Smoking Cessation Practices in Community Tx Programs

社区 Tx 计划中的戒烟实践

• 批准号: 7390323
• 负责人: Hannah Knudsen
• 金额: $ 30.55万
• 依托单位: UNIVERSITY OF GEORGIA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-04-01 至 2007-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7390323
• 关键词: Abstinence; Address; Adopted; Adoption; Adult; American; Area; Attitude; Behavior; Behavior Therapy; Bupropion; Bupropion HCl; Characteristics; Client; Clinical Practice Guideline; Collection; Communities; Counseling; Data; Dependence; Effectiveness; Employee; Environmental Policy; Environmental Tobacco Smoke; Evidence based intervention; Funding; Goals; Gold; Guidelines; Hand functions; Health Expenditures; Health Personnel; Health Services; Health Services Accessibility; Healthcare; Healthcare Systems; Individual; Insurance Coverage; Intervention; Life; Link; Literature; Mails; Malignant Neoplasms; Measures; Modeling; Morbidity - disease rate; Motivation; Nature; Nicotine; Nicotine Dependence; Numbers; Organizational Models; Perception; Persons; Pharmacotherapy; Policies; Population; Prevention strategy; Principal Investigator; Professional counselor; Public Health; Questionnaires; Rate; Research; Research Personnel; Resources; Risk; Sampling; Services; Site; Smoke; Smoking; Substance Abuse Treatment Centers; Substance abuse problem; System; Techniques; Telephone Interviews; Therapeutic community technique; Time; Tobacco; Tobacco use; USA Georgia; United States Public Health Service; Universities; Variant; Western Asia Georgia; Withholding Treatment; Work; Workplace; base; cancer prevention; cancer type; cigarette smoking; cost; data integration; early /brief intervention /therapy; evidence based guidelines; follow-up; innovation; interest; medical specialties; member; mortality; nicotine replacement; organizational structure; prevent; programs; smoking cessation; social; treatment center; treatment organization; treatment program; willingness

The delivery of health services to promote smoking cessation may substantially reduce cancer-related morbidity and mortality. However, there has been little research conducted within healthcare settings to measure the delivery of these services, particularlywithin those organizations that serve client pop- ulations with high rates of tobacco use. There is little national-level data on the delivery of smoking cessation (and other tobacco use) services in substance abuse treatment settings. Furthermore, there is no data regarding the adoption and implementation of the Public Health Service clinical practice guideline, Treating Tobacco Use and Dependence in these facilities. Additional gains in cancer prevention may be achieved if smoking cessation services are also available to the counseling staff within these healthcare organizations. Environmental policies may also prevent cancer for clients as well as center staff. The pro- posed research would gather organizational-level and counselor-level data by building upon three exist- ing nationally representative samples of facilities: 362 publicly funded specialty substance abuse treatment centers, 401 privately funded centers, and 400 therapeutic communities. Telephone interviews with pro- gram directors will determine whether centers have: 1) adopted and implemented the guideline, including the 5 A's, pharmacotherapies, and psycho-social interventions; 2) adopted environmental tobacco-related policies; and 3) provide insurance coverage for employee smoking cessation. Mail questionnaires will be distributed to counselors to assess their attitudes toward smoking cessation and the extent to which they deliver these services. Integration of these data with information collected from these facilities in 2002- 2003 will allow for multivariate modeling of the organizational characteristics associated with guideline adoption and implementation as well as a longitudinal analysis of pharmacotherapy adoption. The information collected in this research would represent valuable information about the services delivered to a population at high-risk of tobacco-related cancers and identify barriers to such service delivery.

提供健康服务以促进戒烟可能会大大减少癌症相关的 发病率和死亡率。然而，在医疗机构中进行的研究很少， 衡量这些服务的交付情况，特别是在那些为客户提供服务的组织中， 烟草使用率高的地区。几乎没有关于吸烟的国家级数据 物质滥用治疗环境中的戒烟（和其他烟草使用）服务。此外，没有 关于采用和实施公共卫生服务临床实践指南的数据， 在这些设施中治疗烟草使用和依赖。癌症预防的额外收益可能是 如果这些医疗保健机构的咨询人员也能获得戒烟服务， 组织的环境政策也可以预防癌症的客户以及中心的工作人员。亲- 提出的研究将收集组织层面和顾问层面的数据，建立在三个现有的- 全国代表性的设施样本：362个公共资助的专业药物滥用治疗 中心，401私人资助的中心和400治疗社区。电话采访亲- gram主管将确定中心是否：1）采用并实施了该指南，包括 5 A、药物治疗和心理社会干预; 2）采用与烟草有关的环境 政策;及3）为雇员提供戒烟保险。邮寄问卷将 分发给咨询师，以评估他们对戒烟的态度以及他们对戒烟的态度。 提供这些服务。将这些数据与2002年从这些设施收集的信息结合起来， 2003年将允许与指南相关的组织特征的多变量建模 采用和实施以及药物治疗采用的纵向分析。的 本研究中收集的信息将代表有关向以下方面提供的服务的有价值信息： 在与烟草有关的癌症的高风险人群，并确定提供这种服务的障碍。