Organizational Factors Moderating Changes in Tobacco Use Dependence Care Delivery Following a Comprehensive Tobacco-Free Workplace Intervention in Non-Profit Substance Use Treatment Centers
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Aims
2.2. Characteristics of Participating Substance Use Treatment Centers
2.3. Program Implementation
2.4. Procedures and Measures
2.4.1. Organizational Demographics and Readiness for Implementing Change
2.4.2. Clinician Tobacco Screening and Treatment Behaviors
2.5. Statistical Analysis
3. Results
3.1. Organizational Demographics
3.2. Pre- to Post-Implementation Change in Clinician Screening and Treatment Behaviors
3.3. Organizational Demographics as Moderators of Changes in Clinician Screening and Treatment Behaviors
3.4. Organizational Readiness for Change as Moderators of Changes in Clinician Screening and Treatment Behaviors
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Clinician Behaviors | ORIC Change Efficacy | |||
---|---|---|---|---|
Effect | Estimate | SE | p | |
Ask | Time (ref: pre-implementation) | 0.815 | 0.239 | 0.001 |
ORIC subscale | 0.023 | 0.949 | 0.981 | |
ORIC subscale*time | 1.638 | 0.728 | 0.025 | |
Advise | Time (ref: pre-implementation) | 0.639 | 0.230 | 0.006 |
ORIC subscale | 1.924 | 0.894 | 0.032 | |
ORIC subscale*time | 0.272 | 0.702 | 0.698 | |
Assess | Time (ref: pre-implementation) | 0.569 | 0.252 | 0.024 |
ORIC subscale | 0.695 | 1.135 | 0.541 | |
ORIC subscale*time | 0.440 | 0.784 | 0.574 | |
Assist | Time (ref: pre-implementation) | 1.190 | 0.227 | <0.001 |
ORIC subscale | 0.102 | 0.711 | 0.886 | |
ORIC subscale*time | 0.705 | 0.722 | 0.329 | |
Arrange | Time (ref: pre-implementation) | 1.260 | 0.229 | <0.001 |
ORIC subscale | 2.287 | 0.843 | 0.007 | |
ORIC subscale*time | −1.292 | 0.808 | 0.110 | |
Clinician Behaviors | ORIC Change Commitment | |||
Effect | Estimate | SE | p | |
Ask | Time (ref: pre-implementation) | 0.719 | 0.245 | 0.004 |
ORIC subscale | 2.918 | 0.650 | <0.001 | |
ORIC subscale*time | −0.115 | 0.707 | 0.871 | |
Advise | Time (ref: pre-implementation) | 0.677 | 0.236 | 0.004 |
ORIC subscale | 2.124 | 0.603 | <0.001 | |
ORIC subscale*time | 0.564 | 0.656 | 0.391 | |
Assess | Time (ref: pre-implementation) | 0.491 | 0.261 | 0.060 |
ORIC subscale | 1.720 | 1.203 | 0.154 | |
ORIC subscale*time | -0.581 | 0.717 | 0.418 | |
Assist | Time (ref: pre-implementation) | 1.158 | 0.226 | <0.001 |
ORIC subscale | 1.257 | 0.581 | 0.031 | |
ORIC subscale*time | −0.347 | 0.617 | 0.574 | |
Arrange | Time (ref: pre-implementation) | 1.177 | 0.220 | <0.001 |
ORIC subscale | 1.761 | 0.586 | 0.003 | |
ORIC subscale*time | −0.698 | 0.594 | 0.241 | |
Clinician Behaviors | ORIC Task Knowledge | |||
Effect | Estimate | SE | p | |
Ask | Time (ref: pre-implementation) | 0.802 | 0.244 | 0.001 |
ORIC subscale | −1.021 | 0.349 | 0.004 | |
ORIC subscale*time | −0.658 | 0.605 | 0.278 | |
Advise | Time (ref: pre-implementation) | 0.689 | 0.234 | 0.004 |
ORIC subscale | −0.087 | 0.520 | 0.868 | |
ORIC subscale*time | −1.096 | 0.563 | 0.052 | |
Assess | Time (ref: pre-implementation) | 0.509 | 0.258 | 0.049 |
ORIC subscale | −1.515 | 0.476 | 0.002 | |
ORIC subscale*time | 0.350 | 0.616 | 0.570 | |
Assist | Time (ref: pre-implementation) | 1.178 | 0.225 | <0.001 |
