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Exploring individual and contextual factors contributing to tobacco cessation intervention implementation.

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Title: Exploring individual and contextual factors contributing to tobacco cessation intervention implementation.
Authors: Andrés, Ana1, Castellano, Yolanda1, Fu, Marcela1, Feliu, Ariadna1, Ballbè, Montse1, Antón, Laura1, Baena, Antoni1, Fernández, Esteve1, Martínez, Cristina1 cmartinez@iconcologia.net
Source: Addictive Behaviors. Jan2019, Vol. 88, p163-168. 6p.
Subject Terms: *Drug abuse, *Evaluation research, *Clinical competence, *Research methodology, *Research, *Comparative studies, Smoking cessation, Tobacco use, Substance abuse, Drinking behavior, Health facility administration, Research evaluation, Questionnaires, Hospitals, Attitudes of medical personnel
Abstract: Background: Previous research suggests that smoking cessation interventions are poorly implemented. This study reports the development and testing of a questionnaire including knowledge, attitude, behavioral, and organizational (KABO) factors affecting the implementation of smoking cessation practices in hospitals by health care providers and organizations.Methods: An initial pool of 44 items was developed to assess the individual knowledge, attitudes, and beliefs of health professionals towards smoking cessation practices according to the 5 A's intervention model, as well as organizational barriers and opportunities for its implementation. Items were measured in a scale from 0="Not at all/Never" to 10 = "Completely/Always". Data were collected from health workers (n = 702) in Catalonia. The validity of the instrument was measured by: (a) analyzing the items, (b) assessing the internal structure, (c) estimating the internal consistency, and (d) analyzing the relationship between this tool and the 5 A's intervention model.Results: Seven domains were extracted: individual skills, positive organizational support, attitudes and beliefs, individual commitment, organizational resources, beliefs about patient desire/readiness to quit, and organizational endorsement. These domains explained 69.7% of the variance, and allowed for the development of a refined 26-item version of the questionnaire. Both the seven domains and the total scale showed adequate internal consistency.Conclusions: Psychometric testing indicates that the KABO questionnaire is a reliable and valid instrument for assessing the main barriers and facilitators to smoking cessation intervention implementation. Individual factors better explained the implementation of smoking cessation interventions in hospitals, and the seven identified domains can be used for further investigations into how the implementation of evidence-based practices impacts smoking cessation performance. [ABSTRACT FROM AUTHOR]
Copyright of Addictive Behaviors is the property of Pergamon Press - An Imprint of Elsevier Science and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Exploring individual and contextual factors contributing to tobacco cessation intervention implementation.
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  Data: <searchLink fieldCode="AR" term="%22Andrés%2C+Ana%22">Andrés, Ana</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Castellano%2C+Yolanda%22">Castellano, Yolanda</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Fu%2C+Marcela%22">Fu, Marcela</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Feliu%2C+Ariadna%22">Feliu, Ariadna</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Ballbè%2C+Montse%22">Ballbè, Montse</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Antón%2C+Laura%22">Antón, Laura</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Baena%2C+Antoni%22">Baena, Antoni</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Fernández%2C+Esteve%22">Fernández, Esteve</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Martínez%2C+Cristina%22">Martínez, Cristina</searchLink><relatesTo>1</relatesTo><i> cmartinez@iconcologia.net</i>
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  Data: <searchLink fieldCode="JN" term="%22Addictive+Behaviors%22">Addictive Behaviors</searchLink>. Jan2019, Vol. 88, p163-168. 6p.
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  Data: *<searchLink fieldCode="DE" term="%22Drug+abuse%22">Drug abuse</searchLink><br />*<searchLink fieldCode="DE" term="%22Evaluation+research%22">Evaluation research</searchLink><br />*<searchLink fieldCode="DE" term="%22Clinical+competence%22">Clinical competence</searchLink><br />*<searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br />*<searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br />*<searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking+cessation%22">Smoking cessation</searchLink><br /><searchLink fieldCode="DE" term="%22Tobacco+use%22">Tobacco use</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Drinking+behavior%22">Drinking behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Health+facility+administration%22">Health facility administration</searchLink><br /><searchLink fieldCode="DE" term="%22Research+evaluation%22">Research evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Hospitals%22">Hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Attitudes+of+medical+personnel%22">Attitudes of medical personnel</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: <bold>Background: </bold>Previous research suggests that smoking cessation interventions are poorly implemented. This study reports the development and testing of a questionnaire including knowledge, attitude, behavioral, and organizational (KABO) factors affecting the implementation of smoking cessation practices in hospitals by health care providers and organizations.<bold>Methods: </bold>An initial pool of 44 items was developed to assess the individual knowledge, attitudes, and beliefs of health professionals towards smoking cessation practices according to the 5 A's intervention model, as well as organizational barriers and opportunities for its implementation. Items were measured in a scale from 0="Not at all/Never" to 10 = "Completely/Always". Data were collected from health workers (n = 702) in Catalonia. The validity of the instrument was measured by: (a) analyzing the items, (b) assessing the internal structure, (c) estimating the internal consistency, and (d) analyzing the relationship between this tool and the 5 A's intervention model.<bold>Results: </bold>Seven domains were extracted: individual skills, positive organizational support, attitudes and beliefs, individual commitment, organizational resources, beliefs about patient desire/readiness to quit, and organizational endorsement. These domains explained 69.7% of the variance, and allowed for the development of a refined 26-item version of the questionnaire. Both the seven domains and the total scale showed adequate internal consistency.<bold>Conclusions: </bold>Psychometric testing indicates that the KABO questionnaire is a reliable and valid instrument for assessing the main barriers and facilitators to smoking cessation intervention implementation. Individual factors better explained the implementation of smoking cessation interventions in hospitals, and the seven identified domains can be used for further investigations into how the implementation of evidence-based practices impacts smoking cessation performance. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Addictive Behaviors is the property of Pergamon Press - An Imprint of Elsevier Science and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=132345683
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1016/j.addbeh.2018.08.003
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      – Code: eng
        Text: English
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        PageCount: 6
        StartPage: 163
    Subjects:
      – SubjectFull: Drug abuse
        Type: general
      – SubjectFull: Evaluation research
        Type: general
      – SubjectFull: Clinical competence
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      – SubjectFull: Research methodology
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      – SubjectFull: Smoking cessation
        Type: general
      – SubjectFull: Tobacco use
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      – SubjectFull: Substance abuse
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      – SubjectFull: Drinking behavior
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      – SubjectFull: Questionnaires
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      – SubjectFull: Hospitals
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      – SubjectFull: Attitudes of medical personnel
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      – TitleFull: Exploring individual and contextual factors contributing to tobacco cessation intervention implementation.
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              Text: Jan2019
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