Clinician Training in the Adaptation of a Comprehensive Tobacco-Free Workplace Program in Agencies Serving the Homeless and Vulnerably Housed
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participating Agencies
2.2. Participating Clinicians and Their Reach
2.3. Procedures
2.4. Measures
2.4.1. Tobacco Education Training Receipt (Goal 1)
2.4.2. Knowledge Gain (Goal 2)
2.4.3. Specialized Training Provision (Goal 3)
2.4.4. Clinician Intervention Provision (Goal 4)
2.4.5. Passive Dissemination (Goal 5)
2.4.6. Tobacco Use Assessments and Nicotine Replacement Therapies (Goals 6 and 7)
2.5. Analytic Plan
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Enrolled Agency | Clinicians | General Employees | Unique Clients Served | Annual Contacts |
---|---|---|---|---|
Agency 1 | 15 | 110 | 4326 | 35,452 |
Agency 2 | 12 | 58 | 1200 | 1200 |
Agency 3 | 20 | 68 | 4500 | 35,000 |
Agency 4 | 16 | 218 | 13,379 | 21,556 |
Training Query Items | Pre | Post | p-Value |
---|---|---|---|
In the Last 12 Months, Have You Received Any Training On… | % (n) Endorsing Yes * | ||
Assessing clients for their tobacco use ╪ (Pre: 96.2%, Post: 88.9%) | 23.5 (12) | 75.0 (18) | <0.0001 |
Treating tobacco use in conjunction with SUDs ╪ (Pre: 96.2%, Post: 88.9%) | 23.5 (12) | 62.5 (15) | 0.0022 |
How quitting tobacco improves substance use recovery ╪ (Pre: 96.2%, Post: 92.6%) | 27.4 (14) | 76.0 (19) | 0.0002 |
How continued substance use may be a barrier to quitting tobacco ╪ (Pre: 92.5%, Post: 92.6%) | 24.5 (12) | 72.0 (18) | 0.0002 |
The use of pharmacotherapies (e.g., NRT, Chantix) to treat tobacco use ╪ (Pre: 96.2%, Post: 92.6%) | 17.6 (9) | 80.0 (20) | <0.0001 |
The effects of tobacco smoke on psychiatric medications ╪ (Pre: 96.2%, Post: 92.6%) | 17.6 (9) | 52.0 (13) | 0.0042 |
How tobacco may be used to cope with the side effects of psychiatric meds ╪ (Pre: 96.2%, Post: 92.6%) | 17.6 (9) | 68.0 (17) | <0.0001 |
The hazards of smoking and benefits of quitting for individuals with SUDs ╪ (Pre: 96.2%, Post: 92.6%) | 19.6 (10) | 72.0 (18) | <0.0001 |
The use of counseling and behavior therapies to treat tobacco use (e.g., MI) ╪ (Pre: 96.2%, Post: 92.6%) | 39.2 (20) | 84.0 (21) | 0.0004 |
Intervention Query Items | Pre | Post | p-Value |
---|---|---|---|
With regard to clientele that you saw last month who smoked, did you… | % (n) endorsing yes * | ||
Ask clientele about their smoking status? ╪ (Pre: 100%, Post: 96.3%) | 49.1 (26) | 69.2 (18) | 0.2210 |
Advise them to quit smoking? ╪ (Pre: 86.8%, Post: 81.5%) | 54.3 (25) | 63.6 (14) | 0.3172 |
Assess their willingness to make a quit attempt? ╪ (Pre: 86.8%, Post: 88.9%) | 67.4 (31) | 79.2 (19) | 0.5403 |
Assist them to quit by providing treatment or making a referral for treatment? ╪ (Pre: 86.8%, Post: 85.2%) | 43.5 (20) | 73.9 (17) | 0.0316 |
Arrange to follow-up with them to assess progress regarding smoking cessation? ╪ (Pre: 86.8%, Post: 85.2%) | 39.1 (18) | 73.9 (17) | 0.0175 |
What types of treatment do you typically provide for smokers or other tobacco users? | % (n) endorsing yes * | ||
Behavioral counseling | 43.4 (23) | 48.1 (13) | 0.9345 |
NRT (e.g., patch, gum) or referral for such | 17.0 (9) | 40.7 (11) | 0.0512 |
Non-nicotine-based medications (e.g., Chantix) or referral for such | 9.4 (5) | 29.6 (8) | 0.0491 |
I do not typically provide treatment for smokers or other users | 52.8 (28) | 40.7 (11) | 0.5436 |
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Taing, M.; Kyburz, B.; Leal, I.M.; Le, K.; Chen, T.-A.; Correa-Fernandez, V.; Williams, T.; O’Connor, D.P.; Obasi, E.M.; Casey, K.; et al. Clinician Training in the Adaptation of a Comprehensive Tobacco-Free Workplace Program in Agencies Serving the Homeless and Vulnerably Housed. Int. J. Environ. Res. Public Health 2020, 17, 6154. https://doi.org/10.3390/ijerph17176154
Taing M, Kyburz B, Leal IM, Le K, Chen T-A, Correa-Fernandez V, Williams T, O’Connor DP, Obasi EM, Casey K, et al. Clinician Training in the Adaptation of a Comprehensive Tobacco-Free Workplace Program in Agencies Serving the Homeless and Vulnerably Housed. International Journal of Environmental Research and Public Health. 2020; 17(17):6154. https://doi.org/10.3390/ijerph17176154
Chicago/Turabian StyleTaing, Matthew, Bryce Kyburz, Isabel Martinez Leal, Kathy Le, Tzu-An Chen, Virmarie Correa-Fernandez, Teresa Williams, Daniel P. O’Connor, Ezemenari M. Obasi, Kathleen Casey, and et al. 2020. "Clinician Training in the Adaptation of a Comprehensive Tobacco-Free Workplace Program in Agencies Serving the Homeless and Vulnerably Housed" International Journal of Environmental Research and Public Health 17, no. 17: 6154. https://doi.org/10.3390/ijerph17176154
APA StyleTaing, M., Kyburz, B., Leal, I. M., Le, K., Chen, T.-A., Correa-Fernandez, V., Williams, T., O’Connor, D. P., Obasi, E. M., Casey, K., Koshy, L., & Reitzel, L. R. (2020). Clinician Training in the Adaptation of a Comprehensive Tobacco-Free Workplace Program in Agencies Serving the Homeless and Vulnerably Housed. International Journal of Environmental Research and Public Health, 17(17), 6154. https://doi.org/10.3390/ijerph17176154