title: Climate for innovation, 12-step orientation, and tobacco cessation treatment.
abstract: This study examined the relationship between (1) three indicators of climate for innovation (clinician skills, absence of program obstacles, policy-related incentives) and adoption extensiveness of both behavioral treatments for tobacco cessation (TC) and system-level support for TC in substance use disorder treatment programs, (2) a program's 12-step treatment orientation and adoption extensiveness, and (3) whether 12-step treatment orientation moderates the relationship between climate for innovation and adoption extensiveness. Data were obtained from a random sample of 1006 program administrators. Hierarchical regression results showed that both absence of program obstacles and policy-related incentives are positively related to adoption extensiveness. Twelve-step treatment orientation is neither related to adoption extensiveness nor a moderator of the relationship between climate for innovation and adoption extensiveness. Although the adoption of both behavioral treatments for TC and system-level support for TC is not extensive, we conclude that a 12-step treatment orientation neither hampers nor promotes adoption extensiveness.
authors.affiliation: University of Georgia, 325 Psychology Building, Athens, GA 30602, USA; Department of Health Promotion and Behavior, 325 Psychology Building, Athens, GA 30602, USA. Electronic address: jlm@uga.edu.
authors.forename: Jessica L
authors.initials: JL
authors.lastname: Muilenburg
authors.affiliation: University of Georgia, 325 Psychology Building, Athens, GA 30602, USA; Owens Institute for Behavioral Research, 325 Psychology Building, Athens, GA 30602, USA. Electronic address: tanja@uga.edu.
authors.forename: Tanja C
authors.initials: TC
authors.lastname: Laschober
authors.affiliation: University of Georgia, 325 Psychology Building, Athens, GA 30602, USA; Owens Institute for Behavioral Research, 325 Psychology Building, Athens, GA 30602, USA; Industrial-Organizational Psychology Program, 325 Psychology Building, Athens, GA 30602, USA. Electronic address: leby@uga.edu.
authors.forename: Lillian T
authors.initials: LT
authors.lastname: Eby
mesh_terms: D001521:Behavior Therapy / Q000379:methods; D002983:Clinical Competence; D004059:Diffusion of Innovation; D006801:Humans; D009936:Organizational Innovation; D016134:Organizational Policy; D012044:Regression Analysis; D016540:Smoking Cessation / Q000379:methods*; D016320:Substance Abuse Treatment Centers / Q000379:methods*; D019966:Substance-Related Disorders / Q000534:rehabilitation*
keywords: 12-Step orientation; Addiction treatment; Adoption of innovation; Evidence-based practices; Smoking treatment