TY - JOUR
T1 - Clinician training in the adaptation of a comprehensive tobacco-free workplace program in agencies serving the homeless and vulnerably housed
AU - Taing, Matthew
AU - Kyburz, Bryce
AU - Leal, Isabel Martinez
AU - Le, Kathy
AU - Chen, Tzu An
AU - Correa-Fernandez, Virmarie
AU - Williams, Teresa
AU - O’connor, Daniel P.
AU - Obasi, Ezemenari M.
AU - Casey, Kathleen
AU - Koshy, Litty
AU - Reitzel, Lorraine R.
N1 - Funding Information:
Funding: This work was supported by funding from the Cancer Prevention and Research Institute of Texas (grant PP170070 to L.R.R.). Writing of this manuscript was also supported by funding from the National Cancer Institute (grant P20CA221697 to L.R.R., on which M.T. was supported as a trainee). Conclusions drawn in this work are solely the responsibility of the authors and do not necessarily represent the official views of the sponsoring organizations. We would like to thank other project team members (Imarogbe Stokes, Mirna Centeno, Tayma Machkhas, and Vijay Nitturi) for their valuable contributions to our TTTF work. You can read more about the TTTF program at www.takingtexastobaccofree.com.
Publisher Copyright:
© 2020 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2020/9/1
Y1 - 2020/9/1
N2 - 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.
AB - 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.
KW - Homeless-serving agencies
KW - Homelessness
KW - Tobacco cessation education
KW - Tobacco control
KW - Tobacco-free workplace
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U2 - 10.3390/ijerph17176154
DO - 10.3390/ijerph17176154
M3 - Article
C2 - 32854185
AN - SCOPUS:85089815974
SN - 1661-7827
VL - 17
SP - 1
EP - 15
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 17
M1 - 6154
ER -