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Organizational Factors As Predictors of Tobacco Cessation Pharmacotherapy Adoption in Addiction Treatment Programs

Overview
Journal J Addict Med
Specialty Psychiatry
Date 2013 Dec 25
PMID 24365803
Citations 19
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Abstract

Objectives: This study investigated 3 organizational factors (ie, counseling staff clinical skills, absence of treatment program obstacles, and policy-related incentives) as predictors of tobacco cessation pharmacotherapy (TCP) adoption (comprised of the 9 available TCPs) in addiction treatment programs using the innovation implementation effectiveness framework.

Methods: Data were obtained in 2010 from a random sample of 1006 addiction treatment program administrators located across the United States using structured telephone interviews.

Results: According to program administrator reports, TCP is adopted in approximately 30% of treatment programs. Negative binomial regression results show that fewer treatment program obstacles and more policy-related incentives are related to greater adoption of TCP. Counter to prediction, clinical skills are unrelated to TCP adoption.

Conclusions: Our findings suggest that organizational factors, on the basis of established theoretical frameworks, merit further examination as facilitators of the adoption of diverse TCP in addiction treatment programs.

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References
1.
Guydish J, Passalacqua E, Tajima B, Chan M, Chun J, Bostrom A . Smoking prevalence in addiction treatment: a review. Nicotine Tob Res. 2011; 13(6):401-11. PMC: 3103720. DOI: 10.1093/ntr/ntr048. View

2.
Clarke J, Stein M, McGarry K, Gogineni A . Interest in smoking cessation among injection drug users. Am J Addict. 2001; 10(2):159-66. DOI: 10.1080/105504901750227804. View

3.
Weiner B, Lewis M, Linnan L . Using organization theory to understand the determinants of effective implementation of worksite health promotion programs. Health Educ Res. 2008; 24(2):292-305. DOI: 10.1093/her/cyn019. View

4.
Rohsenow D, Monti P, Colby S, Gulliver S, Swift R, Abrams D . Naltrexone treatment for alcoholics: effect on cigarette smoking rates. Nicotine Tob Res. 2003; 5(2):231-6. DOI: 10.1080/1462220031000073298. View

5.
Fuller B, Guydish J, Tsoh J, Reid M, Resnick M, Zammarelli L . Attitudes toward the integration of smoking cessation treatment into drug abuse clinics. J Subst Abuse Treat. 2006; 32(1):53-60. PMC: 3496385. DOI: 10.1016/j.jsat.2006.06.011. View