Assessing Tobacco Treatment Engagement in Assertive Community Treatment Programs.

IF 1.5 4区 医学 Q3 NURSING
Chizimuzo T C Okoli, Bassema Abufarsakh, Sarret Seng, Heather Robertson, Zainab Almogheer
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引用次数: 0

Abstract

Objective: Despite high tobacco use prevalence among those with serious mental illnesses, few Assertive Community Treatment (ACT) programs provide tobacco treatment. Understanding the factors associated with the intentions to engage in tobacco treatment from both provider and consumer perspectives is important. The purpose was to examine ACT providers' intention to provide and consumer intention to engage in tobacco treatment.

Method: A cross-sectional survey of ACT program providers (N = 51) and consumers (N = 43) from four community mental health centers. Multiple linear regression analyses were used to examine factors associated with the intentions to provide or engage in tobacco treatment from among attitudinal, subjective norms, and perceived behavioral control variables.

Results: Providers reported positive attitudes, high degree of perceived behavior control, and high intentions for delivering tobacco treatment, but poor perceptions of subjective norms. These results were like consumers' intentions to engage in tobacco treatment. In regression analysis, only subjective norms and perceived behavior control were significant predictors for providers' intentions to provide tobacco treatment, but there were no significant predictors of consumers' intentions to engage in tobacco treatment. Both providers and consumers endorsed poor implementation of evidence-based tobacco treatment.

Conclusion: Poor engagement in tobacco treatment within ACT programs indicates the need for policymakers to support tobacco treatment within the services. This finding calls for training of mental and behavioral health providers while supporting tobacco-free initiatives in ACT treatment service settings.

评估支持性社区治疗计划中的烟草治疗参与度。
目的:尽管严重精神疾病患者的烟草使用率很高,但很少有支持性社区治疗(ACT)项目提供烟草治疗。从提供者和消费者的角度了解与烟草治疗意向相关的因素非常重要。我们的目的是研究ACT服务提供者提供烟草治疗的意向和消费者参与烟草治疗的意向:方法:对四个社区心理健康中心的 ACT 项目提供者(51 人)和消费者(43 人)进行横断面调查。采用多元线性回归分析,从态度、主观规范和感知行为控制变量中考察与提供或参与烟草治疗意愿相关的因素:提供者对提供烟草治疗的态度积极、行为控制感知程度高、意愿高,但对主观规范的感知较差。这些结果与消费者参与烟草治疗的意愿相似。在回归分析中,只有主观规范和感知行为控制对服务提供者提供烟草治疗的意愿有显著的预测作用,但对消费者参与烟草治疗的意愿没有显著的预测作用。服务提供者和消费者都认为循证烟草治疗的实施效果不佳:结论:ACT项目中烟草治疗的参与度较低,这表明政策制定者需要在服务中支持烟草治疗。这一发现要求对心理和行为健康服务提供者进行培训,同时支持在ACT治疗服务环境中开展无烟行动。
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来源期刊
CiteScore
5.30
自引率
0.00%
发文量
65
期刊介绍: The Journal of the American Psychiatric Nurses Association (JAPNA) is a peer-reviewed bi-monthly journal publishing up-to-date information to promote psychiatric nursing, improve mental health care for culturally diverse individuals, families, groups, and communities, as well as shape health care policy for the delivery of mental health services. JAPNA publishes both clinical and research articles relevant to psychiatric nursing. This journal is a member of the Committee on Publication Ethics (COPE).
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