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Smoking-Related Outcomes and Associations with Tobacco-Free Policy in Addiction Treatment, 2015-2016.

Drug and Alcohol Dependence 2017 (in press). [doi: 10.1016/j.drugalcdep.2017.06.041]

Joseph R. Guydish, PhD, Deborah Yip, Thao Le, Noah R. Gubner, PhD, Kevin L. Delucchi, PhD (all previous from University of California, San Francisco, WS Node), Paul M. Roman, PhD (University of Georgia).

This study assessed changes in smoking-related outcomes in two cross-sectional samples of clients enrolled in addiction treatment and whether tobacco-free grounds policies were associated with smoking-related outcomes. Clients in 25 NIDA Clinical Trials Network-affiliated treatment programs were surveyed in 2015 (N=1,176) and 2016 (N=1,055). The samples were compared on smoking prevalence, cigarettes per day (CPD), thinking of quitting, past year quit attempts, staff and clients smoking together, attitudes towards quitting, and tobacco-related services. Second, programs with (n=6) and without (n=17) tobacco-free grounds at both time points were compared on smoking-related outcomes. Last, we examined changes in these measures for two programs that adopted tobacco-free grounds between 2015 and 2016.

Results found one difference across such years, such that the mean score for the tobacco Program Service scale increased from 2.37 to 2.48 (p=0.043, effect size=0.02). In programs with tobacco-free grounds policies, compared to those without, both CPD and the rate of staff and clients smoking together were significantly lower. In the two programs where tobacco-free grounds were implemented during study years, client smoking prevalence decreased (92.5% v. 67.6%, p=.005), the rate of staff and clients smoking together decreased (35.6% v. 4.2%, p=.031), mean CPD decreased (10.62 v. 8.24, p<.001) and mean tobacco services received by clients increased (2.08 v. 3.05, p<.001).

Conclusions: Findings indicate first, little change over time in smoking prevalence or other smoking-related measures in this population, and second, support the use of tobacco-free grounds policies as a strategy to address smoking in these settings. The authors recommend that the Center for Substance Abuse Treatment require tobacco-free grounds policies as a condition for block grant and capacity expansion funding to addiction treatment programs, that state agencies concerned with regulation and licensing of addiction treatment programs require adoption of tobacco-free grounds and that, even in the absence of a future mandate, addiction treatment programs implement tobacco-free grounds as a way to reduce health risks for both program staff and clients. (Article (Peer-Reviewed), PDF, English, 2017)

Keywords: Attitudes of health personnel | Counselors | CTN platform/ancillary study | Smoking cessation | Drug and Alcohol Dependence (journal)

Document No: 1278.

Submitted by the CTN Dissemination Librarians (8/14/2017).

Delucchi, Kevin L.
Gubner, Noah
Guydish, Joseph R. mail
Le, Thao
Roman, Paul M.
Yip, Deborah

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Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
The materials on this site have neither been created nor reviewed by NIDA.
Updated 8/2017 --
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