Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #106377

Suzanne H. Yusem, MS¹, Kenneth D. Rosenberg, MD, MPH¹, Lesa Dixon-Gray, MPH, MS¹, and Jihong Liu, ScD². (1) Office of Family Health, Oregon Department of Human Services, 800 NE Oregon Street, Suite 850, Portland, OR 97232, 503-731-4507, ken.d.rosenberg@state.or.us, (2) Department of Epidemiology & Biostatistics, University of South Carolina, Arnold School of Public Health, 800 Sumter Street, Columbia, SC 29208

Historically, tobacco cessation activities in Oregon have had their focus on the general population and have depended strongly on quit line services. The Oregon Smoke Free Mothers and Babies Program (SFMB) began in 2002 to expand smoking cessation efforts to public health nurses. This demonstration project seeks to increase smoking cessation among low income and other high risk pregnant women. This is done by disseminating the U.S. Public Health Service's 5 A's (Ask, Advise, Assess, Assist, Arrange) protocol to public health nurses who were trained in the 5 A's protocol and motivational counseling, and provided client materials.

Ten nurses were questioned before the training (baseline), 12 months after the training and 24 months after the training. We found that, at baseline, all nurses were already performing the Ask and Advise components. The training resulted in a significant increase in the nurses using Assess (p<0.05) and Assist (p<0.05) both at 12 and 24 months. Also, there was a statistically significant increase in the use of Arrange at 12 months (p<0.01) that was not sustained at 24 months (p=0.07). We conclude that public health nurses were already routinely doing Ask and Advise; our 5 A's program was successful in improving Assess and Assist.

Learning Objectives:

• 1- List and describe the components of the 5 A's smoking cessation protocol
• 2- Describe the Smoke Free Mothers and Babies project
• 3- Describe public health nurse implementation of the 5 A's

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.