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

Not Applicable
Completed
Conditions
Tobacco Smoking
Interventions
Other: Implementation Intervention
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
Arm && Interventions
GroupInterventionDescription
Implementation InterventionImplementation InterventionAll participants will receive the implementation intervention.
Primary Outcome Measures
NameTimeMethod
Change in provider 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. A higher score signifies an increased knowledge of smoking cessation treatment.

Change in provider self-efficacy to deliver evidence-based smoking cessation treatment as assessed by a 32-item instrumentBaseline, 12 months

36 item instrument on a likert scale of 1-10, adapted version of Compeau and Higgins' task-focused self-efficacy scale. Higher scores signify greater self-efficacy.

Secondary Outcome Measures
NameTimeMethod
Change in delivery of evidence-based smoking cessation treatment: assessment of smoking statusBaseline, 12 months

Measured by clinic documentation during patient visits.

Change in delivery of evidence-based smoking cessation treatment: receipt of behavioral counselingBaseline, 12 months

Measured by clinic documentation during patient visits.

Change in appropriateness of evidence-based practices based on adaptation of the Intervention Appropriateness MeasureBaseline, 12 months

We will use an instrument measuring appropriateness, using an adaptation of the Intervention Appropriateness Measure. Each of the 16 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.

Change in feasibility of evidence-based practices based on adaptation of the Feasibility of Intervention MeasureBaseline, 12 months

We will use an instrument measuring feasibility, using an adaptation of the Feasibility of Intervention Measure. Each of the 16 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.

Change in appropriateness of implementation intervention based on adaptation of the Intervention Appropriateness MeasureBaseline, 12 months

We will use an instrument measuring appropriateness, using an adaptation of the Intervention Appropriateness Measure. Each of the 24 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.

Change in feasibility of implementation intervention based on adaptation of the Feasibility of Intervention MeasureBaseline, 12 months

We will use an instrument measuring feasibility, using an adaptation of the Feasibility of Intervention Measure. Each of the 24 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.

Change in delivery of evidence-based smoking cessation treatment: assessment of willingness to quitBaseline, 12 months

Measured by clinic documentation during patient visits.

Change in delivery of evidence-based smoking cessation treatment: receipt of pharmacotherapyBaseline, 12 months

Measured by clinic documentation during patient visits.

Change in acceptability of implementation intervention based on adaptation of Acceptability of Intervention MeasureBaseline, 12 months

We will use an instrument measuring acceptability, using an adaptation of the Acceptability of Intervention Measure. Each of the 24 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.

Change in acceptability of evidence-based practices based on adaptation of Acceptability of Intervention MeasureBaseline, 12 months

We will use an instrument measuring acceptability, using an adaptation of the Acceptability of Intervention Measure. Each of the 16 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.

Trial Locations

Locations (1)

Johns Hopkins

🇺🇸

Baltimore, Maryland, United States

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