Survey of providers' attitudes toward integrating smoking cessation treatment into posttraumatic stress disorder care.
A survey was administered anonymously to 45 mental health providers who delivered smoking cessation treatment integrated into posttraumatic stress disorder care (integrated care) as part of a multisite clinical trial. Survey items assessed key factors associated with successful implementation of research-based practices from the perspective of treating providers. Factors assessed included prior experiences with cessation treatment, compatibility of integrated care with current practices, feasibility of adopting integrated care into regular practice, and adequacy of training. More than half of respondents reported that integrated care delivery was feasible, and they would be considerably or extremely likely to continue delivery in routine practice. Positive prestudy beliefs and more experience delivering cessation care were associated with stronger endorsement of delivering integrated care after the study. The most frequently cited obstacle to delivering integrated care involved time limitations. Future efforts should focus on developing treatment adaptations that address provider-identified barriers and identifying clinic- and administrative-level supports that facilitate delivery of integrated care and assist providers who incorporate integrated care into clinical practice.
Center of Excellence in Substance Abuse Treatment and Education, Veterans Affairs Puget Sound Health Care System, Seattle, Washington 98108, USA. carol.malte@va.gov
Carol A
CA
Malte
Miles
M
McFall
Bruce
B
Chow
Jean C
JC
Beckham
Timothy P
TP
Carmody
Andrew J
AJ
Saxon
D000328:Adult; D001291:Attitude of Health Personnel; D003695:Delivery of Health Care; D019538:Health Care Surveys; D006801:Humans; D010818:Practice Patterns, Physicians'; D012907:Smoking / Q000523:psychology / Q000628:therapy*; D016540:Smoking Cessation / Q000379:methods*; D013313:Stress Disorders, Post-Traumatic / Q000150:complications / Q000523:psychology / Q000628:therapy*; D011795:Surveys and Questionnaires; D014029:Tobacco Use Disorder / Q000150:complications / Q000523:psychology / Q000628:therapy*; D014728:Veterans / Q000523:psychology