Pre-implementation Assessment of Tobacco Cessation Interventions in Substance Use Disorder Residential Programs in California
Bibliographic Data
BACKGROUND: Across the United States, substance use disorder (SUD) treatment programs vary in terms of tobacco-related policies and cessation services offered. Implementation of tobacco-related policies within this setting can face several barriers. Little is known about how program leadership anticipate such barriers at the pre-implementation phase. This study used the Consolidated Framework for Implementation Research (CFIR) during the pre-implementation stage to identify factors that may influence the implementation stage of tobacco-related cessation policies and services in residential SUD programs. METHODS: We conducted semi-structured qualitative interviews with sixteen residential treatment program directors in California. The analysis was guided by a deductive approach using CFIR domains and constructs to develop codes and identify themes. ATLAS.ti software was used to facilitate thematic analysis of interview transcripts. FINDINGS: Themes that arose as anticipated facilitators for implementation included the relative advantage of the intervention vs. current practice, external policies/incentives to support tobacco-related policy, program directors' strong commitment and high self-efficacy to incorporate cessation into SUD treatment, and recognizing the importance of planning and engaging opinion leaders. Potential barriers included the SUD recovery culture, low stakeholder engagement, organizational culture, lack of workforce expertise, and lack of reimbursement for smoking cessation services. CONCLUSION: To support successful implementation of tobacco-related organizational change interventions, staff and clients of residential SUD programs require extensive education about the effectiveness of evidence-based medications and behavioral therapies for treating tobacco dependence. Publicly funded SUD treatment programs should receive support to address tobacco dependence among their clients through expanded reimbursement for tobacco cessation services
Health care · Implementation research · Implementation theory · Incentive · Incentive program · Opioid use disorder · Political science · Psychological intervention · Public health · Qualitative research · Reimbursement · Smoking cessation · Thematic analysis · Tobacco control · Workforce · Health Policy Implementation Science · Medicine · Nursing · Smoking Behavior and Cessation · Substance Abuse Treatment and Outcomes
A systematic review of the use of the Consolidated Framework for Implementation Research
E-cigarettes and smoking cessation in real-world and clinical settings
A guiding framework and approach for implementation research in substance use disorders treatment.
Fostering implementation of health services research findings into practice
Diffusion of Innovations in Service Organizations
Compliance with San Francisco’s flavoured tobacco sales prohibition
Staff Smoking and Other Barriers to Nicotine Dependence Intervention in Addiction Treatment Settings
| Citation velocity | historical |
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| Highly cited | No |