Organizational factors as predictors of tobacco cessation pharmacotherapy adoption in addiction treatment programs.
Organizational factors as predictors of tobacco cessation pharmacotherapy adoption in addiction treatment programs.
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DOI：
10.1097/adm.0000000000000008
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发表时间：
2014-01
影响因子：
5.5
通讯作者：
Eby LT
中科院分区：
文献类型：
--
作者：
Muilenburg JL;Laschober TC;Eby LT
本研究调查了三个组织因素（即，咨询人员的临床技能，没有治疗计划的障碍，政策相关的激励措施）作为戒烟药物治疗（TCP）采用的预测因素（包括九个可用的TCP）在成瘾治疗计划中使用创新实施有效性框架。数据是在2010年通过结构化电话访谈从美国各地的1006名成瘾治疗项目管理人员中随机抽样获得的。根据项目管理员的报告，TCP在大约30%的治疗项目中被采用。负二项回归结果表明，较少的治疗方案的障碍和更多的政策相关的激励措施，更大的采用TCP。与预测相反，临床技能与TCP采用无关。我们的研究结果表明，组织因素，建立在理论框架的基础上，值得进一步研究，作为促进者，采用不同的TCP成瘾治疗计划。
This study investigated three organizational factors (i.e., counseling staff clinical skills, absence of treatment program obstacles, policy-related incentives) as predictors of tobacco cessation pharmacotherapy (TCP) adoption (comprised of the nine available TCP) in addiction treatment programs using the innovation implementation effectiveness framework. Data were obtained in 2010 from a random sample of 1006 addiction treatment program administrators located across the U.S. using structured telephone interviews. 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. Our findings suggest that organizational factors, based on established theoretical frameworks, merit further examination as facilitators of the adoption of diverse TCP in addiction treatment programs.