Assessing barriers to providing tobacco use disorder treatment in community mental health settings with a revised version of the Smoking Knowledge, Attitudes, and Practices (S-KAP) instrument.
Assessing barriers to providing tobacco use disorder treatment in community mental health settings with a revised version of the Smoking Knowledge, Attitudes, and Practices (S-KAP) instrument.
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DOI：
10.1016/j.addbeh.2020.106735
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发表时间：
2021-03
影响因子：
4.4
通讯作者：
Schnoll RA
中科院分区：
文献类型：
--
作者：
Siegel SD;Laurenceau JP;Hill N;Bauer AM;Flitter A;Ziedonis D;Stevens N;Hosie Quinn M;Leone F;Beidas R;Kimberly J;Schnoll RA
严重精神疾病（SMI）患者的烟草使用障碍（TUD）率比一般人群高2至3倍。在门诊社区精神卫生诊所工作的临床医生有能力为这一群体提供TUD治疗，但治疗提供率非常低。了解与心理健康临床医生提供TUD治疗相关的因素是一个优先事项。该研究使用了一项正在进行的集群随机临床试验的基线数据，该试验评估了两种培训临床医生增加TUD治疗的方法。在对我们的评估工具——吸烟知识、态度和实践（S-KAP）工具进行心理测量评估之后，我们利用验证性因素分析评估了一个新的因素结构。然后使用结构方程模型来检查TUD治疗实践与临床医生、环境和患者特征之间的关联，样本来自10家心理健康诊所的182名心理健康临床医生。临床医生，而不是环境或患者特征成为提供TUD治疗的重要相关因素。具体来说，临床医生对提供TUD服务的一般道德承诺以及对他们提供此类护理的技能的看法与提供TUD治疗有关。相比之下，临床医生对患者动机、预期戒烟率或可用环境资源的看法与提供TUD治疗没有显着关联。提高社区精神卫生临床医生的TUD治疗技能和提供此类服务的承诺可能会降低重度精神分裂症患者的TUD发病率。未来的研究应该评估针对这些因素的干预措施。
Tobacco use disorder (TUD) rates are 2 to 3 times higher among people with serious mental illness (SMI) than the general population. Clinicians working in outpatient community mental health clinics are well positioned to provide TUD treatment to this group, but rates of treatment provision are very low. Understanding factors associated with the provision of TUD treatment by mental health clinicians is a priority. This study used baseline data from an ongoing cluster-randomized clinical trial evaluating two approaches to training clinicians to increase TUD treatment. Following a psychometric assessment of our assessment tool, the Smoking Knowledge, Attitudes, and Practices (S-KAP) instrument, a new factor structure was evaluated utilizing confirmatory factor analysis. Structural equation modeling was then used to examine the associations between TUD treatment practices and clinician, setting, and patient characteristics in a sample of 182 mental health clinicians across 10 mental health clinics. Clinician but not setting or patient characteristics emerged as significant correlates of providing TUD treatment. Specifically, clinicians’ general ethical commitment to providing TUD services and perceptions of their skills in providing this type of care were associated with providing TUD treatment. In contrast, clinician perceptions of patient motivation, anticipated quit rates, or available setting resources were not significantly associated with providing TUD treatment. Enhancing community mental health clinician TUD treatment skills and commitment to providing such services may reduce TUD rates among people with SMI. Future studies should evaluate interventions that target these factors.
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DOI：
10.1176/appi.ps.201700399
发表时间：
2018-08-01
期刊：
Psychiatric services (Washington, D.C.)
影响因子：
--
作者：
Chen LS;Baker TB;Korpecki JM;Johnson KE;Hook JP;Brownson RC;Bierut LJ
通讯作者：
Bierut LJ
影响因子：
1.7
作者：
Delucchi KL;Tajima B;Guydish J
通讯作者：
Guydish J
影响因子：
7
作者：
McNeish, Daniel;Stapleton, Laura M.;Silverman, Rebecca D.
通讯作者：
Silverman, Rebecca D.
影响因子：
33.9
作者：
Babb, Stephen;Malarcher, Arm;Jamal, Ahmed
通讯作者：
Jamal, Ahmed
影响因子：
3.8
作者：
Himelhoch, Seth;Riddle, Julia;Goldman, Howard H.
通讯作者：
Goldman, Howard H.