Does receipt of 5As services have implications for patients' satisfaction in India?

Divya Persai, Rajmohan Panda, Sudhir Venkatesan, Monika Arora, Jasjit S. Ahluwalia

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Background: The 5As model for behavior change counseling is an evidence-based counseling approach. This study aims to explore the relationship between patient satisfaction with counseling services and 5As interventions in tobacco cessation. We also investigated the impact of satisfaction with counseling services on patients' intention to quit and recommendation of those services to other tobacco users. Methods: Two cross-sectional surveys were administered among patients and physicians working in primary health care facilities in 12 districts of two states in India. Health facilities and patients were recruited by systematic random and simple random sampling respectively. We limited our analyses to only those patients who were asked about their tobacco consumption. We used multivariable logistic regression to investigate associations between individual components of 5As interventions and patients' satisfaction with the counseling services. Results: Patients who reported that they were 'advised' to quit (OR: 9.56; 95% CI: 1.89-48.28), 'assessed' for readiness to quit (OR 2.1, 95% CI: 1.07-4.15) and offered cessation 'assistance' (OR 2.2, 95% CI: 1.17-4.29) were more satisfied with the counseling services. Patients who were satisfied with the counseling services were five times more likely to have an intention to quit tobacco (OR: 5.45, 95% CI: 3.59 to 8.27) and four times as likely to recommend counseling to other tobacco users (OR 3.83; 95% CI:2.46-5.96). Conclusions: Incorporating 5As interventions in the delivery of primary care would likely increase patients' satisfaction with physicians' delivered counseling services. Patients' recommendation of counseling services will aid in demand generation for cessation services in primary care.

Original languageEnglish (US)
Article number209
JournalBMC Family Practice
Issue number1
StatePublished - 2014

Bibliographical note

Funding Information:
This study, as part of a larger study, was funded by the Bill & Melinda Gates Foundation.

Publisher Copyright:
© 2014 Persai et al.; licensee BioMed Central.


  • 5As interventions
  • India
  • Primary care
  • Tobacco cessation


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