Measuring Smoking Knowledge, Attitudes and Services (S-KAS) Among Clients in Addiction Treatment

Overview

Journal Drug Alcohol Depend

Publisher Elsevier

Specialty Psychiatry

Date 2010 Nov 9

PMID 21055884

Citations 21

Authors

Joseph Guydish

Barbara Tajima

Mable Chan

Kevin L Delucchi

Doug Ziedonis

Affiliations

Soon will be listed here.

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.

Method: 250 clients enrolled in residential drug abuse treatment programs were surveyed. Summary statistics were used to characterize both the participants and their responses, and exploratory factor analysis (EFA) was used to examine the underlying factor structure.

Results: Examination of the rotated factor pattern indicated that the latent structure was formed by one knowledge factor, one attitude factor, and two "service" factors reflecting program services and clinician services related to tobacco dependence. Standardized Cronbach's alpha coefficients for the four scales were, respectively, .57, .75, .82 and .82.

Conclusions: The proposed scales have reasonably good psychometric characteristics, although the knowledge scale leaves room for improvement, and will allow researchers to quantify client knowledge, attitudes and services regarding tobacco dependence treatment. Researchers, program administrators, and clinicians may find the S-KAS useful in changing organizational culture and clinical practices related to tobacco addiction, help in program evaluation studies, and in tracking and improving client motivation.

Citing Articles

A randomized clinical trial testing two implementation strategies to promote the treatment of tobacco dependence in community mental healthcare.

Schnoll R, Leone F, Hosie Quinn M, Stevens N, Flitter A, Wileyto P Drug Alcohol Depend. 2023; 247:109873.

PMID: 37084508 PMC: 10198962. DOI: 10.1016/j.drugalcdep.2023.109873.

Comparing client and staff reports on tobacco-related knowledge, attitudes, beliefs and services provided in substance use treatment.

Martinez C, Lisha N, McCuistian C, Strauss E, Deluchi K, Guydish J Tob Induc Dis. 2023; 21:45.

PMID: 36969981 PMC: 10037428. DOI: 10.18332/tid/160974.

Tobacco cessation among smokers under substance use treatment for alcohol and/or cannabis: study protocol and pilot study.

Feliu A, Fernandez E, Castellano Y, Enriquez M, Saura J, Cabezas C Addict Sci Clin Pract. 2022; 17(1):66.

PMID: 36451226 PMC: 9709380. DOI: 10.1186/s13722-022-00348-9.

Correlates of e-cigarette use for smoking cessation among clients in residential substance use disorder treatment.

Masson C, Le T, Hosakote S, Fokuo J, Gubner N, Shingle M Addict Behav. 2021; 119:106947.

PMID: 33892312 PMC: 8247797. DOI: 10.1016/j.addbeh.2021.106947.

Gubner N, Williams D, Le T, Garcia W, Vijayaraghavan M, Guydish J Drug Alcohol Depend. 2019; 197:8-14.

PMID: 30743196 PMC: 6440856. DOI: 10.1016/j.drugalcdep.2019.01.001.

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