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An Organizational Change Intervention to Address Smoking in Drug Abuse Treatment.

Poster presented at the College on Problems of Drug Dependence (CPDD) annual meeting, San Juan, Puerto Rico, June 14-19, 2008.

Barbara M. Tajima, MEd (University of California, San Francisco, CA/AZ Node), Joseph R. Guydish, PhD (University of California, San Francisco, CA/AZ Node), Douglas M. Ziedonis, MD (University of Massachusetts Medical School), Lucy Zammarelli, MA (Willamette Family, Inc, OR/HI Node).

This CTN-platform study investigated the effectiveness of a 6-month manual-based organizational change intervention, Addressing Tobacco through Organizational Change (ATTOC). The intervention addresses potential programmatic and organizational barriers to providing client-level nicotine dependence treatments in drug abuse treatment programs. Administrative and clinical staff at a residential treatment facility were surveyed at both pre (n=54) and post (n=55) intervention, 10 month follow-up (n=56) with 95%, 97% and 95 % completion rates respectively. All eligible clients who were in treatment a minimum of 2 weeks were surveyed at pre (n=50), post intervention (n=50) and follow-up (n=50). Both staff and client surveys covered nicotine-related knowledge, attitudes, services and nicotine use. Nicotine replacement therapy (NRT) such as nicotine gum and patches were offered to both clients and staff. Findings showed staff smoking prevalence was reduced by 16% from pre to post-intervention, although this was not statistically significant. Staff scales for attitudes, beliefs (p<.05) and efficacy (p<.05) increased significantly post-intervention, as did in practices (p<.05) of nicotine-dependence treatment. Compared to clients in the pre-test sample, those in the post-test sample reported more positive attitudes (p<.05) towards nicotine treatment and increased access to nicotine-related services (p<.05) while in treatment. While the study design does not permit causal interpretation, we observed a decrease in staff smoking (pre- to post-) and high volume of NRT use, corresponding to changes in client and staff attitudes, efficacy and increased smoking cessation services available to clients. (Poster, PDF, English, 2008)

Keywords: Attitudes of health personnel | Community health services | Counselors | CTN platform/ancillary study | Smoking | College on Problems of Drug Dependence (CPDD) annual meeting, 2008

Document No: 315

Submitted by Barbara M. Tajima, MEd, University of California, San Francisco, CA/AZ Node (9/9/2008).

Guydish, Joseph search mail
Tajima, Barbara M. search mail
Zammarelli, Lucy search mail
Ziedonis, Douglas M. search

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