Commitment and capacity for providing evidence-based tobacco treatment in US drug treatment facilities.

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  • Additional Information
    • Author-Supplied Keywords:
      Health services
      substance use disorder
      tobacco use disorder
    • NAICS/Industry Codes:
      621494 Community health centres
      621110 Offices of physicians
      621499 All other out-patient care centres
      621498 All Other Outpatient Care Centers
      453991 Tobacco Stores
      424940 Tobacco and Tobacco Product Merchant Wholesalers
      111910 Tobacco Farming
      622210 Psychiatric and Substance Abuse Hospitals
      621420 Outpatient Mental Health and Substance Abuse Centers
    • Abstract:
      Background: Although people with mental illness, including substance use disorders, consume 44% of cigarettes in the United States, few facilities provide tobacco treatment. This study assesses staff- and facility-level drivers of tobacco treatment in substance use treatment. Methods: Surveys were administered to 405 clinic directors selected from a comprehensive inventory of 3800 US outpatient facilities. The main outcome was the validated 7-item Index of Tobacco Treatment Quality. Other measures included the validated Tobacco Treatment Commitment Scale and indicators of facility resources for providing tobacco treatment. Results: Stepwise model selection was used to determine the relationship between capacity/resources and treatment quality. The final model retained 7 items and had good fit (adjusted R2 = 0.43). Four capacities significantly predicted treatment quality. Structural equation modeling (SEM) was used to test the impact of staff commitment on treatment quality; the model had good fit and the relationship was significant (comparative fit index [CFI] = 0.951, root mean square error of approximation [RMSEA] = 0.054). Adding the 7 capacity/resources maintained similar model fit (CFI = 0.922, RMSEA = 0.053). Staff commitment was slightly strengthened in this model, with a rise in parameter estimate from 0.449 to 0.560. All resource/capacity items were also significant predictors of treatment quality; the strongest was receiving training in how to provide tobacco treatment (0.360), followed by dedicated staff time (0.279) and having a policy that requires staff to offer treatment (0.272). Conclusions: Staff commitment to providing tobacco treatment was the strongest predictor of tobacco treatment quality, followed by resources for providing treatment. Interventions to change staff attitudes and improve resources for tobacco treatment have the strongest potential for improving quality of care. [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • Author Affiliations:
      1Department of Preventive Medicine and Public Health, University of Kansas Medical School, Kansas City, Kansas, USA
      2School of Nursing and Health Studies, University of Missouri Kansas City, Kansas City, Missouri, USA
      3Department of Biostatistics, University of Kansas Medical School, Kansas City, Kansas, USA
      4Division of Epidemiology, Biostatistics, and Environmental Health, School of Public Health, University of Memphis, Memphis, Tennessee, USA
      5The Schiefelbusch Institute for Life Span Studies, University of Kansas, Lawrence, Kansas, USA
      6Office of Research and Department of Medicine, University of Massachusetts–Baystate and Baystate Health, Springfield, Massachusetts, USA
    • Full Text Word Count:
      3368
    • ISSN:
      0889-7077
    • Accession Number:
      10.1080/08897077.2016.1265039
    • Accession Number:
      121350781
  • Citations
    • ABNT:
      RICHTER, K. P. et al. Commitment and capacity for providing evidence-based tobacco treatment in US drug treatment facilities. Substance Abuse, [s. l.], v. 38, n. 1, p. 35–39, 2017. DOI 10.1080/08897077.2016.1265039. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=aph&AN=121350781. Acesso em: 10 abr. 2020.
    • AMA:
      Richter KP, Hunt JJ, Cupertino AP, et al. Commitment and capacity for providing evidence-based tobacco treatment in US drug treatment facilities. Substance Abuse. 2017;38(1):35-39. doi:10.1080/08897077.2016.1265039.
    • APA:
      Richter, K. P., Hunt, J. J., Cupertino, A. P., Gajewski, B. J., Jiang, Y., Marquis, J., & Friedmann, P. D. (2017). Commitment and capacity for providing evidence-based tobacco treatment in US drug treatment facilities. Substance Abuse, 38(1), 35–39. https://doi.org/10.1080/08897077.2016.1265039
    • Chicago/Turabian: Author-Date:
      Richter, Kimber P., Jamie J. Hunt, A. Paula Cupertino, Byron J. Gajewski, Yu Jiang, Janet Marquis, and Peter D. Friedmann. 2017. “Commitment and Capacity for Providing Evidence-Based Tobacco Treatment in US Drug Treatment Facilities.” Substance Abuse 38 (1): 35–39. doi:10.1080/08897077.2016.1265039.
    • Harvard:
      Richter, K. P. et al. (2017) ‘Commitment and capacity for providing evidence-based tobacco treatment in US drug treatment facilities’, Substance Abuse, 38(1), pp. 35–39. doi: 10.1080/08897077.2016.1265039.
    • Harvard: Australian:
      Richter, KP, Hunt, JJ, Cupertino, AP, Gajewski, BJ, Jiang, Y, Marquis, J & Friedmann, PD 2017, ‘Commitment and capacity for providing evidence-based tobacco treatment in US drug treatment facilities’, Substance Abuse, vol. 38, no. 1, pp. 35–39, viewed 10 April 2020, .
    • MLA:
      Richter, Kimber P., et al. “Commitment and Capacity for Providing Evidence-Based Tobacco Treatment in US Drug Treatment Facilities.” Substance Abuse, vol. 38, no. 1, Jan. 2017, pp. 35–39. EBSCOhost, doi:10.1080/08897077.2016.1265039.
    • Chicago/Turabian: Humanities:
      Richter, Kimber P., Jamie J. Hunt, A. Paula Cupertino, Byron J. Gajewski, Yu Jiang, Janet Marquis, and Peter D. Friedmann. “Commitment and Capacity for Providing Evidence-Based Tobacco Treatment in US Drug Treatment Facilities.” Substance Abuse 38, no. 1 (January 2017): 35–39. doi:10.1080/08897077.2016.1265039.
    • Vancouver/ICMJE:
      Richter KP, Hunt JJ, Cupertino AP, Gajewski BJ, Jiang Y, Marquis J, et al. Commitment and capacity for providing evidence-based tobacco treatment in US drug treatment facilities. Substance Abuse [Internet]. 2017 Jan [cited 2020 Apr 10];38(1):35–9. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=aph&AN=121350781