Organization-Level Factors Associated with Changes in the Delivery of the Five A’s for Smoking Cessation following the Implementation of a Comprehensive Tobacco-Free Workplace Program within Substance Use Treatment Centers

Bibliographic Data

ID15462828
AuthorsCassidy R Loparco (0000-0003-4206-4179, University of North Texas), Tzu-An Chen (0000-0003-4312-7258, University of Houston), Isabel M Leal (0000-0002-0073-339X, University of Houston), Maggie Britton (0000-0003-3561-1832, University of Houston), Brian J Carter (0000-0001-5284-1686, University of Houston), Virmarie Correa-Fernández (0000-0003-2548-1085, University of Houston), Bryce Kyburz (Austin Travis County Integral Care), Teresa Williams (Austin Travis County Integral Care), Kathleen Casey (0000-0001-7245-9572, Austin Travis County Integral Care), Anastasia Rogova (0009-0006-5701-7083, University of Houston), Hsien‐chang Lin (0000-0001-9151-2172, Indiana University Bloomington), Lorraine R Reitzel (0000-0002-7165-5720, University of Houston, corresponding author)
Year2022
Volume19
Issue19
Pages11850-11850
Publication date2022-09-20
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph191911850
PMID36231153
OpenAlexW4296745092
LanguageEN
Citations received3
References cited67

Many adults with a substance use disorder smoke cigarettes. However, tobacco use is not commonly addressed in substance use treatment centers. This study examined how provider beliefs about addressing tobacco use during non-nicotine substance use treatment, provider self-efficacy in delivering tobacco use assessments, and perceived barriers to the routine provision of tobacco care were associated with changes in the delivery of the evidence-based five A's for smoking intervention (asking, advising, assessing, assisting, and arranging) at the organizational level. The data were from 15 substance use treatment centers that implemented a tobacco-free workplace program; data were collected before and after the program's implementation. Linear regression examined how center-level averages of provider factors (1) at pre-implementation and (2) post- minus pre-implementation were associated with changes in the use of the five A's for smoking in substance use treatment patients. The results indicated that centers with providers endorsing less agreement that tobacco use should be addressed in non-nicotine substance use treatment and reporting lower self-efficacy for providing tobacco use assessments at pre-implementation were associated with significant increases in asking patients about smoking, assessing interest in quitting and assisting with a quit attempt by post-implementation. Centers reporting more barriers at pre-implementation and centers that had greater reductions in reported barriers to treatment over time had greater increases in assessing patients' interest in quitting smoking and assisting with a quit attempt by post-implementation. Overall, the centers that had the most to learn regarding addressing patients' tobacco use had greater changes in their use of the five A's compared to centers whose personnel were already better informed and trained. Findings from this study advance implementation science and contribute information relevant to reducing the research-to-practice translational gap in tobacco control for a patient group that suffers tobacco-related health disparities

Environmental health · Family medicine · Intervention (counseling · Nicotine · Nicotine replacement therapy · Population · Psychiatry · Smoking cessation · Substance abuse · Substance abuse treatment · Substance use · Tobacco use · Community Health and Development · Health Policy Implementation Science · Medicine · Smoking Behavior and Cessation