title: Factors Associated With Staff Engagement in Patients' Tobacco Treatment in a State Psychiatric Facility.
abstract: BACKGROUND
  Persons with mental illnesses (MI) who use tobacco are likely to experience poorer physical health and worsened psychiatric symptomology as compared to their non-tobacco-using counterparts. Therefore, engaging them in treatment is an important aspect of evidence-based care.
  
  
  OBJECTIVE
  To use the theory of planned behavior to examine factors associated with intentions to provide and the provision of evidence-based tobacco treatment.
  
  
  METHODS
  This study is based on a cross-sectional analysis of survey data from 195 staff at a state psychiatric hospital.
  
  
  RESULTS
  When controlling for demographic variables, attitudes, subjective norms, and perceived behavioral control toward providing tobacco treatment were associated with intentions to provide tobacco treatment, but only subjective norms and perceived behavioral control were associated with reported provision of evidence-based tobacco treatment.
  
  
  CONCLUSIONS
  Understanding factors that influence provider delivery of tobacco treatment can better determine strategies to reduce the disproportionate tobacco use and related illnesses in behavioral health settings.
authors.affiliation: 1 Chizimuzo T. C. Okoli, PhD, MPH, MSN, RN, University of Kentucky College of Nursing, Lexington, KY, USA.
authors.forename: Chizimuzo T C
authors.initials: CTC
authors.lastname: Okoli
authors.affiliation: 2 Janet K. Otachi, MA, BASW, University of Kentucky Center of Health Services Research, Lexington, KY, USA.
authors.forename: Janet K
authors.initials: JK
authors.lastname: Otachi
authors.affiliation: 3 Sooksai Kaewbua, BSN, BA, RN, Eastern State Hospital, Lexington, KY, USA.
authors.forename: Sooksai
authors.initials: S
authors.lastname: Kaewbua
authors.affiliation: 4 Marc Woods, BSN, RN, Eastern State Hospital, Lexington, KY, USA.
authors.forename: Marc
authors.initials: M
authors.lastname: Woods
authors.affiliation: 5 Heather Robertson, MA, University of Kentucky College of Nursing, Lexington, KY, USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Robertson
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D019538:Health Care Surveys / Q000706:statistics & numerical data; D006778:Hospitals, Psychiatric; D006783:Hospitals, State; D006801:Humans; D033182:Intention; D007629:Kentucky; D008297:Male; D001523:Mental Disorders / Q000150:complications*; D011568:Psychiatric Nursing / Q000379:methods*; D016540:Smoking Cessation; D014029:Tobacco Use Disorder / Q000150:complications* / Q000628:therapy*; D000074824:Work Engagement
keywords: behavioral health setting; mental illness; theory of planned behavior; tobacco treatment