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Clinician Training in the Adaptation of a Comprehensive Tobacco-Free Workplace Program in Agencies Serving the Homeless and Vulnerably Housed

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). Her...

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Autores principales: Taing, Matthew, Kyburz, Bryce, Leal, Isabel Martinez, Le, Kathy, Chen, Tzu-An, Correa-Fernandez, Virmarie, Williams, Teresa, O’Connor, Daniel P., Obasi, Ezemenari M., Casey, Kathleen, Koshy, Litty, Reitzel, Lorraine R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7503354/
https://www.ncbi.nlm.nih.gov/pubmed/32854185
http://dx.doi.org/10.3390/ijerph17176154
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author Taing, Matthew
Kyburz, Bryce
Leal, Isabel Martinez
Le, Kathy
Chen, Tzu-An
Correa-Fernandez, Virmarie
Williams, Teresa
O’Connor, Daniel P.
Obasi, Ezemenari M.
Casey, Kathleen
Koshy, Litty
Reitzel, Lorraine R.
author_facet Taing, Matthew
Kyburz, Bryce
Leal, Isabel Martinez
Le, Kathy
Chen, Tzu-An
Correa-Fernandez, Virmarie
Williams, Teresa
O’Connor, Daniel P.
Obasi, Ezemenari M.
Casey, Kathleen
Koshy, Litty
Reitzel, Lorraine R.
author_sort Taing, Matthew
collection PubMed
description 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’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’ receipt of training in 9 (of 9) target areas (p’s ≤ 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’s ≤ 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’ capacity to address tobacco use among homeless and vulnerably housed individuals and can serve as a model for tobacco control efforts in similar agencies.
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spelling pubmed-75033542020-09-23 Clinician Training in the Adaptation of a Comprehensive Tobacco-Free Workplace Program in Agencies Serving the Homeless and Vulnerably Housed Taing, Matthew Kyburz, Bryce Leal, Isabel Martinez Le, Kathy Chen, Tzu-An Correa-Fernandez, Virmarie Williams, Teresa O’Connor, Daniel P. Obasi, Ezemenari M. Casey, Kathleen Koshy, Litty Reitzel, Lorraine R. Int J Environ Res Public Health Article 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’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’ receipt of training in 9 (of 9) target areas (p’s ≤ 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’s ≤ 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’ capacity to address tobacco use among homeless and vulnerably housed individuals and can serve as a model for tobacco control efforts in similar agencies. MDPI 2020-08-25 2020-09 /pmc/articles/PMC7503354/ /pubmed/32854185 http://dx.doi.org/10.3390/ijerph17176154 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Taing, Matthew
Kyburz, Bryce
Leal, Isabel Martinez
Le, Kathy
Chen, Tzu-An
Correa-Fernandez, Virmarie
Williams, Teresa
O’Connor, Daniel P.
Obasi, Ezemenari M.
Casey, Kathleen
Koshy, Litty
Reitzel, Lorraine R.
Clinician Training in the Adaptation of a Comprehensive Tobacco-Free Workplace Program in Agencies Serving the Homeless and Vulnerably Housed
title Clinician Training in the Adaptation of a Comprehensive Tobacco-Free Workplace Program in Agencies Serving the Homeless and Vulnerably Housed
title_full Clinician Training in the Adaptation of a Comprehensive Tobacco-Free Workplace Program in Agencies Serving the Homeless and Vulnerably Housed
title_fullStr Clinician Training in the Adaptation of a Comprehensive Tobacco-Free Workplace Program in Agencies Serving the Homeless and Vulnerably Housed
title_full_unstemmed Clinician Training in the Adaptation of a Comprehensive Tobacco-Free Workplace Program in Agencies Serving the Homeless and Vulnerably Housed
title_short Clinician Training in the Adaptation of a Comprehensive Tobacco-Free Workplace Program in Agencies Serving the Homeless and Vulnerably Housed
title_sort clinician training in the adaptation of a comprehensive tobacco-free workplace program in agencies serving the homeless and vulnerably housed
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7503354/
https://www.ncbi.nlm.nih.gov/pubmed/32854185
http://dx.doi.org/10.3390/ijerph17176154
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