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Tobacco-free Workplace Program at a Substance Use Treatment Center

Bibliographic Data

ID15329774
AuthorsKathy Le (0000-0003-2667-3433, University of Houston, corresponding author), Virmarie Correa-Fernández (0000-0003-2548-1085, University of Houston), Isabel M Leal (0000-0002-0073-339X, University of Houston), Bryce Kyburz (Taking Texas Tobacco Free Program Manager, Integral Care, Austin, TX), Tzu-An Chen (0000-0003-4312-7258, Research Assistant Professor, University of Houston, HEALTH Research Institute, Houston, TX), Tzu‐An Chen (0000-0002-9944-8600, University of Houston), Daniel Barrientos (0000-0002-2023-4109, Center Director, Recovery Outreach Center, Victoria, TX), Elma Saenz (Clinic Coordinator, Recovery Outreach Center, Victoria, TX), Teresa Williams (Director of Clinical Services, Integral Care, Austin, TX), Daniel P O’Connor (0000-0001-9750-2864, University of Houston), E M Obasi (0000-0003-2142-952X, University of Houston), Kathleen Casey (0000-0001-7245-9572, Director of Clinical Innovation and Development, Integral Care, Austin, TX), Lorraine R Reitzel (0000-0002-7165-5720, Professor, University of Houston, Department of Psychological, Health, and Learning Sciences, Houston, TX;, Email: [email protected])
Year2020
Volume44
Issue5
Pages652-665
Publication date2020-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAmerican Journal of Health Behavior (JOURNAL)
Journal identifiersISSN: 1087-3244 • E-ISSN: 1945-7359
PublisherPNG Publications (PUBLISHER • US)
DOI10.5993/ajhb.44.5.9
PMID33121583
OpenAlexW3096883484
LanguageEN
Citations received12

Objectives: About 65%-87% of substance use disorder patients smoke cigarettes, compared to 14% of the general adult population. Few substance use treatment centers (SUTCs) have comprehensive tobacco-free workplace (TFW) policies or offer tobacco interventions. Taking Texas Tobacco Free (TTTF) implements an evidence-based TFW program in SUTCs, including at the Billy T. Cattan Recovery Outreach Center (BTC). We present a mixed methods case study of BTC's TTTF implementation, success factors, and challenges. Methods: TTTF provided policy development assistance, training, treatment resources, and technical assistance over ∼9 months. Implementation was tailored using mixed methods. Quantitative data included surveys to stakeholders (N max = 7), a pre- and post-training questionnaire assessing knowledge gain, and reported quantities of tobacco use assessments (TUAs) administered and nicotine replacement therapy (NRT) provided. Qualitative data included stakeholder focus groups and interviews (18 participants). Results: All employees reported TFW policy compliance. Employees exhibited a 20% knowledge gain. Clinicians increased self-report of NRT provision and tobacco cessation counseling. During implementation, BTC administered TUAs to 171 patients and dispensed NRT to 70 of 110 tobacco-using patients. Conclusion: Qualitative findings contextualized quantitative outcomes. TTTF implementation changed clinician attitudes, knowledge, and practices regarding tobacco treatment, facilitating patient quit attempts

Business · Environmental health · Family medicine · Focus group · Nicotine · Nicotine replacement therapy · Outreach · Population · Psychiatry · Psychological intervention · Public relations · Qualitative property · Qualitative research · Smoking cessation · Stakeholder · Health Policy Implementation Science · Medicine · Nursing · Smoking Behavior and Cessation · Substance Abuse Treatment and Outcomes · Marketing

  • Organizational-Level Moderators Impacting Tobacco-Related Knowledge Change after Tobacco Education Training in Substance Use Treatment Centers

    Open Access•Kathy Le, Tzu-An Chen et al.•International Journal of…•2021

  • Tobacco-Related Knowledge Among Employees at Substance Use Treatment and Medical Healthcare Centers Serving Rural and Medically Underserved Patients with Substance Use Disorders in Texas, USA

    Open Access•Jedidiah A Feyisetan, Maggie Britton et al.•International Journal of…•2025

  • Addressing Smoking Cessation among Women in Substance Use Treatment

    Open Access•Isabel M Leal, Matthew Taing et al.•International Journal of…•2021

  • Implementation and Outcomes of a Comprehensive Tobacco Free Workplace Program in Opioid Treatment Centers

    Open Access•Matthew Taing, Vijay Nitturi et al.•International Journal of…•2021

  • Collaborative Learning

    Open Access•Isabel M Leal, Jayda Martinez et al.•International Journal of…•2022

  • Implementation and Outcomes of a Train-the-Trainer Program at Behavioral Health Treatment Centers as a Mechanism to Maintain Organizational Capacity to Address Tobacco Use Disorder

    Open Access•Vijay Nitturi, Tzu-An Chen et al.•International Journal of…•2021

  • Predictors of Workplace Substance Reuse among Patients with Alcohol or Illegal Substance Use Disorder in the Workplace

    Open Access•Su‐Ting Hsu, Huang-Chang Wu et al.•International Journal of…•2022

  • Tobacco Screening Practices and Perceived Barriers to Offering Tobacco Cessation Services among Texas Health Care Centers Providing Behavioral Health Treatment

    Open Access•Ammar D Siddiqi, Maggie Britton et al.•International Journal of…•2022

  • Organizational Factors Moderating Changes in Tobacco Use Dependence Care Delivery Following a Comprehensive Tobacco-Free Workplace Intervention in Non-Profit Substance Use Treatment Centers

    Open Access•Kathy Le, Tzu-An Chen et al.•International Journal of…•2021

  • Changes in Substance Use Treatment Providers’ Delivery of the 5A’s for Non-Cigarette Tobacco Use in the Context of a Comprehensive Tobacco-Free Workplace Program Implementation

    Open Access•Ammar D Siddiqi, Tzu-An Chen et al.•International Journal of…•2023

  • 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

    Open Access•Cassidy R Loparco, Tzu-An Chen et al.•International Journal of…•2022

  • Educating Substance Use Treatment Center Providers on Tobacco Use Treatments Is Associated with Increased Provision of Counseling and Medication to Patients Who Use Tobacco

    Open Access•Brian J Carter, Ammar D Siddiqi et al.•International Journal of…•2023

Unique citing works12
Citations per year2,4
Citation span2021 - 2025 (5)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 12
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