From: Factors associated with implementation of the 5A’s smoking cessation model
Dependent variable | Ask adjusted | Advise adjusted | Assess adjusted | Assist adjusted | Arrange adjusted | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Independent variable | Estimate | 95% CI | p | Estimate | 95% CI | p | Estimate | 95% CI | p | Estimate | 95% CI | p | Estimate | 95% CI | p |
Individual | |||||||||||||||
Smoking status (smoke) | −0.232 | (−0.790; 0.327) | 0.415 | −0.630 | (−1.099–0.162) | 0.008 | −0.027 | (−0.543; 0.489) | 0.918 | −0.234 | (−0.670; 0.202) | 0.292 | −0.771 | (−1.306;-0.235) | 0.005 |
Smoking status (former smoke) | −0.031 | (−0.545; 0.484) | 0.906 | 0.069 | (−0.357; 0.496) | 0.749 | −0.019 | (−0.495; 0.456) | 0.936 | 0.190 | (−0.207; 0.586) | 0.348 | −0.110 | (−0.604; 0.384) | 0.662 |
Sex (male) | 0.197 | (−0.369; 0.763) | 0.495 | 0.049 | (−0.426; 0.524) | 0.841 | −0.009 | (−0.529; 0.512) | 0.974 | 0.058 | (−0.383; 0.499) | 0.795 | 0.143 | (−0.409; 0.695) | 0.611 |
Previous education (yes) | −0.482 | (−1.064; 0.099) | 0.104 | 0.182 | (−0.289; 0.654) | 0.448 | −0.259 | (−0.787; 0.269) | 0.336 | −0.482 | (−0.945;-0.019) | 0.041 | −0.074 | (−0.626; 0.478) | 0.792 |
Profession (doctor) | 2.155 | (1.253; 3.056) | 0.000 | 0.304 | (−0.447; 1.056) | 0.427 | 0.138 | (−0.702; 0.979) | 0.747 | −0.819 | (−1.523;-0.115) | 0.023 | −0.181 | (−1.042; 0.680) | 0.679 |
Profession (nurse) | 0.640 | (0.100; 1.180) | 0.020 | −0.420 | (−0.831;-0.009) | 0.045 | −0.353 | (−0.848; 0.142) | 0.162 | −0.232 | (−0.617; 0.152) | 0.236 | −0.184 | (−0.658; 0.291) | 0.448 |
Cognitive | |||||||||||||||
Motivation to help patients to quit | – | 0.177 | (0.048; 0.306) | 0.007 | – | – | – | ||||||||
Importance of cessation in their job | – | 0.130 | (0.012; 0.249) | 0.031 | 0.151 | (0.029; 0.274) | 0.015 | – | – | ||||||
Self-reported preparedness | – | – | – | 0.183 | (0.093; 0.273) | <0.001 | – | ||||||||
Preparedness in using drugs | – | – | – | – | 0.107 | (0.001; 0.213) | 0.048 | ||||||||
Competency in assisting smokers | 0.157 | (0.050; 0.264) | 0.004 | – | 0.126 | (0.027; 0.224) | 0.012 | 0.201 | (0.117; 0.285) | <0.001 | 0.184 | (0.082; 0.286) | <0.001 | ||
Security to motivate smokers | 0.151 | (0.019; 0.283) | 0.025 | 0.183 | (0.076; 0.291) | 0.001 | 0.151 | (0.029; 0.273) | 0.016 | – | – | ||||
Wish more training | – | 0.226 | (0.125; 0.327) | <0.001 | 0.130 | (0.019; 0.241) | 0.022 | – | – | ||||||
It is part of my job | 0.236 | (0.150; 0.323) | <0.001 | – | 0.111 | (0.032; 0.189) | 0.006 | – | – | ||||||
Behavioral factors | |||||||||||||||
Uses additional resources to intervene | 0.139 | (0.043; 0.236) | 0.005 | 0.146 | (0.067; 0.226) | <0.001 | 0.191 | (0.104; 0.278) | <0.001 | 0.202 | (0.132; 0.272) | <0.001 | – | ||
Frequency in seeing tobacco-related diseases | 0.221 | (0.103; 0.340) | <0.001 | 0.277 | (0.177; 0.376) | <0.001 | – | – | – | ||||||
Familiar with practical guidelines for smoking cessation | – | – | – | 0.188 | (0.106; 0.269) | <0.001 | 0.423 | (0.317; 0.529) | <0.001 | ||||||
Previous positive experiences | 0.099 | (0.013; 0.185) | 0.024 | 0.130 | (0.067; 0.193) | <0.001 | 0.164 | (0.086; 0.242) | <0.001 | 0.242 | (0.172; 0.312) | <0.001 | 0.198 | (0.114; 0.282) | <0.001 |
Organizational and Support Factors | |||||||||||||||
It is protocolized in my organization | – | – | 0.091 | (0.024; 0.158) | 0.008 | 0.070 | (0.003; 0.136) | 0.042 | – | ||||||
Required by supervisors | 0.080 | (0.003; 0.158) | 0.043 | – | – | – | – | ||||||||
Organizational support | – | – | – | 0.085 | (0.013; 0.158) | 0.021 | 0.161 | (0.086; 0.236) | <0.001 | ||||||
R2 | 0.425 | 0.459 | 0.394 | 0.582 | 0.523 |