Does the Presence of a Smoking Cessation Clinical Trial Affect Staff Practices Related to Smoking?

Chun, JongSerl; Guydish, Joseph; Delucchi, Kevin

doi:10.1177/002204260903900209

Cited by 7 publications

(8 citation statements)

References 37 publications

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“…The five S-KAP scales, each scored from 1 to 5, reflect Knowledge of the hazards of smoking (α = 0.85), Attitudes about treating smoking in addiction programs (α = 0.74), Barriers to providing tobacco treatment (α = 0.81), counselor Self-efficacy in providing tobacco-related services (α = 0.72) and Practices used to address tobacco dependence with clients (α = 0.91) (Delucchi et al, 2009). S-KAP scales previously distinguished different levels of practices in different clinics (Tajima et al, 2009), and were used to assess change when clinics participated in smoking-cessation trials (Chun et al, 2009). Two scales are calculated for all staff (Knowledge, Attitudes), while remaining scales are calculated for clinical staff only (Barriers, Self-Efficacy, Practices).…”

Section: Methodsmentioning

confidence: 99%

Addressing Tobacco Through Organizational Change (ATTOC) in residential addiction treatment settings

Guydish

Ziedonis

Tajima

et al. 2012

Drug and Alcohol Dependence

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Background Smoking prevalence among persons in addiction treatment is 3–4 times higher than in the general population. However, treatment programs often report organizational barriers to providing tobacco-related services. This study assessed the effectiveness of a six month organizational change intervention, Addressing Tobacco Through Organizational Change (ATTOC), to improve how programs address tobacco dependence. Methods The ATTOC intervention, implemented in three residential treatment programs, included consultation, staff training, policy development, leadership support and access to nicotine replacement therapy (NRT) medication. Program staff and clients were surveyed at pre- and post-intervention, and at 6 month follow-up. The staff survey measured knowledge of the hazards of smoking, attitudes about and barriers to treating smoking, counselor self-efficacy in providing such services, and practices used to address tobacco. The client survey measured knowledge, attitudes, and tobacco-related services received. NRT use was tracked. Results From pre- to post-intervention, staff beliefs became more favorable toward treating tobacco dependence (F(1, 163) = 7.15, p = 0.008), NRT use increased, and tobacco-related practices increased in a non-significant trend (F(1, 123) = 3.66, p = 0.058). Client attitudes toward treating tobacco dependence became more favorable (F(1, 235) = 10.58, p = 0.0013) and clients received more tobacco-related services from their program (F(1, 235) = 92.86, p < 0.0001) and from their counselors (F(1, 235) = 61.59, p < 0.0001). Most changes remained at follow-up. Conclusions The ATTOC intervention can help shift the treatment system culture and increase tobacco services in addiction treatment programs.

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Section: Methodsmentioning

confidence: 99%

Addressing Tobacco Through Organizational Change (ATTOC) in residential addiction treatment settings

Guydish

Ziedonis

Tajima

et al. 2012

Drug and Alcohol Dependence

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“…In the first study, two intervention clinics (one substance abuse treatment clinic and one HIV care clinic) participated in clinical trials for smoking cessation. Three additional clinics (two substance abuse and one HIV care) were recruited as control clinics (Chun et al, in press). All of the clinics were either VAMC substance abuse treatment clinics or hospital-based HIV care clinics.…”

Section: Methodsmentioning

confidence: 99%

“…For 8 of the 11 studies, however, post-intervention smoking quit rates were below 10%. At least two studies have now observed an approximate 10% smoking cessation rate among persons enrolled in drug treatment where no specific smoking intervention was provided (Chun, Guydish, & Delucchi, in press; Kohn, Tsoh, & Weisner, 2003). Smoking cessation interventions that achieve only a 10% rate for persons enrolled in substance abuse treatment may be reflecting only ongoing background quit attempts in this population.…”

Section: Introductionmentioning

confidence: 99%

Staff Knowledge, Attitudes, and Practices regarding Nicotine Dependence Differ by Setting

Tajima¹,

Guydish²,

Delucchi³

et al. 2009

Journal of Drug Issues

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This study examined smoking-related knowledge, beliefs, self-efficacy, smoking cessation practices, and barriers to providing smoking cessation services in a workforce sample. The 11 participating clinics (N=335 staff) included substance abuse treatment and HIV care clinics categorized into three types: Veterans Affairs Medical Center (VAMC) clinics, hospital-based clinics, and community-based clinics. Staff in both VAMC and hospital-based settings shared characteristics that may predict smoking-related knowledge, beliefs, and practices (higher education level, low smoking rates, fewer staff in recovery, and location in hospital-affiliated environments where there was greater emphasis on physical health). However, staff in VAMC settings outperformed those in both hospital-based and community-based clinic settings on measures of smoking-related knowledge, beliefs, self-efficacy, and practices. Well-developed procedures to support VAMC clinicians in addressing smoking may account for these findings. Findings suggest that both reductions in staff smoking, and development and implementation of smoking policy are needed to support staff in better addressing nicotine dependence in community-based treatment settings.

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“…Due to concurrent pressing political, economic and social issues stemming from the break up of the former Soviet Union, the public health of PWID was not a priority (Cohen, 2010; Hurley, 2010). Since then, research has been concentrated in this region to help stem the tide of HIV transmission for PWID (Booth et al, 2010, 2009, 2006a, 2006b, 2004; Kruglov et al, 2008; Taran et al, 2011; Kyrychenko and Polonets, 2005; Booth, 2009). The HIV epidemic in Ukraine has been characterized by high rates of transmission among PWID, with other risk groups such as men who have sex with men (MSM) and female sex workers (FSWs) increasingly represented (Kruglov et al, 2008; UNAIDS 2010; Baral et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Gender differences between predictors of HIV status among PWID in Ukraine

Corsi

Dvoryak

Garver‐Apgar

et al. 2014

Drug and Alcohol Dependence

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Background The HIV epidemic in Ukraine is among the largest in Europe. While traditionally the epidemic has spread through injection risk behavior, sexual transmission is becoming more common. Previous research has found that women in Ukraine have higher rates of HIV and engage in more HIV risk behavior than men. This study extended that work by identifying risk factors that differentially predict men and women’s HIV status among people who inject drugs (PWID) in Ukraine. Methods From July 2010 through July 2013, 2480 sexually active PWID with unknown HIV status were recruited from three cities in Ukraine through street outreach. The average age was 31 years old. Results Women, who made up twenty-eight percent of the sample, had higher safe sex self-efficacy (p<0.01) and HIV knowledge (p<0.001) than men, but scored higher on both the risky injection (p<0.001) and risky sex (p<0.001) composite scores than men. Risky sex behaviors were associated with women’s HIV status more than men’s. We also report results identifying predictors of risky injection and sex behaviors. Conclusions Gender-specific interventions could address problem of HIV risk among women who inject drugs in a country with a growing HIV epidemic. Our findings suggest specific ways in which intervention efforts might focus on groups and individuals who are at the highest risk of contracting HIV (or who are already HIV positive) to halt the spread of HIV in Ukraine.

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Does the Presence of a Smoking Cessation Clinical Trial Affect Staff Practices Related to Smoking?

Cited by 7 publications

References 37 publications

Addressing Tobacco Through Organizational Change (ATTOC) in residential addiction treatment settings

Addressing Tobacco Through Organizational Change (ATTOC) in residential addiction treatment settings

Staff Knowledge, Attitudes, and Practices regarding Nicotine Dependence Differ by Setting

Gender differences between predictors of HIV status among PWID in Ukraine

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