Senior Behavioral Health Social Worker, University of Kentucky Health Care (UKHC), Lexington, Kentucky, USA.
College of Social Work, University of Kentucky, Lexington, Kentucky, USA.
Soc Work Public Health. 2023 Jan 2;38(1):72-83. doi: 10.1080/19371918.2022.2093303. Epub 2022 Jun 27.
People with mental illnesses (MI) smoke at higher rates than the general population. However, few mental health providers (MHPs) deliver tobacco treatment to patients with MI especially within inpatient psychiatric settings. According to evidence, fewer than half of MHPs in the US mental and behavioral health settings provide the recommended evidence-based tobacco treatment interventions to their clients with MI. This paper uses the theory of planned behavior to examine factors associated with provider intentions to deliver and their experiences in providing evidence-based tobacco treatment to clients with MI. Data were obtained from a cross-sectional survey of 219 providers in a state psychiatric hospital in Kentucky. Attitudes, subjective norms, and perceived behavioral control were associated with providers' intentions to deliver tobacco treatment when controlling for demographic and work-related variables. However, only profession, subjective norms, and attitudes were associated with reported provision of evidence-based tobacco treatment. Given the underuse of routine tobacco treatment for this vulnerable population, understanding factors influencing provider delivery of tobacco treatment is needed to guide strategies for reducing the disproportionate rates of tobacco use and related burden among people with MI.
患有精神疾病（MI）的人群吸烟率高于一般人群。然而，很少有心理健康提供者（MHPs）向 MI 患者提供烟草治疗，尤其是在住院精神科环境中。根据证据，美国精神和行为健康环境中不到一半的 MHPs 向其 MI 患者提供推荐的基于证据的烟草治疗干预措施。本文使用计划行为理论来检查与提供者提供意图及其向 MI 患者提供基于证据的烟草治疗的经验相关的因素。数据来自肯塔基州一家州立精神病院的 219 名提供者的横断面调查。在控制人口统计学和工作相关变量的情况下，态度、主观规范和感知行为控制与提供者提供烟草治疗的意愿相关。然而，只有专业、主观规范和态度与报告的提供基于证据的烟草治疗相关。鉴于对这一弱势群体常规烟草治疗的使用不足，需要了解影响提供者提供烟草治疗的因素，以指导减少 MI 患者中不成比例的烟草使用和相关负担的策略。
