Measuring smoking knowledge, attitudes and services (S-KAS) among clients in addiction treatment

Abstract

Background-Addiction treatment programs are increasingly working to address prevalent and comorbid tobacco dependence in their service populations. However at present there are few published measurement tools, with known psychometric properties, that can be used to assess client-level constructs related to tobacco dependence in addiction treatment settings. Following on previous work that developed a staff-level survey instrument, this report describes the development and measurement characteristics of the Smoking Knowledge, Attitudes and Services (S-KAS) for use with clients in addiction treatment settings.

Sustainment of Smoking Cessation Programs in Substance Use Disorder Treatment Organizations

“…Most previous research on the availability of smoking cessation services in SUD treatment has used cross-sectional designs (Delucchi et al, 2009;Fuller et al, 2007;Guydish et al, 2011;Hahn, Warnick, & Plemmons, 1999;McCool et al, 2005;Richter et al, 2004), with one recent study on the effectiveness of organizational change interventions to promote adoption (Guydish et al, 2012). Guydish and colleagues found that residential treatment programs were able to increase their delivery of nicotine replacement therapy (NRT) and tobacco-related practices after the programs completed a structured change process.…”

“…Counseling is recommended in the PHS clinical practice guideline (Fiore et al, 2008), yet few SUD treatment organizations offer counseling-based smoking cessation programs (Delucchi, Tajima, & Guydish, 2009;Guydish, Tajima, Chan, Delucchi, & Ziedonis, 2011). A large national study reported that only 17% of SUD organizations offered a counseling-based program for smoking cessation (Knudsen, Studts, Boyd, & Roman, 2010).…”

Building Tobacco Cessation Capacity in Homeless Shelters: A Pilot Study

“…[22] These instruments were developed to assess willingness to treat tobacco dependence among staff and clients of substance use recovery programs [21,22].…”

“…We assessed knowledge and attitudes among all clients, and receipt of program and clinician services among smokers [22]. The survey asked all participants whether staff had asked them about their tobacco use upon entry into the facility.…”

“…The four S-KAS scales (score range 1-5) measured knowledge around tobacco use (alpha coefficient 0.4), attitudes related to treating tobacco dependence (alpha coefficient 0.7), receipt of tobacco-related program services (alpha coefficient 0.8), and receipt of clinician-related services (alpha coefficient 0.9) [22]. We assessed knowledge and attitudes among all clients, and receipt of program and clinician services among smokers [22].…”