title: Understanding counselors' implementation of tobacco cessation services with patients.
abstract: This study aimed to understand substance use disorder counselors' implementation of evidence-based tobacco cessation services (TCS) with their patients who smoke. Drawing from an established adoption of innovations framework, we investigated the association between counselors' perceptions of the availability of TCS (both pharmacotherapies and behavioral treatments) in their treatment program and the implementation of TCS (both pharmacotherapies and behavioral treatments) with their patients who smoke and whether this association is moderated by the strength of an organization's climate for implementation and the fit of the innovation with users' values. Data were collected in 2010 from 682 counselors working in 239 treatment programs across the U.S. that offer evidence-based TCS. Mixed-effect models showed that perceived availability of TCS was related with greater TCS implementation. This relationship was moderated by several indicators of climate for implementation but not by the fit of the innovation with users' values.
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
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; 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
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003376:Counseling; D055317:Evidence-Based Practice; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012907:Smoking / Q000628:therapy*; D016540:Smoking Cessation / Q000379:methods*; D014029:Tobacco Use Disorder / Q000628:therapy*; D014481:United States
keywords: Addiction treatment; Adoption research; Evidence-based practices; Implementation research; Smoking cessation
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