ORIC subscale | −0.231 | 0.325 | 0.477 | |
ORIC subscale*time | −0.474 | 0.509 | 0.353 | |
Arrange | Time (ref: pre-implementation) | 1.187 | 0.223 | <0.001 |
ORIC subscale | −0.319 | 0.422 | 0.450 | |
ORIC subscale*time | -0.112 | 0.499 | 0.822 | |
Clinician Behaviors | ORIC Resource Availability | |||
Effect | Estimate | SE | p | |
Ask | Time (ref: pre-implementation) | 0.791 | 0.239 | 0.001 |
ORIC subscale | 0.645 | 0.538 | 0.232 | |
ORIC subscale*time | −1.666 | 0.710 | 0.019 | |
Advise | Time (ref: pre-implementation) | 0.656 | 0.231 | 0.005 |
ORIC subscale | 0.400 | 0.518 | 0.441 | |
ORIC subscale*time | −1.033 | 0.648 | 0.112 | |
Assess | Time (ref: pre-implementation) | 0.585 | 0.259 | 0.024 |
ORIC subscale | 0.758 | 0.615 | 0.218 | |
ORIC subscale*time | −1.923 | 0.747 | 0.010 | |
Assist | Time (ref: pre-implementation) | 1.188 | 0.226 | <0.001 |
ORIC subscale | 0.899 | 0.391 | 0.022 | |
ORIC subscale*time | −0.963 | 0.573 | 0.093 | |
Arrange | Time (ref: pre-implementation) | 1.208 | 0.223 | <0.001 |
ORIC subscale | 0.652 | 0.413 | 0.115 | |
ORIC subscale*time | −0.366 | 0.544 | 0.502 | |
Clinician Behaviors | ORIC Change Valence | |||
Effect | Estimate | SE | p | |
Ask | Time (ref: pre-implementation) | 0.698 | 0.236 | 0.003 |
ORIC subscale | 6.488 | 3.282 | 0.049 | |
ORIC subscale*time | −2.930 | 2.452 | 0.233 | |
Advise | Time (ref: pre-implementation) | 0.648 | 0.232 | 0.005 |
ORIC subscale | 3.686 | 3.783 | 0.331 | |
ORIC subscale*time | 1.029 | 2.416 | 0.670 | |
Assess | Time (ref: pre-implementation) | 0.474 | 0.256 | 0.065 |
ORIC subscale | 6.724 | 4.181 | 0.109 | |
ORIC subscale*time | −3.745 | 2.611 | 0.152 | |
Assist | Time (ref: pre-implementation) | 1.153 | 0.225 | <0.001 |
ORIC subscale | 4.395 | 1.911 | 0.022 | |
ORIC subscale*time | −2.190 | 2.454 | 0.373 | |
Arrange | Time (ref: pre-implementation) | 1.202 | 0.223 | <0.001 |
ORIC subscale | 1.571 | 2.838 | 0.580 | |
ORIC subscale*time | −0.367 | 2.469 | 0.882 |
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Le, K.; Chen, T.A.; Martinez Leal, I.; Correa-Fernández, V.; Obasi, E.M.; Kyburz, B.; Williams, T.; Casey, K.; Taing, M.; O’Connor, D.P.; et al. Organizational Factors Moderating Changes in Tobacco Use Dependence Care Delivery Following a Comprehensive Tobacco-Free Workplace Intervention in Non-Profit Substance Use Treatment Centers. Int. J. Environ. Res. Public Health 2021, 18, 10485. https://doi.org/10.3390/ijerph181910485
Le K, Chen TA, Martinez Leal I, Correa-Fernández V, Obasi EM, Kyburz B, Williams T, Casey K, Taing M, O’Connor DP, et al. Organizational Factors Moderating Changes in Tobacco Use Dependence Care Delivery Following a Comprehensive Tobacco-Free Workplace Intervention in Non-Profit Substance Use Treatment Centers. International Journal of Environmental Research and Public Health. 2021; 18(19):10485. https://doi.org/10.3390/ijerph181910485
Chicago/Turabian StyleLe, Kathy, Tzuan A. Chen, Isabel Martinez Leal, Virmarie Correa-Fernández, Ezemenari M. Obasi, Bryce Kyburz, Teresa Williams, Kathleen Casey, Matthew Taing, Daniel P. O’Connor, and et al. 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" International Journal of Environmental Research and Public Health 18, no. 19: 10485. https://doi.org/10.3390/ijerph181910485