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Promoting Evidenced-Based Tobacco Smoking Cessation Treatment in Community Mental Health Clinics

Not Applicable
Completed
Conditions
Tobacco Smoking
Registration Number
NCT04796961
Lead Sponsor
Johns Hopkins University
Brief Summary

This pilot study will examine whether an implementation intervention will improve delivery of evidence-based treatment for tobacco smoking cessation for patients in community mental health clinics.

Detailed Description

In this pilot study, the investigators will work with community mental health clinical and pilot test an implementation intervention to improve mental health providers' delivery of evidence-based tobacco smoking cessation treatment in community mental health clinics.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
91
Inclusion Criteria
  • study population: community mental health clinic staff and providers
Exclusion Criteria
  • None

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Provider (Staff) Knowledge of Smoking Cessation Treatment as Assessed by a 16-item ScaleBaseline, 12 months

Knowledge of evidence-based smoking cessation treatment: 16-item scale developed by our team. Items are true/false and score reflects number answered correctly. Average score range 0-16 with a higher score signifies an increased knowledge of smoking cessation treatment.

Provider Self-efficacy to Deliver Evidence-based Smoking Cessation TreatmentBaseline, 12 months

Self-efficacy for a four components of the smoking cessation intervention were evaluated using an instrument adapted from Compeau and Higgins' task-focused self-efficacy scale. Responses for items are on a Likert scale of 1-10. Average score range 1-10 and higher scores signify greater self-efficacy for the smoking cessation task.

Secondary Outcome Measures
NameTimeMethod
Number of Clients Recieved Smoking Status AssessmentBaseline through 12 months

Assessment of smoking status measured by clinic documentation during client visits with the number below indicating the number of clients who had a smoking status assessment during the 12 month study period.

Number of Clients Willing to Quit Smoking That Received a Willingness to Quit AssessmentBaseline through 12 months

Assessment of willingness to quit measured by clinic documentation during client visits, with the number below indicating the number of clients who reported smoking during a smoking status assessment who had a willingness to quit assessment during the 12 month study period.

Number of Clients Interested in Quitting Smoking Who Received Smoking Cessation Behavioral CounselingBaseline through 12 months

Receipt of behavioral counseling measured by clinic documentation during client visits, with the number below indicating the number of clients interested in quitting smoking that reported smoking during a smoking status assessment who staff reported as receiving behavioral counseling during the 12 months study period.

Data is reported in two groups based upon whether the client had a recorded interest in quitting smoking or not, and only includes clients who reported smoking at some point during the study period. Clients can be reported in both groups if they responded differently to this question at two points over the course of the 12 months.

Number of Clients Interested in Quitting Smoking That Received Smoking Cessation PharmacotherapyBaseline through 12 months

Measured by clinic documentation during client visits with the number below indicating the number of clients interested in quitting smoking, that reported smoking during a smoking status assessment who staff reported as receiving smoking cessation pharmacotherapy during the 12 months study period.

Clients can be reported in both groups (Interested in quitting, not interested in quitting) if they responded differently to this question at two points over the course of the 12 months.

Acceptability of Evidence-based Practices Based on Adaptation of Acceptability of Intervention MeasurePost Training (up to 2 weeks), 12 months

An adaptation of the Acceptability of Intervention Measure was used. Each of the items will be measured on a 5-point Likert scale, where 1=completely disagree and 5=completely agree. An average score is calculated by summing responses across all four items and dividing by the total number of items. The average score ranges from 1-5. A higher score signifies greater acceptability.

Appropriateness of Evidence-based Practices Based on Adaptation of the Intervention Appropriateness MeasurePost Training (up to 2 weeks), 12 Months

An adaptation of the Intervention Appropriateness Measure was used. Each of the items will be measured on a 5-point Likert scale, where 1=completely disagree and 5=completely agree. An average score is calculated by summing responses across all four items and dividing by the total number of items. The average score ranges from 1-5. A higher score signifies greater appropriateness.

Feasibility of Evidence-based Practices Based on Adaptation of the Feasibility of Intervention MeasurePost Training (up to 2 weeks), 12 Months

An adaptation of the Feasibility of Intervention Measure was used. Each of the items will be measured on a 5-point Likert scale, where 1=completely disagree and 5=completely agree. An average score is calculated by summing responses across all four items and dividing by the total number of items. The average score ranges from 1-5. A higher score signifies greater appropriateness.

Acceptability of Implementation Intervention Based on Adaptation of Acceptability of Intervention MeasurePost Training (up to 2 weeks), 12 Months

An adaptation of the Acceptability of Intervention Measure was used. Each of the items will be measured on a 5-point Likert scale, where 1=completely disagree and 5=completely agree. An average score is calculated by summing responses across all four items and dividing by the total number of items. The average score ranges from 1-5. A higher score signifies greater acceptability.

Appropriateness of Implementation Intervention Based on Adaptation of the Intervention Appropriateness MeasurePost Training (up to 2 weeks), 12 Months

An adaptation of the Intervention Appropriateness Measure was used. Each of the items will be measured on a 5-point Likert scale, where 1=completely disagree and 5=completely agree. An average score is calculated by summing responses across all four items and dividing by the total number of items. The average score ranges from 1-5. A higher score signifies greater appropriateness.

Feasibility of Implementation Intervention Based on Adaptation of the Feasibility of Intervention MeasurePost Training (up to 2 weeks), 12 Months

An adaptation of the Feasibility of Intervention Measure was used. Each of the items will be measured on a 5-point Likert scale, where 1=completely disagree and 5=completely agree. An average score is calculated by summing responses across all four items and dividing by the total number of items. The average score ranges from 1-5. A higher score signifies greater appropriateness.

Trial Locations

Locations (1)

Johns Hopkins

🇺🇸

Baltimore, Maryland, United States

Johns Hopkins
🇺🇸Baltimore, Maryland, United States

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