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

Abstract #111133

Judy Donlen, RN, DNSc, JD¹, Merle J. Weitz, MSW², and Leslie F. Breslau, LCSW². (1) Southern New Jersey Perinatal Cooperative, 2500 McClellan Avenue, Suite 250, Pennsauken, NJ 08109, (2) Mom's Quit Connection, Southern New Jersey Perinatal Cooperative, 2500 McClellan Avenue, Suite 250, Pennsauken, NJ 08109-4613, 856-665-6000, lbreslau@snjpc.org

Mom's Quit Connection (MQC), a smoking cessation program funded through the New Jersey Department of Health and Senior Services, offers counseling, education, and outreach to pregnant and parenting women in New Jersey. MQC receives client referrals from prenatal providers via postcard, telephone and fax. Historically, approximately 30% of those patients referred actually enter treatment. Providers rarely follow up with patients beyond the initial referral. To capitalize on the patient-prenatal provider relationship and utilize opportunities for ongoing intervention, MQC initiated on site training to implement the American College of Obstetrics and Gynecology's (ACOG) 5 A's brief intervention model into providers' offices. The 5 A's; ASK, ADVISE, ASSESS, ASSIST, and ARRANGE recommends a 5-15 minute intervention at each prenatal visit to assess readiness to quit and provide quitting strategies and additional resources. MQC adapted this 5A's approach to create a training model unique for providers. Model components include :ASK providers how they are presently addressing maternal smoking in the office; ADVISE providers that free onsite training is available to all NJ practices; ASSESS the current patient flow during routine prenatal visits; ASSIST offices in incorporating the (ACOG) 5A's into their practice; ARRANGE for each office to have access to MQC's more extensive case management services. Statewide, MQC offers individualized telephone counseling, stage based, pregnancy specific materials and ongoing follow up to any referred patients. Early results demonstrate that offices trained by MQC are more invested in their patient's quit attempt and more frequently utilize MQC resources to facilitate positive results.

Learning Objectives: At the conclusion of this presentation, the participant will be able to

• List the 5A's and explain their meaning
• Evaluate their current practice in relation to using the 5A's
• Describe how to effectively utilize the 5A's in their practice
• Develop a plan for office implementation
• Identify local cessation resources in their community

Keywords: Smoking Cessation, Pregnancy

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.