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Organizational-Level Moderators Impacting Tobacco-Related Knowledge Change after Tobacco Education Training in Substance Use Treatment Centers

Author

Listed:
  • Kathy Le

    (Long School of Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA
    Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204-5029, USA
    HEALTH Research Institute, The University of Houston, 4849 Calhoun Rd., Houston, TX 77204, USA)

  • Tzuan A. Chen

    (Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204-5029, USA
    HEALTH Research Institute, The University of Houston, 4849 Calhoun Rd., Houston, TX 77204, USA)

  • Isabel Martinez Leal

    (Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204-5029, USA
    HEALTH Research Institute, The University of Houston, 4849 Calhoun Rd., Houston, TX 77204, USA)

  • Virmarie Correa-Fernández

    (Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204-5029, USA
    HEALTH Research Institute, The University of Houston, 4849 Calhoun Rd., Houston, TX 77204, USA)

  • Ezemenari M. Obasi

    (Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204-5029, USA
    HEALTH Research Institute, The University of Houston, 4849 Calhoun Rd., Houston, TX 77204, USA)

  • Bryce Kyburz

    (Integral Care, 1430 Collier Street, Austin, TX 78704, USA)

  • Teresa Williams

    (Integral Care, 1430 Collier Street, Austin, TX 78704, USA)

  • Kathleen Casey

    (Integral Care, 1430 Collier Street, Austin, TX 78704, USA)

  • Haleem A. Brown

    (Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204-5029, USA
    HEALTH Research Institute, The University of Houston, 4849 Calhoun Rd., Houston, TX 77204, USA)

  • Daniel P. O’Connor

    (Department of Health & Human Performance, The University of Houston, 3875 Holman Street, Garrison Gymnasium, Room 104, Houston, TX 77204, USA)

  • Lorraine R. Reitzel

    (Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204-5029, USA
    HEALTH Research Institute, The University of Houston, 4849 Calhoun Rd., Houston, TX 77204, USA)

Abstract

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.

Suggested Citation

  • Kathy Le & Tzuan A. Chen & Isabel Martinez Leal & Virmarie Correa-Fernández & Ezemenari M. Obasi & Bryce Kyburz & Teresa Williams & Kathleen Casey & Haleem A. Brown & Daniel P. O’Connor & Lorraine R. , 2021. "Organizational-Level Moderators Impacting Tobacco-Related Knowledge Change after Tobacco Education Training in Substance Use Treatment Centers," IJERPH, MDPI, vol. 18(14), pages 1-14, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:14:p:7597-:d:595879
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    References listed on IDEAS

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    1. Isabel Martinez Leal & Matthew Taing & Virmarie Correa-Fernández & Ezemenari M. Obasi & Bryce Kyburz & Kathy Le & Litty Koshy & Tzuan A. Chen & Teresa Williams & Kathleen Casey & Daniel P. O’Connor & , 2021. "Addressing Smoking Cessation among Women in Substance Use Treatment: A Qualitative Approach to Guiding Tailored Interventions," IJERPH, MDPI, vol. 18(11), pages 1-25, May.
    2. Matthew Taing & Bryce Kyburz & Isabel Martinez Leal & Kathy Le & Tzu-An Chen & Virmarie Correa-Fernandez & Teresa Williams & Daniel P. O’Connor & Ezemenari M. Obasi & Kathleen Casey & Litty Koshy & Lo, 2020. "Clinician Training in the Adaptation of a Comprehensive Tobacco-Free Workplace Program in Agencies Serving the Homeless and Vulnerably Housed," IJERPH, MDPI, vol. 17(17), pages 1-15, August.
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    Cited by:

