创新氛围、12步导向与戒烟治疗。
Climate for innovation, 12-step orientation, and tobacco cessation treatment.
作者信息
Muilenburg Jessica L, Laschober Tanja C, Eby Lillian T
机构信息
University of Georgia, 325 Psychology Building, Athens, GA 30602, USA; Department of Health Promotion and Behavior, 325 Psychology Building, Athens, GA 30602, USA.
University of Georgia, 325 Psychology Building, Athens, GA 30602, USA; Owens Institute for Behavioral Research, 325 Psychology Building, Athens, GA 30602, USA.
出版信息
J Subst Abuse Treat. 2014 Apr;46(4):447-55. doi: 10.1016/j.jsat.2013.10.016. Epub 2013 Nov 12.
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 1006 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.
本研究考察了以下几方面的关系
（1）创新氛围的三个指标（临床医生技能、无项目障碍、政策相关激励措施）与戒烟行为治疗（TC）的采用广度以及物质使用障碍治疗项目中对TC的系统层面支持；（2）项目的12步治疗导向与采用广度；（3）12步治疗导向是否调节创新氛围与采用广度之间的关系。数据来自对1006名项目管理人员的随机抽样。分层回归结果表明，无项目障碍和政策相关激励措施均与采用广度呈正相关。12步治疗导向既与采用广度无关，也不是创新氛围与采用广度之间关系的调节因素。尽管TC行为治疗和TC系统层面支持的采用并不广泛，但我们得出结论，12步治疗导向既不阻碍也不促进采用广度。
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