Sustainment of Smoking Cessation Programs in Substance Use Disorder Treatment Organizations

Knudsen, Hannah K.; Muilenburg, Jessica L.; Eby, Lillian T.

doi:10.1093/ntr/nts242

Cited by 31 publications

(35 citation statements)

References 52 publications

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“…51 Further, an absence of barriers (e.g., being hospital-based, having a lower number of clinicians who smoked) and the availabilities of incentives (e.g., reimbursement for smoking services) are associated with incorporating pharmacotherapies 52 while support from administrators and building staff expertise have been found to be important for continued success of active smoking cessation services within SUD treatment sites. 53 While more information is needed to build on the research related to SUD treatment programs providing smoking services, research on all aspects of smoking prevention efforts is needed (e.g., the degree to which efforts to prevent smoking initiation are already included in SUD treatment programs, how administrators and staff can develop or build prevention efforts, the most useful content or form of prevention efforts). Improving the ability of SUD treatment programs to provide patients who smoke with treatment access and support and to provide patients who do not smoke with support to remain smoke-free may lead to not just better smoking outcomes but also better outcomes related to illicit drug use.…”

Section: Discussionmentioning

confidence: 99%

Cigarette Smoking Is Associated With Increased Risk of Substance Use Disorder Relapse

Weinberger¹,

Platt²,

Esan³

et al. 2017

J. Clin. Psychiatry

116

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Objective Little is known about the relationship between cigarette smoking and long-term substance use disorder (SUD) outcomes. The current study examined the association between smoking and SUD relapse among adults with remitted SUDs. Method Analyses were conducted on respondents who completed Waves 1 and 2 of the National Epidemiologic Survey on Alcohol and Related Conditions and met DSM-IV criteria for substance abuse and/or prior to but not during the year before the Wave 1 interview (n=5,515). Relationships between smoking status (Wave 2 smoking versus non-smoking among Wave 1 smokers; Wave 2 smoking versus non-smoking among Wave 1 non-smokers) and Wave 2 substance use and SUD relapse were examined using logistic regression analyses. Analyses were adjusted for demographics; psychiatric and alcohol use disorders; nicotine dependence; and SUD severity. Results In the fully adjusted models, among Wave 1 smokers, continued smoking at Wave 2 was associated with significantly greater odds of substance use (OR=1.56, 95% CI=1.10-2.20) and SUD relapse (OR=2.02, 95% CI=1.65-2.47) compared to Wave 2 non-smoking. In the fully adjusted model, among Wave 1 non-smokers, smoking at Wave 2 was associated with significantly greater odds of SUD relapse compared to Wave 2 non-smoking (OR=4.86, 95% CI=3.11-7.58). Conclusion Continued smoking for smokers and smoking initiation for non-smokers was associated with greater odds of SUD relapse. More research is needed to examine the timing of SUD relapse in relation to smoking behaviors. Incorporating smoking cessation and prevention efforts into substance abuse treatment may improve long-term substance use outcomes for adult smokers with SUDs.

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Section: Discussionmentioning

confidence: 99%

Cigarette Smoking Is Associated With Increased Risk of Substance Use Disorder Relapse

Weinberger¹,

Platt²,

Esan³

et al. 2017

J. Clin. Psychiatry

116

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“…14 Availability of nicotine replacement therapy in addiction programs decreased over 4 years (from 38% to 34%), 15 and 40% of programs providing cessation counseling in 2006 to 2008 later discontinued this service. 16 According to the 2011 National Survey of Substance Abuse Treatment Services (N-SSATS), only half of all addiction treatment programs screen clients for tobacco use. 17 Three fourths of all addiction treatment is provided in the public sector, 18,19 and regulation and policy setting for these programs are centralized in Single State Agencies for Substance Abuse Services.…”

mentioning

confidence: 99%

Predictors of Tobacco Use Among New York State Addiction Treatment Patients

Guydish

et al. 2015

Am J Public Health

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Objectives. We used admissions data from the New York State addiction treatment system to assess patient self-reported tobacco use and factors associated with tobacco use. Methods. We compared prevalence of tobacco use in the state addiction treatment system with that of a national sample of people receiving addiction treatment and with that of the New York general population in 2005 to 2008. A random effects logistic model assessed relationships between patient- and program-level variables and tobacco use. Results. Prevalence of tobacco use in the New York treatment system was similar to that in national addiction treatment data and was 3 to 4 times higher than that in the general population. Co-occurring mental illness, opiate use, methadone treatment, and being a child of a substance-abusing parent were associated with higher rates of tobacco use. Conclusions. We call on federal leadership to build capacity to address tobacco use in addiction treatment, and we call on state leadership to implement tobacco-free grounds policies in addiction treatment systems.

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“…Similarly, 9% discontinued and 9% adopted at least one pharmacotherapy over the study period (46). A study of sustainment (vs. discontinuation) of counseling-based smoking cessation programs indicated that nearly 40% of those offering such programs at baseline had discontinued such services approximately 36 months later (47).…”

Section: Organizational Studies Of Adoptionmentioning

confidence: 99%

“…In a study focused on the sustainment of counseling-based programs, the odds of sustainment (vs. discontinuation) were greater when the leaders endorsed that smoking cessation was beneficial for SUD recovery and in accredited organizations (47). Worsening of organizational barriers (e.g., lack of skilled staff and lack of staff interest) over time was negatively associated with sustainment (47).…”

Section: Barriers To Adoption and Organizational Characteristicsmentioning

confidence: 99%

Implementation of smoking cessation treatment in substance use disorder treatment settings: a review

Knudsen

2016

The American Journal of Drug and Alcohol Abuse

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Sustainment of Smoking Cessation Programs in Substance Use Disorder Treatment Organizations

Cited by 31 publications

References 52 publications

Cigarette Smoking Is Associated With Increased Risk of Substance Use Disorder Relapse

Cigarette Smoking Is Associated With Increased Risk of Substance Use Disorder Relapse

Predictors of Tobacco Use Among New York State Addiction Treatment Patients

Implementation of smoking cessation treatment in substance use disorder treatment settings: a review

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