As based on evaluation of the audio recording ranged from 13% (arrange)to 98% (ask).The sensitivity and specificity of patient report were 92% and not applicable for ask,90% and 50% for assess,94% and 33% for advise,90% and 50% for assist,and 85% and 67% for arrange *** predictive values ranged from 28% to 98%;negative predictive values ranged from 0% to 97% .Conclusion:Compared with the gold standard of direct observation,patient report of each of the 5As is reasonably sensitive but not *** overreport the occurrence of each of the 5As.