Organizational factors as predictors of tobacco cessation pharmacotherapy adoption in addiction treatment programs

Journal of Addiction Medicine
Jessica L MuilenburgLillian T Eby

Abstract

This study investigated 3 organizational factors (ie, counseling staff clinical skills, absence of treatment program obstacles, and policy-related incentives) as predictors of tobacco cessation pharmacotherapy (TCP) adoption (comprised of the 9 available TCPs) in addiction treatment programs using the innovation implementation effectiveness framework. Data were obtained in 2010 from a random sample of 1006 addiction treatment program administrators located across the United States using structured telephone interviews. According to program administrator reports, TCP is adopted in approximately 30% of treatment programs. Negative binomial regression results show that fewer treatment program obstacles and more policy-related incentives are related to greater adoption of TCP. Counter to prediction, clinical skills are unrelated to TCP adoption. Our findings suggest that organizational factors, on the basis of established theoretical frameworks, merit further examination as facilitators of the adoption of diverse TCP in addiction treatment programs.

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Citations

Feb 14, 2015·Administration and Policy in Mental Health·Jessica L MuilenburgNancy D Moore
Aug 26, 2015·The Journal of Behavioral Health Services & Research·J Randy Koch, Alison Breland
Aug 25, 2015·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Jessica L MuilenburgLillian T Eby
Sep 3, 2014·Journal of Substance Abuse Treatment·Lillian T EbyJessica L Muilenburg
Jun 26, 2015·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Cécile DenisMarc Auriacombe
Jun 18, 2016·The American Journal of Drug and Alcohol Abuse·Hannah K Knudsen
Oct 24, 2017·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Erin S RogersScott E Sherman
Oct 16, 2019·Journal of Addictive Diseases·Valentin Yurievich SkryabinVladislav Alekseyuk
Feb 29, 2020·CNS Drugs·Cynthia VladShadi Nahvi
Jun 21, 2018·Advances in Health Sciences Education : Theory and Practice·Carrie B JacksonAmy D Herschell
Jun 5, 2020·The Journal of Behavioral Health Services & Research·Chad D Morris, Christine E Garver-Apgar
Jul 1, 2017·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·Kevin I Reid

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