    1. Brian J. Carter & Ammar D. Siddiqi & Tzuan A. Chen & Maggie Britton & Isabel Martinez Leal & Virmarie Correa-Fernández & Anastasia Rogova & Bryce Kyburz & Teresa Williams & Kathleen Casey & Lorraine R, 2023. "Educating Substance Use Treatment Center Providers on Tobacco Use Treatments Is Associated with Increased Provision of Counseling and Medication to Patients Who Use Tobacco," IJERPH, MDPI, vol. 20(5), pages 1-17, February.
    2. Ammar D. Siddiqi & Tzuan A. Chen & Maggie Britton & Isabel Martinez Leal & Brian J. Carter & Virmarie Correa-Fernández & Anastasia Rogova & Bryce Kyburz & Teresa Williams & Kathleen Casey & Lorraine R, 2023. "Changes in Substance Use Treatment Providers’ Delivery of the 5A’s for Non-Cigarette Tobacco Use in the Context of a Comprehensive Tobacco-Free Workplace Program Implementation," IJERPH, MDPI, vol. 20(3), pages 1-16, February.
    3. Vijay Nitturi & Tzuan A. Chen & Isabel Martinez Leal & Virmarie Correa-Fernández & Kelli Drenner & Bryce Kyburz & Teresa Williams & Ezemenari M. Obasi & Maggie Britton & Molly Howard & Rogelio Rangel , 2021. "Implementation and Outcomes of a Train-the-Trainer Program at Behavioral Health Treatment Centers as a Mechanism to Maintain Organizational Capacity to Address Tobacco Use Disorder," IJERPH, MDPI, vol. 18(21), pages 1-15, November.
    4. Ammar D. Siddiqi & Maggie Britton & Tzuan A. Chen & Brian J. Carter & Carol Wang & Isabel Martinez Leal & Anastasia Rogova & Bryce Kyburz & Teresa Williams & Mayuri Patel & Lorraine R. Reitzel, 2022. "Tobacco Screening Practices and Perceived Barriers to Offering Tobacco Cessation Services among Texas Health Care Centers Providing Behavioral Health Treatment," IJERPH, MDPI, vol. 19(15), pages 1-15, August.
    5. Kathy Le & Tzuan A. Chen & Isabel Martinez Leal & Virmarie Correa-Fernández & Ezemenari M. Obasi & Bryce Kyburz & Teresa Williams & Kathleen Casey & Matthew Taing & Daniel P. O’Connor & Lorraine R. Re, 2021. "Organizational Factors Moderating Changes in Tobacco Use Dependence Care Delivery Following a Comprehensive Tobacco-Free Workplace Intervention in Non-Profit Substance Use Treatment Centers," IJERPH, MDPI, vol. 18(19), pages 1-16, October.
    6. Sandra-Milena Carrillo-Sierra & Lorena Cárdenas-Cáceres & John Anderson Cadrazco-Urquijo & Angie Natalia Salazar-Gómez & Diego Rivera-Porras & Valmore Bermúdez, 2024. "Psychological Therapies Used for the Reduction of Habitual Cigarette Smoking Cigarette Consumption: A Systematic Review," IJERPH, MDPI, vol. 21(6), pages 1-19, June.
    7. Cassidy R. LoParco & Tzuan A. Chen & Isabel Martinez Leal & Maggie Britton & Brian J. Carter & Virmarie Correa-Fernández & Bryce Kyburz & Teresa Williams & Kathleen Casey & Anastasia Rogova & Hsien-Ch, 2022. "Organization-Level Factors Associated with Changes in the Delivery of the Five A’s for Smoking Cessation following the Implementation of a Comprehensive Tobacco-Free Workplace Program within Substance," IJERPH, MDPI, vol. 19(19), pages 1-13, September.
    8. Matthew Taing & Vijay Nitturi & Tzuan A. Chen & Bryce Kyburz & Isabel Martinez Leal & Virmarie Correa-Fernández & Ezemenari M. Obasi & Teresa Williams & Kathleen Casey & Daniel P. O’Connor & Litty Kos, 2021. "Implementation and Outcomes of a Comprehensive Tobacco Free Workplace Program in Opioid Treatment Centers," IJERPH, MDPI, vol. 19(1), pages 1-17, December.

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