Climate for innovation, 12-step orientation, and tobacco cessation treatment.

Climate for innovation, 12-step orientation, and tobacco cessation treatment.
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DOI:
10.1016/j.jsat.2013.10.016
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发表时间:
2014-04
影响因子:
3.9
通讯作者:
Eby LT
Eby LT
中科院分区:
医学2区
文献类型:
--
作者:
Muilenburg JL;Laschober TC;Eby LT

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本研究探讨了(1)创新气氛的三个指标(临床医生技能、无计划障碍、与政策相关的激励)与戒烟行为治疗(TC)的采纳广泛性以及在物质使用障碍治疗计划中对TC的系统水平支持之间的关系;(2)计划的12步治疗定向和采用广泛性;(3)12步治疗定向是否调节了创新气氛和采用广泛性之间的关系。数据是从1006名程序管理员的随机样本中获得的。分层回归结果显示,项目障碍的缺失和政策相关激励都与采用广泛性呈正相关。十二步治疗取向与采用广泛性无关,也不是创新氛围与采用广泛性之间关系的调节变量。虽然对TC的行为治疗和对TC的系统层面支持的采用并不广泛,但我们得出的结论是,12步治疗取向既不妨碍也不促进采用的广泛性。
This study examined the relationship between (1) three indicators of climate for innovation (clinician skills, absence of program obstacles, policy-related incentives) and adoption extensiveness of both behavioral treatments for tobacco cessation (TC) and system-level support for TC in substance use disorder treatment programs, (2) a program’s 12-step treatment orientation and adoption extensiveness, and (3) whether 12-step treatment orientation moderates the relationship between climate for innovation and adoption extensiveness. Data were obtained from a random sample of 1,006 program administrators. Hierarchical regression results showed that both absence of program obstacles and policy-related incentives are positively related to adoption extensiveness. Twelve-step treatment orientation is neither related to adoption extensiveness nor a moderator of the relationship between climate for innovation and adoption extensiveness. Although the adoption of both behavioral treatments for TC and system-level support for TC is not extensive, we conclude that a 12-step treatment orientation neither hampers nor promotes adoption extensiveness.
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