Tobacco-related knowledge following a comprehensive tobacco-free workplace program within behavioral health facilities: Identifying organizational moderators.

Authors:
Lorra Garey
Lorra Garey
Syracuse University
United States
Clayton Neighbors
Clayton Neighbors
University of Washington
United States
Cho Y Lam
Cho Y Lam
University of Utah
Salt Lake City | United States
Bryce Kyburz
Bryce Kyburz
Integral Care
Austin | United States
Tim Stacey
Tim Stacey
3 Austin Travis County Integral Care
Austin | United States

Patient Educ Couns 2019 Apr 10. Epub 2019 Apr 10.

University of Houston, Department of Psychological, Health, and Learning Sciences, Houston, USA; University of Houston, HEALTH Research Institute, Houston, USA. Electronic address:

Objective: Although smoking prevalence rates among behavioral health consumers is nearly five times that of the general population, evidence-based policies and practices to address tobacco use are uncommon within behavioral health settings. This study assessed changes in non-clinical, general staff and clinician tobacco-related knowledge following brief education provided as part of a comprehensive tobacco-free workplace program implementation and explored organizational moderators of pre- to post-education knowledge change.

Methods: Fifteen behavioral health facilities, comprising hundreds of individual clinics in Texas, participated in a one (for general staff) or two (for clinicians) hour educational session.

Results: There were large effect sizes in general staff knowledge gain within each consortium, and large effect sizes in clinician knowledge gain in all but one consortium. Knowledge of the requirements for change, perceived availability of resources, and total number of client contacts moderated general staff knowledge gain. Value in the change and total number of client contacts moderated training effectiveness among clinicians.

Conclusions: We conclude that a brief tobacco-related education for behavioral health employees was effective in increase attendee knowledge.

Practice Implications: Attention to organization-level factors moderating knowledge gain has the potential to guide and improve program implementation.

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Source
http://dx.doi.org/10.1016/j.pec.2019.04.013DOI Listing
April 2019
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