Campbell Barbara K, Le Thao, McCuistian Caravella, Bonniot Catherine, Delucchi Kevin, Guydish Joseph
Division of General Internal Medicine & Geriatrics, Oregon Health and Science University, Portland, OR, USA.
Philip R. Lee Institute for Health Policy Studies, San Francisco, CA, USA.
J Psychoactive Drugs. 2024 Feb 16:1-10. doi: 10.1080/02791072.2024.2316278.
A California-sponsored, 18-month, tobacco-free intervention in residential substance use disorder (SUD) programs was associated with increases in tobacco-free grounds and tobacco-related client services. The current study examined whether positive results would be replicated in 11 programs participating subsequently. Program directors ( = 11) completed surveys of tobacco-related policies pre- and post-intervention. Pre- ( = 163) and post-intervention ( = 128) cross-sectional staff surveys examined tobacco-related training, beliefs, practices, smoking policy, and smoking status. Directors reported increases in tobacco-free grounds (from 3 to 8 programs), tobacco-related staff training (1 to 10 programs), tobacco cessation staff services (1 to 9 programs) and nicotine replacement therapy (NRT) provision (6 to 10 programs). At post-intervention, staff were more likely to report smoke-free workplaces ( = 0.008), positive beliefs about treating tobacco use ( = 0.017) and less likely to report current smoking ( = 0.003). Clinical staff were more likely to report tobacco-related training receipt ( = 0.001), program-level NRT provision ( = 0.009) and conducting tobacco-related client services ( < 0.0001) post-intervention. Findings of increases in tobacco-free grounds and tobacco cessation client services corroborated prior results. These and the additional finding of decreases in staff smoking strengthen evidence that initiatives supporting tobacco-free policies can be successfully implemented in SUD treatment.
一项由加利福尼亚州资助的、为期18个月的针对住院物质使用障碍(SUD)项目的无烟干预措施,与无烟区域的增加以及与烟草相关的客户服务的增加相关。本研究调查了随后参与的11个项目是否会重现积极结果。项目主管(n = 11)在干预前后完成了与烟草相关政策的调查。干预前(n = 163)和干预后(n = 128)的横断面工作人员调查,考察了与烟草相关的培训、信念、做法、吸烟政策和吸烟状况。主管报告称,无烟区域有所增加(从3个项目增至8个项目),与烟草相关的工作人员培训有所增加(从1个项目增至10个项目),戒烟工作人员服务有所增加(从1个项目增至9个项目),以及尼古丁替代疗法(NRT)的提供有所增加(从6个项目增至10个项目)。在干预后,工作人员更有可能报告无烟工作场所(p = 0.008)、对治疗烟草使用的积极信念(p = 0.017),而报告当前吸烟的可能性较小(p = 0.003)。临床工作人员在干预后更有可能报告接受了与烟草相关的培训(p = 0.001)、项目层面的NRT提供(p = 0.009)以及开展与烟草相关的客户服务(p < 0.0001)。无烟区域和戒烟客户服务增加的结果证实了先前的结果。这些以及工作人员吸烟减少的额外发现,强化了支持无烟政策的举措可以在SUD治疗中成功实施的证据。