title: Sustained, new, never, and discontinued tobacco cessation services adopters.
abstract: This study examined longitudinal adoption patterns of tobacco cessation (TC) counseling and TC pharmacotherapy in substance use disorder treatment programs and baseline predictors (program characteristics and program culture) of these patterns 12-months later. Telephone survey data were collected in 2010 from 685 randomly sampled program administrators working in geographically representative treatment programs across the U.S. Regarding TC counseling, about 41% of programs never adopt, 33% sustain, and 27% change adoption patterns. Concerning TC pharmacotherapy, about 62% of programs never adopt, 19% sustain, and 18% change adoption patterns. The three most consistent predictors of counseling adoption patterns are TC reimbursement, TC financial resource availability, and smoking culture. For TC pharmacotherapy adoption patterns, the most consistent predictors include profit status, TC reimbursement, level of care, TC financial resource availability, and smoking culture. Findings provide insights into program characteristics and program culture as both potential barriers and facilitators of longitudinal TCS adoption.
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.
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.
authors.forename: Jessica L
authors.initials: JL
authors.lastname: Muilenburg
mesh_terms: D003376:Counseling / Q000191:economics / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D008137:Longitudinal Studies; D016540:Smoking Cessation / Q000191:economics / Q000379:methods* / Q000706:statistics & numerical data; D014029:Tobacco Use Disorder / Q000188:drug therapy / Q000191:economics / Q000628:therapy*; D014481:United States; D014482:United States Substance Abuse and Mental Health Services Administration / Q000706:statistics & numerical data*
keywords: Addiction treatment; Adoption of evidence-based practices; Longitudinal study; Smoking cessation availability; Tobacco dependence