Understanding counselors' implementation of tobacco cessation services with patients

Eby, Lillian T.; Laschober, Tanja C.; Muilenburg, Jessica L.

doi:10.1016/j.jsat.2014.06.007

Cited by 15 publications

(22 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the clinical practice guideline recommends that both counseling and pharmacotherapy are used to increase patients’ chances of achieving TC [1]. Research also shows that lack of financial resources is related to the availability of diverse TCS in treatment programs [37], which in turn is related to counselors’ implementation of TCS with patients who smoke [38]. …”

Section: Discussionmentioning

confidence: 99%

Factors Linked to Substance Use Disorder Counselors� (Non) Implementation Likelihood of Tobacco Cessation 5 A�s, Counseling, and Pharmacotherapy

Laschober

Muilenburg

Eby³

2015

J Addict Behav Ther Rehabil

View full text Add to dashboard Cite

Study Background Despite efforts to promote the use of tobacco cessation services (TCS), implementation extensiveness remains limited. This study investigated three factors (cognitive, behavioral, environmental) identified by social cognitive theory as predictors of substance use disorder counselors’ likelihood of use versus non-use of tobacco cessation (TC) 5 A's (ask patients about tobacco use, advise to quit, assess willingness to quit, assist in quitting, arrange for follow-up contact), counseling, and pharmacotherapy with their patients who smoke cigarettes. Methods Data were collected in 2010 from 942 counselors working in 257 treatment programs that offered TCS. Cognitive factors included perceived job competence and TC attitudes. Behavioral factors encompassed TC-related skills and general training. External factors consisted of TC financial resource availability and coworker TC attitudes. Data were analyzed using logistic regression models with nested data. Results Approximately 86% of counselors used the 5 A's, 76% used counseling, and 53% used pharmacotherapy. When counselors had greater TC-related skills and greater general training they were more likely to implement the 5 A's. Implementation of counseling was more likely when counselors had more positive attitudes toward TC treatment, greater general training, greater financial resource availability, and when coworkers had more positive attitudes toward TC treatment. Implementation of pharmacotherapy was more likely when counselors had more positive attitudes toward TC treatment, greater general training, and greater financial resource availability. Conclusion Findings indicate that interventions to promote TCS implementation should consider all three factors simultaneously as suggested by social cognitive theory.

show abstract

Section: Discussionmentioning

confidence: 99%

Factors Linked to Substance Use Disorder Counselors� (Non) Implementation Likelihood of Tobacco Cessation 5 A�s, Counseling, and Pharmacotherapy

Laschober

Muilenburg

Eby³

2015

J Addict Behav Ther Rehabil

View full text Add to dashboard Cite

show abstract

“…In a sample of counselors working in facilities that had adopted tobacco treatment, self-reported skill in tobacco cessation was positively associated with implementation of behavioral interventions and pharmacotherapy (66). A similar relationship between knowledge and implementation of behavioral interventions was found in a sample of counselors working in adolescent-only SUD programs (67).…”

Section: Correlates Of Counselor-level Implementationmentioning

confidence: 52%

“…Eby et al (66) surveyed counselors in such settings regarding the availability and implementation of behavioral interventions and pharmacotherapy. They found substantial gaps in counselors' reports of availability and implementation.…”

Section: Research On Counselors' Implementation Of Smoking Cessation mentioning

confidence: 99%

“…Counselors rated the average availability of behavioral interventions as 9.0 (on a scale ranging from 0 to 16), but averaged just 4.4 in self-reported use of those interventions with their 10 most recent tobacco-using patients. The results for pharmacotherapy were even more discouraging, with average availability being 1.8 of 9 FDA-approved pharmacotherapies and implementation being just 0.6, again indicating a sizeable discrepancy between availability and implementation (66). Similarly, counselors working in adolescent programs also reported limited implementation of tobacco cessation counseling and very low implementation of pharmacotherapy, which may be due to it representing offlabel use (67).…”

Section: Research On Counselors' Implementation Of Smoking Cessation mentioning

confidence: 99%

“…When counselors perceived greater managerial support for smoking cessation services, they report greater implementation of the 5 As and smoking cessation-related counseling sessions (62). Managers' broader support for EBPs in SUD treatment is also positively associated with the counselors' implementation of tobacco treatment (66).…”

Section: Correlates Of Counselor-level Implementationmentioning

confidence: 99%

See 2 more Smart Citations

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

Knudsen

2016

The American Journal of Drug and Alcohol Abuse

View full text Add to dashboard Cite

show abstract

Occupational health professionals’ attitudes, knowledge, and motivation concerning smoking cessation—Cross-sectional survey

Malin

Jaakkola

Luukkonen

et al. 2020

Journal of Occupational Health

View full text Add to dashboard Cite

Objectives Occupational health (OH) professionals could play a prominent role in smoking cessation treatment and support (SCTS) and help individuals and workplaces become smoke free. However, their role has not been evaluated. The aim of this study was to assess differences between OH professionals' perceptions of their role in SCTS by measuring three groups of OH professionals' attitudes, knowledge, and motivation concerning SCTS. Methods We collected data through an online survey completed by a cross‐sectional sample of OH professionals: OH physicians (n = 182), OH nurses (n = 296), and OH physiotherapists (n = 96), collected from national trade union registers. The differences between the OH professional groups were analyzed using ANOVA, the Kruskal‐Wallis, and chi‐square tests. Results The OH professionals had a positive attitude toward offering SCTS and were highly motivated to enhance their knowledge of this topic and acquire further training. The OH physicians and OH nurses assessed their current knowledge as sufficient. Conversely, the OH physiotherapists' level of knowledge was seen as insufficient. Traditionally, OH physicians and OH nurses have been responsible for carrying out SCTS, but the majority of the OH physiotherapists thought that SCTS should also be included in their job description. Conclusions All the OH professionals were highly motivated to deepen their knowledge of SCTS. The barriers between different professionals need to be recognized in occupational health services (OHS). OHS should organize its SCTS more effectively, strengthen their contributions to smoking cessation programs, and recognize the potential of OH physiotherapists for providing SCTS and enable them to expand their training.

show abstract

Understanding counselors' implementation of tobacco cessation services with patients

Cited by 15 publications

References 36 publications

Factors Linked to Substance Use Disorder Counselors� (Non) Implementation Likelihood of Tobacco Cessation 5 A�s, Counseling, and Pharmacotherapy

Factors Linked to Substance Use Disorder Counselors� (Non) Implementation Likelihood of Tobacco Cessation 5 A�s, Counseling, and Pharmacotherapy

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

Occupational health professionals’ attitudes, knowledge, and motivation concerning smoking cessation—Cross-sectional survey

Contact Info

Product

Resources

About