IMPACT: Promoting Evidenced-Based Tobacco Smoking Cessation Treatment in Community Mental Health Clinics
Study Details
Study Description
Brief Summary
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
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.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Other: Implementation Intervention All participants will receive the implementation intervention. |
Other: Implementation Intervention
The implementation intervention involves training, coaching, expert consultation, organizational strategy meetings.
|
Outcome Measures
Primary Outcome Measures
- Change in provider knowledge of smoking cessation treatment as assessed by a 16-item scale [Baseline, 12 months]
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.
- Change in provider self-efficacy to deliver evidence-based smoking cessation treatment as assessed by a 32-item instrument [Baseline, 12 months]
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.
Secondary Outcome Measures
- Change in delivery of evidence-based smoking cessation treatment: assessment of smoking status [Baseline, 12 months]
Measured by clinic documentation during patient visits.
- Change in delivery of evidence-based smoking cessation treatment: assessment of willingness to quit [Baseline, 12 months]
Measured by clinic documentation during patient visits.
- Change in delivery of evidence-based smoking cessation treatment: receipt of behavioral counseling [Baseline, 12 months]
Measured by clinic documentation during patient visits.
- Change in delivery of evidence-based smoking cessation treatment: receipt of pharmacotherapy [Baseline, 12 months]
Measured by clinic documentation during patient visits.
- Change in acceptability of evidence-based practices based on adaptation of Acceptability of Intervention Measure [Baseline, 12 months]
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.
- Change in appropriateness of evidence-based practices based on adaptation of the Intervention Appropriateness Measure [Baseline, 12 months]
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.
- Change in feasibility of evidence-based practices based on adaptation of the Feasibility of Intervention Measure [Baseline, 12 months]
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.
- Change in acceptability of implementation intervention based on adaptation of Acceptability of Intervention Measure [Baseline, 12 months]
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.
- Change in appropriateness of implementation intervention based on adaptation of the Intervention Appropriateness Measure [Baseline, 12 months]
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.
- Change in feasibility of implementation intervention based on adaptation of the Feasibility of Intervention Measure [Baseline, 12 months]
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.
Other Outcome Measures
- Change in tobacco smoking abstinence [Baseline, 12 months]
7-day patient abstinence reported in medical record
Eligibility Criteria
Criteria
Inclusion Criteria:
-
study population 1: community mental health clinic staff and providers
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study population 2: patients in community mental health clinics
Exclusion Criteria:
- None
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Johns Hopkins | Baltimore | Maryland | United States | 21287 |
Sponsors and Collaborators
- Johns Hopkins University
- National Institute of Mental Health (NIMH)
Investigators
- Principal Investigator: Gail Daumit, MD, MHS, Johns Hopkins University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- IRB00231836
- 1P50MH115842-01