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Staff Knowledge, Attitudes, and Practices Regarding Nicotine Dependence Differ by Setting.

Journal of Drug Issues 2009;39(2):365-384

Barbara M. Tajima, MEd, Joseph R. Guydish, PhD, Kevin L. Delucchi, PhD, Emma Passalacqua, Mable Chan, Matt Moore, PhD (all from University of California, San Francisco, CA/AZ Node).

This study examined smoking-related knowledge, beliefs, self-efficacy, smoking cessation practices, and barriers to providing smoking cessation services in a workforce sample, as part of the CTN platform study, "Addressing Tobacco through Organizational Change (ATTOC)." The 11 participating clinics (N=335 staff), including three CTN community treatment providers, included substance abuse treatment and HIV care clinics categorized into three types: Veterans Affairs Medical Center (VAMC) clinics, hospital-based clinics, and community-based clinics. Staff in both VAMC and hospital-based settings shared characteristics that may predict smoking-related knowledge, beliefs, and practices (higher education level, low smoking rates, fewer staff in recovery, and location in hospital affiliated environments where there was greater emphasis on physical health). However, staff in VAMC settings outperformed those in both hospital-based and community-based clinic settings on measures of smoking-related knowledge, beliefs, self-efficacy, and practices. Well-developed procedures to support VAMC clinicians in addressing smoking may account for these findings. Findings suggest that both reductions in staff smoking, and development and implementation of smoking policy are needed to support staff in better addressing nicotine dependence in community-based treatment settings. (Article (Peer-Reviewed), PDF, English, 2009)

Keywords: Attitudes of health personnel | Community health services | Counselors | CTN platform/ancillary study | Smoking | Journal of Drug Issues (journal)

Document No: 395, PMID: 20617124, PMCID: PMC2898575

Submitted by Joseph Guydish, University of California, San Francisco, CA/AZ Node, 8/28/2009.

 

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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.
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