Abstract

Smoking is an independent risk factor for DMT2 making it essential for providers to address smoking cessation consistently. The purpose of this quantitative, quasiexperimental quality improvement (QI) project was to evaluate if or to what degree the implementation of a tobacco cessation protocol using the Five A's model would impact the patient's motivation, nicotine dependence, and provider compliance with assessing tobacco use in adult diabetic smokers in a podiatry clinic for four weeks in the northeastern United States. The transtheoretical model (TTM) was utilized to evaluate patient motivation to quit smoking and determine appropriate cessation interventions. Data on the motivation to quit was measured by TTM and nicotine dependence was measured by the Fagerstrom Test for Nicotine Dependence (FTND) questionnaire in diabetic adult smokers aged 18 years and older, (n=16) were compared at baseline, two weeks, and four weeks post-implementation of the Five A's model. A paired t-test showed that there was a statistically significant improvement in patient's motivation to quit smoking (M=-2.86; SD=1.29; p=0.003), a substantial decrease in nicotine dependence (M= -1.86; SD=1.41; p=0.001), and 100% of the providers (n=6) were compliant in assessing tobacco use. Based on the results, the Five A's model may result in increased patient motivation to quit smoking as well as a decrease in nicotine dependence. Recommendations include continuation of the program and possible repetition of the project at another clinical site over an extended monitoring period as well as with a larger sample size.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 27831280; ProQuest document ID: 2395311532. The author still retains copyright.

Author Details

Guerlyne Henson, DNP, FNP-C

Sigma Membership

Non-member

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quasi-Experimental Study, Other

Research Approach

Quantitative Research

Keywords:

Brief Counseling, Health Promotion, Motivational Counseling, Type II Diabetes

Advisor

Mary Guhwe

Second Advisor

Calvin Sydnor

Degree

DNP

Degree Grantor

Grand Canyon University

Degree Year

2020

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2022-12-22

Full Text of Presentation

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