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Expanding the Reach and Efficacy of Interventions for Nicotine and Tobacco Product Use

Special Issue Editor


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Guest Editor
1. Mental Health Service, VA San Diego Healthcare System, San Diego, CA 92161, USA
2. Department of Psychiatry, University of California-San Diego, La Jolla, CA 92093, USA
Interests: nicotine; e-cigarettes; young adults

Special Issue Information

Dear Colleagues,

A number of effective, evidence-based interventions for nicotine dependence have been developed, but multiple barriers to their widespread implementation exist. First, the existing interventions are less effective for individuals who experience certain health conditions or psychosocial circumstances that increase vulnerability to tobacco use. Second, the existing interventions focus on daily cigarette smokers, and may be less appropriate and effective for individuals with different product preferences or use patterns. Finally, traditional interventions that require in-person or telephone contact with intervention providers may be less accessible to many users, particularly in the era of COVID-19. Although traditional interventions should continue to be utilized when appropriate, there is a need for new approaches to further reduce the health burden of nicotine and tobacco use. The articles in this Special Issue describe interventions that are designed to increase either efficacy or accessibility for specific subgroups of nicotine and tobacco users.

Disclaimer: We will not accept research funded in part or in full by any tobacco companies in this Special Issue. For more details, please check the following link: https://www.mdpi.com/1660-4601/15/12/2831/htm.

Dr. Neal Doran
Guest Editor

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Keywords

  • tobacco
  • nicotine
  • health disparities
  • access to care
  • technology-based interventions
  • alternative nicotine products

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Published Papers (1 paper)

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Research

16 pages, 403 KiB  
Article
Changes in Substance Use Treatment Providers’ Delivery of the 5A’s for Non-Cigarette Tobacco Use in the Context of a Comprehensive Tobacco-Free Workplace Program Implementation
by Ammar D. Siddiqi, Tzuan A. Chen, Maggie Britton, Isabel Martinez Leal, Brian J. Carter, Virmarie Correa-Fernández, Anastasia Rogova, Bryce Kyburz, Teresa Williams, Kathleen Casey and Lorraine R. Reitzel
Int. J. Environ. Res. Public Health 2023, 20(3), 2730; https://doi.org/10.3390/ijerph20032730 - 3 Feb 2023
Cited by 4 | Viewed by 2075
Abstract
Tobacco use treatment is not prioritized in substance use treatment centers (SUTCs), leading to tobacco-related health inequities for patients with substance use disorders (SUDs) and necessitating efforts to enhance providers’ care provision. Training providers on how to treat tobacco use increases their intervention [...] Read more.
Tobacco use treatment is not prioritized in substance use treatment centers (SUTCs), leading to tobacco-related health inequities for patients with substance use disorders (SUDs) and necessitating efforts to enhance providers’ care provision. Training providers on how to treat tobacco use increases their intervention on patients’ smoking, but limited work addresses its effects on their non-cigarette tobacco use intervention provision. This study redressed this gap using data from 15 unaffiliated SUTCs in Texas (serving 82,927 patients/year) participating in a tobacco-free workplace program (TFWP) that included provider education on treating tobacco use, including non-cigarette tobacco use. SUTC providers completed surveys before (n = 259) and after (n = 194) TFWP implementation. Past-month screening/intervention provision for non-cigarette tobacco use (the 5A’s; ask, advise, assess, assist, arrange) and provider factors theoretically and practically presumed to underlie change [i.e., beliefs about concurrently treating tobacco use disorder (TUD) and other SUDs, self-efficacy for tobacco use assessment (TUA) delivery, barriers to treating tobacco dependence, receipt of tobacco intervention training] were assessed. Generalized linear or linear mixed models assessed changes over time from before to after TFWP implementation; low vs. high SUTC-level changes in provider factors were examined as moderators of changes in 5A’s delivery. Results indicated significant improvement in each provider factor and increases in providers’ asking, assisting, and arranging for non-cigarette tobacco use over time (ps < 0.04). Relative to their counterparts, SUTCs with high changes in providers’ beliefs in favor of treating patients’ tobacco use had greater odds of advising, assessing, assisting, and arranging patients, and SUTCs with greater barrier reductions had greater odds of advising and assisting patients. Results suggest that TFWPs can address training deficits and alter providers’ beliefs about treating non-tobacco TUD during SUD care, improve their TUA delivery self-efficacy, and reduce intervention barriers, ultimately increasing intervention provision for patients’ non-cigarette tobacco use. SUTCs with the greatest room for improvement in provider beliefs and barriers to care provision seem excellent candidates for TFWP implementation aimed at increasing non-cigarette tobacco use care delivery. Full article
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