了解咨询师对患者实施戒烟服务的情况。
Understanding counselors' implementation of tobacco cessation services with patients.
作者信息
Eby Lillian T, Laschober Tanja C, Muilenburg Jessica L
机构信息
University of Georgia, 325 Psychology Building, Athens, GA 30602, USA; Owens Institute for Behavioral Research, 325 Psychology Building, Athens, GA 30602, USA; Industrial-Organizational Psychology Program, 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 Nov-Dec;47(5):314-20. doi: 10.1016/j.jsat.2014.06.007. Epub 2014 Jun 28.
This study aimed to understand substance use disorder counselors' implementation of evidence-based tobacco cessation services (TCS) with their patients who smoke. Drawing from an established adoption of innovations framework, we investigated the association between counselors' perceptions of the availability of TCS (both pharmacotherapies and behavioral treatments) in their treatment program and the implementation of TCS (both pharmacotherapies and behavioral treatments) with their patients who smoke and whether this association is moderated by the strength of an organization's climate for implementation and the fit of the innovation with users' values. Data were collected in 2010 from 682 counselors working in 239 treatment programs across the U.S. that offer evidence-based TCS. Mixed-effect models showed that perceived availability of TCS was related with greater TCS implementation. This relationship was moderated by several indicators of climate for implementation but not by the fit of the innovation with users' values.
本研究旨在了解物质使用障碍咨询师对吸烟患者实施循证戒烟服务（TCS）的情况。基于已确立的创新采用框架，我们调查了咨询师对其治疗项目中TCS（药物治疗和行为治疗）可用性的认知与对吸烟患者实施TCS（药物治疗和行为治疗）之间的关联，以及这种关联是否受到组织实施氛围强度和创新与用户价值观契合度的调节。2010年，我们从美国239个提供循证TCS的治疗项目中的682名咨询师处收集了数据。混合效应模型显示，TCS的感知可用性与更多的TCS实施相关。这种关系受到实施氛围的几个指标的调节，但不受创新与用户价值观契合度的调节。
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