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Providers’ Non-Cigarette Tobacco Use Intervention Practices in Relation to Beliefs about Patients, Prioritization of and Skills for Intervention, and Referral Knowledge in Texas Healthcare Centers Providing Care to Persons with Behavioral Health Needs

Author

Listed:
  • Midhat Z. Jafry

    (Department of Health Disparities Research, University of Texas MD Anderson Cancer Center, Houston, TX 77230, USA
    Department of Biology and Biochemistry, College of Natural Sciences & Mathematics, University of Houston, Science & Research Building 2, 3455 Cullen Blvd Room 342, Houston, TX 77204, USA
    Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA)

  • Sean M. Reuven

    (College of Medicine, University of Houston, 5055 Medical Circle, Houston, TX 77204, USA)

  • Maggie Britton

    (Department of Health Disparities Research, University of Texas MD Anderson Cancer Center, Houston, TX 77230, USA
    Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, 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, USA
    Health Research Institute, The University of Houston, 4349 Martin Luther King Blvd., Houston, TX 77204, USA)

  • Isabel Martinez Leal

    (Department of Health Disparities Research, University of Texas MD Anderson Cancer Center, Houston, TX 77230, USA
    Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA)

  • Anastasia Rogova

    (Department of Health Disparities Research, University of Texas MD Anderson Cancer Center, Houston, TX 77230, USA
    Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA)

  • Bryce Kyburz

    (Integral Care, Austin, TX 78704, USA)

  • Teresa Williams

    (Integral Care, Austin, TX 78704, USA)

  • Mayuri Patel

    (Department of State Health Services, Tobacco Prevention and Control Branch, Austin, TX 78756, USA)

  • Lorraine R. Reitzel

    (Department of Health Disparities Research, University of Texas MD Anderson Cancer Center, Houston, TX 77230, USA
    Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA)

Abstract

Rates of non-cigarette (colloquially, other) tobacco use is elevated among adults with behavioral health conditions. Little is known about whether behavioral health providers are using brief interventions, including the evidence-based 5As (Ask, Advise, Assess, Assist, and Arrange) for other tobacco use, or what provider factors may be associated with use of these interventions. The current study redressed this gap. Overall, 86 providers in Texas (9 Federally Qualified Health Centers, 16 Local Mental Health Authorities (LMHAs) that provide a broad range of mental and behavioral health services, 6 substance use treatment programs in LMHAs, and 55 stand-alone substance use treatment programs) took a survey assessing their beliefs regarding (1) patients’ concerns about other tobacco use; (2) their desire to quit; (3) importance of intervening on other tobacco use with cessation counseling; (4) perceived skills to intervene; (5) knowledge of referral options for treatment. Logistic regression analyses were conducted to determine the association between each factor and use of the 5As. Results showed that 70.9% of providers asked patients about other tobacco use status, 65.1% advised them to quit, 59.3% assessed quit interest, 54.7% assisted with a quit attempt, and 31.4% arranged a follow-up. Providers who believed patients were concerned about other tobacco use, recognized the importance of offering other tobacco use cessation counseling, believed they had the necessary skills to treat other tobacco use, and possessed knowledge of referral options, respectively, were more likely to deliver the 5As ( ps < 0.05). Results add to a limited literature on provider intervention practices for other tobacco use in settings where behavioral health care is provided, highlighting the significance of provider beliefs, perceived skills, and referral knowledge to care delivery. Findings reveal opportunities to increase delivery of the 5As for other tobacco use to behavioral health patients and suggest provider factors that could be targeted to build this capacity.

Suggested Citation

  • Midhat Z. Jafry & Sean M. Reuven & Maggie Britton & Tzuan A. Chen & Isabel Martinez Leal & Anastasia Rogova & Bryce Kyburz & Teresa Williams & Mayuri Patel & Lorraine R. Reitzel, 2022. "Providers’ Non-Cigarette Tobacco Use Intervention Practices in Relation to Beliefs about Patients, Prioritization of and Skills for Intervention, and Referral Knowledge in Texas Healthcare Centers Pro," IJERPH, MDPI, vol. 19(21), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14269-:d:959884
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    References listed on IDEAS

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    1. Primack, B.A. & Hopkins, M. & Hallett, C. & Carroll, M.V. & Zeller, M. & Dachille, K. & Kim, K.H. & Fine, M.J. & Donohue, J.M., 2012. "US health policy related to hookah tobacco smoking," American Journal of Public Health, American Public Health Association, vol. 102(9), pages 47-51.
    2. Stevens, V.J. & Severson, H. & Lichtenstein, E. & Little, S.J. & Leben, J., 1995. "Making the most of a teachable moment: A smokeless-tobacco cessation intervention in the dental office," American Journal of Public Health, American Public Health Association, vol. 85(2), pages 231-235.
    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. Isabel Martinez Leal & Jayda Martinez & Maggie Britton & Tzuan A. Chen & Virmarie Correa-Fernández & Bryce Kyburz & Vijay Nitturi & Ezemenari M. Obasi & Kelli Drenner & Teresa Williams & Kathleen Case, 2022. "Collaborative Learning: A Qualitative Study Exploring Factors Contributing to a Successful Tobacco Cessation Train-the-Trainer Program as a Community of Practice," IJERPH, MDPI, vol. 19(13), pages 1-19, June.
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    Cited by:

    1. 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.
    2. Maggie Britton & Isabel Martinez Leal & Midhat Z. Jafry & Tzuan A. Chen & Anastasia Rogova & Bryce Kyburz & Teresa Williams & Lorraine R. Reitzel, 2023. "Influence of Provider and Leader Perspectives about Concurrent Tobacco-Use Care during Substance-Use Treatment on Their Tobacco Intervention Provision with Clients: A Mixed-Methods Study," IJERPH, MDPI, vol. 20(7), pages 1-21, March.

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