Promoting Evidenced-Based Tobacco Smoking Cessation Treatment in Community Mental Health Clinics

Study Overview
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Brief Summary
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This pilot study will examine whether an implementation intervention will improve delivery of evidence-based treatment for tobacco smoking cessation for patients in community mental health clinics.

Detailed Description
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In this pilot study, the investigators will work with community mental health clinical and pilot test an implementation intervention to improve mental health providers' delivery of evidence-based tobacco smoking cessation treatment in community mental health clinics.

Official Title
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Promoting Evidenced-Based Tobacco Smoking Cessation Treatment in Community Mental Health Clinics

Conditions
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Tobacco Smoking

Intervention / Treatment
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* Other: Implementation Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: study population: community mental health clinic staff and providers Exclusion Criteria: None

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Implementation Intervention<br>All participants will receive the implementation intervention. | Other: Implementation Intervention<br>* The implementation intervention involves training, coaching, expert consultation, organizational strategy meetings.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in provider knowledge of smoking cessation treatment as assessed by a 16-item scale | Knowledge of evidence-based smoking cessation treatment: 16-item scale developed by our team. Items are true/false. A higher score signifies an increased knowledge of smoking cessation treatment. | Baseline, 12 months | 
| Change in provider self-efficacy to deliver evidence-based smoking cessation treatment as assessed by a 32-item instrument | 36 item instrument on a likert scale of 1-10, adapted version of Compeau and Higgins' task-focused self-efficacy scale. Higher scores signify greater self-efficacy. | Baseline, 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in delivery of evidence-based smoking cessation treatment: assessment of smoking status | Measured by clinic documentation during patient visits. | Baseline, 12 months | 
| Change in delivery of evidence-based smoking cessation treatment: assessment of willingness to quit | Measured by clinic documentation during patient visits. | Baseline, 12 months | 
| Change in delivery of evidence-based smoking cessation treatment: receipt of behavioral counseling | Measured by clinic documentation during patient visits. | Baseline, 12 months | 
| Change in delivery of evidence-based smoking cessation treatment: receipt of pharmacotherapy | Measured by clinic documentation during patient visits. | Baseline, 12 months | 
| Change in acceptability of evidence-based practices based on adaptation of Acceptability of Intervention Measure | We will use an instrument measuring acceptability, using an adaptation of the Acceptability of Intervention Measure. Each of the 16 items will be measured on a 5-point Likert scale, where 1=completely disagree and 5=completely agree. An average score is calculated by summing responses across all four items and dividing by the total number of items. The average score ranges from 1-5. A higher score signifies greater acceptability. | Baseline, 12 months | 
| Change in appropriateness of evidence-based practices based on adaptation of the Intervention Appropriateness Measure | We will use an instrument measuring appropriateness, using an adaptation of the Intervention Appropriateness Measure. Each of the 16 items will be measured on a 5-point Likert scale, where 1=completely disagree and 5=completely agree. An average score is calculated by summing responses across all four items and dividing by the total number of items. The average score ranges from 1-5. A higher score signifies greater appropriateness. | Baseline, 12 months | 
| Change in feasibility of evidence-based practices based on adaptation of the Feasibility of Intervention Measure | We will use an instrument measuring feasibility, using an adaptation of the Feasibility of Intervention Measure. Each of the 16 items will be measured on a 5-point Likert scale, where 1=completely disagree and 5=completely agree. An average score is calculated by summing responses across all four items and dividing by the total number of items. The average score ranges from 1-5. A higher score signifies greater appropriateness. | Baseline, 12 months | 
| Change in acceptability of implementation intervention based on adaptation of Acceptability of Intervention Measure | We will use an instrument measuring acceptability, using an adaptation of the Acceptability of Intervention Measure. Each of the 24 items will be measured on a 5-point Likert scale, where 1=completely disagree and 5=completely agree. An average score is calculated by summing responses across all four items and dividing by the total number of items. The average score ranges from 1-5. A higher score signifies greater acceptability. | Baseline, 12 months | 
| Change in appropriateness of implementation intervention based on adaptation of the Intervention Appropriateness Measure | We will use an instrument measuring appropriateness, using an adaptation of the Intervention Appropriateness Measure. Each of the 24 items will be measured on a 5-point Likert scale, where 1=completely disagree and 5=completely agree. An average score is calculated by summing responses across all four items and dividing by the total number of items. The average score ranges from 1-5. A higher score signifies greater appropriateness. | Baseline, 12 months | 
| Change in feasibility of implementation intervention based on adaptation of the Feasibility of Intervention Measure | We will use an instrument measuring feasibility, using an adaptation of the Feasibility of Intervention Measure. Each of the 24 items will be measured on a 5-point Likert scale, where 1=completely disagree and 5=completely agree. An average score is calculated by summing responses across all four items and dividing by the total number of items. The average score ranges from 1-5. A higher score signifies greater appropriateness. | Baseline, 12 months |