TY - JOUR
T1 - Texas tobacco quitline knowledge, attitudes, and practices within healthcare agencies serving individuals with behavioral health needs
T2 - A multimethod study
AU - Britton, Maggie
AU - Rogova, Anastasia
AU - Chen, Tzuan A.
AU - Martinez Leal, Isabel
AU - Kyburz, Bryce
AU - Williams, Teresa
AU - Patel, Mayuri
AU - Reitzel, Lorraine R.
N1 - Funding Information:
This project was funded by from the Department of State Health Services, contract HHS000961900001 to L.R.R. (funded via the Centers for Disease Control and Prevention, National and State Tobacco Control Program grant: NU58DP006805) on which, A.R., M.B, I.M.L., T.A.C., B.K., and T.W. were supported. Additionally, work on the manuscript and its revisions were supported by the National Institute on Drug Abuse (NIDA) of the National Institutes of Health (NIH), award R25DA054015 to L.R.R. as MPI, on which M.B. was a scholar and on which T.A.C. and A.R. were supported as well as NIDA of the NIH, award U54MD015946-03S1 to M.B. and I.M.L. as MPIs of the science, and to L.R.R. as Co-I.
Funding Information:
We greatly appreciate the study promotion efforts of various individuals and organizations to include Integral Care, the University of Houston's HEALTH Research Institute, the Coalition for Behavioral Health, the Association of Substance Abuse Programs, the United States Association of Opioid Treatment Providers, the Network of Behavioral Health Providers, the Texas Association of Addiction Professionals, the Department of State Health Services, the University of MD Anderson Cancer Center's Project TEACH, the Texas Association of Community Health Centers, the Texas Association of Rural Health Centers, the Big Texas Rally for Recovery, the Texas Targeted Opioid Response Program, and Community Resource Coordinating Groups.
Publisher Copyright:
© 2023 The Authors
PY - 2023/10
Y1 - 2023/10
N2 - Patients with behavioral health conditions have disproportionately high tobacco use rates and face significant barriers to accessing evidence-based tobacco cessation services. Tobacco quitlines are an effective and accessible resource, yet they are often underutilized. We identify knowledge, practices, and attitudes towards the Texas Tobacco Quitline (TTQL) within behavioral healthcare settings in Texas. Quantitative and qualitative data were collected in 2021 as part of a statewide needs assessment in behavioral healthcare settings. Survey respondents (n = 125) represented 23 Federally Qualified Health Centers, 29 local mental health authorities (LMHAs), 12 substance use treatment programs in LMHAs, and 61 standalone substance use treatment centers (26 people participated in qualitative interviews). Over half of respondents indicated familiarity with the TTQL and believed that the TTQL was helpful for quitting. Qualitative findings reveal potential concerns about inconsistency of services, long wait time, and the format of the quitline. About half of respondents indicated that their center promoted patient referral to TTQL, and few indicated that their center had an electronic referral system with direct TTQL referral capacity. Interview respondents reported overall lack of systematic follow up with patients regarding their use of the TTQL services. Findings suggest the need for (1) increased TTQL service awareness among healthcare providers; (2) further investigation into any changes needed to better serve patients with behavioral health conditions who use tobacco; and (3) electronic health record integration supporting direct referrals and enhanced protocols to support patient follow up after TTQL referral.
AB - Patients with behavioral health conditions have disproportionately high tobacco use rates and face significant barriers to accessing evidence-based tobacco cessation services. Tobacco quitlines are an effective and accessible resource, yet they are often underutilized. We identify knowledge, practices, and attitudes towards the Texas Tobacco Quitline (TTQL) within behavioral healthcare settings in Texas. Quantitative and qualitative data were collected in 2021 as part of a statewide needs assessment in behavioral healthcare settings. Survey respondents (n = 125) represented 23 Federally Qualified Health Centers, 29 local mental health authorities (LMHAs), 12 substance use treatment programs in LMHAs, and 61 standalone substance use treatment centers (26 people participated in qualitative interviews). Over half of respondents indicated familiarity with the TTQL and believed that the TTQL was helpful for quitting. Qualitative findings reveal potential concerns about inconsistency of services, long wait time, and the format of the quitline. About half of respondents indicated that their center promoted patient referral to TTQL, and few indicated that their center had an electronic referral system with direct TTQL referral capacity. Interview respondents reported overall lack of systematic follow up with patients regarding their use of the TTQL services. Findings suggest the need for (1) increased TTQL service awareness among healthcare providers; (2) further investigation into any changes needed to better serve patients with behavioral health conditions who use tobacco; and (3) electronic health record integration supporting direct referrals and enhanced protocols to support patient follow up after TTQL referral.
KW - Behavioral Healthcare
KW - Health Equity
KW - Multimethod Design
KW - Needs Assessment
KW - Texas Tobacco Quitline
KW - Tobacco Cessation
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U2 - 10.1016/j.pmedr.2023.102256
DO - 10.1016/j.pmedr.2023.102256
M3 - Article
C2 - 37752980
AN - SCOPUS:85163926691
SN - 2211-3355
VL - 35
JO - Preventive Medicine Reports
JF - Preventive Medicine Reports
M1 - 102256
ER -