Clinician Training in the Adaptation of a Comprehensive Tobacco-Free Workplace Program in Agencies Serving the Homeless and Vulnerably Housed
| Autor: | Virmarie Correa-Fernández, Kathy Le, Tzu-An Chen, Isabel Martinez Leal, Ezemenari M. Obasi, Bryce Kyburz, Litty Koshy, Matthew Taing, Teresa Williams, Daniel P. O'Connor, Lorraine R. Reitzel, Kathleen Casey |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Health Knowledge Attitudes Practice Tobacco use Capacity Building Knowledge gain Health Toxicology and Mutagenesis homeless-serving agencies Psychological intervention Article Cigarette Smoking 03 medical and health sciences 0302 clinical medicine Intervention (counseling) medicine Humans 030212 general & internal medicine Program Development Adaptation (computer science) Workplace Health Education homelessness Receipt Tobacco Use Cessation 030505 public health business.industry Tobacco control Public Health Environmental and Occupational Health Tobacco Use Disorder tobacco cessation education Texas tobacco-free workplace Family medicine Ill-Housed Persons tobacco control Housing Smoking Cessation 0305 other medical science business Limited resources |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 17 Issue 17 |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph17176154 |
| Popis: | Tobacco use is exceedingly high among those who are homeless or at risk of homelessness but not commonly addressed by clinicians. Taking Texas Tobacco Free (TTTF) is a tobacco control program that addresses known clinician barriers to intervention (e.g., low training receipt, limited resources). Here, we examine the process and outcomes of TTTF&rsquo s adaptation within four agencies that provide housing or other services to individuals who are homeless or vulnerably housed. Pre- and post-implementation data were collected from clinicians (N = 68) to assess changes in training receipt, knowledge, and intervention behaviors, relative to program goals. Results indicated significant gains in clinicians&rsquo receipt of training in 9 (of 9) target areas (p&rsquo s &le 0.0042) and a 53% knowledge gain (p < 0.0001). From pre- to post-implementation, there were mean increases in the use of the 5As (ask, advise, assess, assist, and arrange) and other evidence-based interventions for tobacco cessation, with significant gains seen in assisting residents/clients to quit, arranging follow-ups, and providing or referring for non-nicotine medications (p&rsquo 0.0491). All program goals, except gains related to advising smokers to quit and the use of specific interventions (behavioral counseling), were met. Overall, TTTF improved clinicians&rsquo capacity to address tobacco use among homeless and vulnerably housed individuals and can serve as a model for tobacco control efforts in similar agencies. |
| Databáze: | OpenAIRE |
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