A Mixed-Methods Assessment of a Brief Smoking Cessation Intervention Implemented in Ohio Public Health Clinics, 2013
- PDF / 416,984 Bytes
- 9 Pages / 595.276 x 790.866 pts Page_size
- 56 Downloads / 150 Views
A Mixed-Methods Assessment of a Brief Smoking Cessation Intervention Implemented in Ohio Public Health Clinics, 2013 Israel T. Agaku1,2 • Oluwatosin Olaiya2,3 • Celia Quinn2,4,5 • Van T. Tong3 Nicole M. Kuiper1 • Elizabeth J. Conrey3,4 • Andrea J. Sharma3,5 • Sierra Mullen4,6 • Deborah Dee3,5
•
Springer Science+Business Media New York (outside the USA) 2015
Abstract Objectives In 2006, the state of Ohio initiated the implementation of a brief smoking cessation intervention (5As: Ask, Advise, Assess, Assist, and Arrange) in select public health clinics that serve low-income pregnant and post-partum women. Funds later became available to expand the program statewide by 2015. However, close to half of the clinics initially trained stopped implementation of the 5As. To help guide the proposed statewide expansion plan for implementation of the 5As, this study assessed barriers and facilitators related to 5As implementation among clinics that had ever received training.
Electronic supplementary material The online version of this article (doi:10.1007/s10995-015-1786-y) contains supplementary material, which is available to authorized users. & Israel T. Agaku [email protected] Oluwatosin Olaiya [email protected]
Methods A mixed-methods approach was used, comprising semi-structured interviews with clinic program directors (n = 21) and a survey of clinic staff members (n = 120), to assess implementation-related barriers, facilitators, training needs, and staff confidence in delivering the 5As. Results Semi-structured interviews of program directors elucidated implementation barriers including time constraints, low self-efficacy in engaging resistant clients, and paperwork-related documentation challenges. Facilitators included availability of community referral resources, and integration of cessation interventions into the clinic workflow. Program directors believed they would benefit from more hands-on training in delivering the 5As. The survey results showed that a majority of staff felt confident
1
Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
2
Epidemic Intelligence Service, Division of Applied Sciences, Scientific Education and Professional Development Program Office, Centers for Disease Control and Prevention, Atlanta, GA, USA
3
Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
Celia Quinn [email protected] Van T. Tong [email protected] Nicole M. Kuiper [email protected]
4
Ohio Department of Health, Columbus, OH, USA
Elizabeth J. Conrey [email protected]
5
U.S. Public Health Service Commissioned Corps, Atlanta, GA, USA
Andrea J. Sharma [email protected]
6
CDC/CSTE Applied Epidemiology Fellowship Program, Atlanta, GA, USA
Sierra Mullen [email protected] Deborah Dee [email protected]
123
Matern Child Health J
advising (61 %) or referring clients for tobacco dependence treatment
Data Loading...
