Organizational-Level Moderators Impacting Tobacco-Related Knowledge Change after Tobacco Education Training in Substance Use Treatment Centers
| Autor: | Virmarie Correa-Fernández, Ezemenari M. Obasi, Daniel P. O'Connor, Bryce Kyburz, Tzuan A. Chen, Kathy Le, Kathleen Casey, Teresa Williams, Haleem A. Brown, Isabel Martinez Leal, Lorraine R. Reitzel |
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| Rok vydání: | 2021 |
| Předmět: |
organizational change
knowledge Tobacco use Education training Substance-Related Disorders Health Toxicology and Mutagenesis Population Psychological intervention substance use 030508 substance abuse tobacco Article smoking Tobacco Use 03 medical and health sciences 0302 clinical medicine Organizational change Humans 030212 general & internal medicine implementation education education.field_of_study training Tobacco control Public Health Environmental and Occupational Health Tobacco Products Organizational Innovation Medicine Substance use 0305 other medical science Psychology Substance use treatment Demography |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 18 Issue 14 International Journal of Environmental Research and Public Health, Vol 18, Iss 7597, p 7597 (2021) |
| ISSN: | 1660-4601 |
| Popis: | Tobacco use is disproportionately elevated among patients with substance use disorders relative to the general U.S. population. Tobacco interventions are lacking within substance use treatment centers (SUTCs) due to lack of knowledge and training. This study examined knowledge gain and the organizational factors that might moderate knowledge gains following tobacco education training provided to employees (N = 580) within 15 SUTCs that were participating in a tobacco-free workplace program. The number of total annual patient visits, unique annual patient visits, number of full-time employees, and organizational readiness for implementing change (ORIC) as assessed prior to implementation were examined as potential moderators. Results demonstrated significant knowledge gain (p < 0.001) after training overall individually, 13 SUTCs had significant knowledge gain (p’s < 0.014). SUTCs with fewer total annual patient visits and fewer full-time employees showed greater knowledge gains. The ORIC total score and all but one of its subscales (Resource Availability) moderated knowledge gain. SUTCs with greater initial Change Efficacy (p = 0.029), Valence (p = 0.027), and Commitment (p < 0.001) had greater knowledge gain than SUTCs with lower scores on these constructs SUTCs with greater Task Knowledge (p < 0.001) regarding requirements for change exhibited less knowledge gain. Understanding the organizational-level factors impacting training effectiveness can inform efforts in organizational change and tobacco control program implementation. |
| Databáze: | OpenAIRE |
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