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1.
J Occup Health Psychol ; 28(1): 20-39, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36534432

RESUMO

The COVID-19 pandemic has dramatically impacted the relational nature of work, particularly for frontline workers who provide their labor in person. However, little is known about how relational job characteristics during the pandemic may affect workers or how frontline and nonfrontline workers may respond differently. We integrate theory on relational job architecture with the job demands-resources model to understand the effects of contact and impact during the pandemic. We propose contact as a job demand that increases strain outcomes among frontline workers and impact as a job resource that increases motivational outcomes among all workers. In addition, we propose perceived safety climate as a critical resource for mitigating the negative effects of contact among frontline workers and amplifying the positive effects of impact among all workers. We test hypotheses among 452 full-time workers (209 frontline, 243 nonfrontline) using a two-wave survey design. We find no support for the idea that contact operates as a job demand among frontline workers. In contrast, among nonfrontline workers, contact was associated with higher levels of burnout at lower levels of job impact and perceived safety climate. Impact and perceived safety climate acted as important resources among all workers, predicting both motivational and strain outcomes 4 months later. In addition, the positive effects of impact on prosocial motivation were amplified at higher levels of perceived safety climate among all workers. Our results suggest that impactful work, when conducted in a safe climate, is a key resource for enhancing prosocial motivation during crisis situations. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Assuntos
COVID-19 , Humanos , Cultura Organizacional , Pandemias , Motivação , Emprego
2.
J Appl Psychol ; 107(1): 1-8, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-35084886

RESUMO

This editorial focuses on two major initiatives that we undertook during these turbulent times at the Journal of Applied Psychology: The Call for Papers on the COVID-19 Pandemic With a Rapid Review Process and the implementation of the Transparency and Openness Promotion (TOP) Guidelines (https://www .cos.io/initiatives/top-guidelines) on November 1, 2021. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Publicações Periódicas como Assunto , Psicologia Aplicada , COVID-19 , Humanos , Pandemias
3.
J Appl Psychol ; 106(1): 1-3, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33444047

RESUMO

It is impossible to write this editorial without recognizing that we are living in challenging times. Unprecedented changes in how, when, where, and with whom we work have occurred in response to the COVID-19 pandemic. In addition to the threat to human life, the pandemic is expected to increase poverty and deepen preexisting inequalities for vulnerable groups such as women (United Nations, 2020) and individuals living in poorer countries (United Nations Development Programme, 2020). In the United States, the pandemic has disproportionately negatively affected racial and ethnic minority group members (https://www.cdc.gov/coronavirus/2019-ncov/community/health-equity/race-ethnicity.html). For example, in the United States infection and mortality rates are especially high among African Americans (Yancy, 2020). These sobering realities, along with the recent deaths of George Floyd, Ahmaud Arbery, and Breonna Taylor, and so many others, are vivid and wrenching reminders of longstanding social injustice and systematic racism, both in the United States and around the globe. When preparing my candidate statement and vision for the journal, a global pandemic and widespread social protest were the furthest thing from my mind. However, several aspects of my vision for JAP are highly relevant to the current context. This includes increasing representation and supporting diversity, as well as improving the translation of our science for the public good. Other elements of my vision for the journal include enhancing the review process and promoting open science. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
COVID-19/psicologia , Pobreza/psicologia , Psicologia Aplicada/métodos , Racismo/psicologia , Justiça Social/psicologia , Etnicidade/psicologia , Humanos , Grupos Minoritários/psicologia , Pandemias , SARS-CoV-2 , Fatores Socioeconômicos , Estados Unidos
4.
CBE Life Sci Educ ; 16(2)2017.
Artigo em Inglês | MEDLINE | ID: mdl-28550078

RESUMO

Participating in undergraduate research with mentorship from faculty may be particularly important for ensuring the persistence of women and minority students in science. Yet many life science undergraduates at research universities are mentored by graduate or postdoctoral researchers (i.e., postgraduates). We surveyed a national sample of undergraduate life science researchers about the mentoring structure of their research experiences and the outcomes they realized from participating in research. We observed two common mentoring structures: an open triad with undergraduate-postgraduate and postgraduate-faculty ties but no undergraduate-faculty tie, and a closed triad with ties among all three members. We found that men and underrepresented minority (URM) students are significantly more likely to report a direct tie to their faculty mentors (closed triad) than women, white, and Asian students. We also determined that mentoring structure was associated with differences in student outcomes. Women's mentoring structures were associated with their lower scientific identity, lower intentions to pursue a science, technology, engineering, and mathematics (STEM) PhD, and lower scholarly productivity. URM students' mentoring structures were associated with higher scientific identity, greater intentions to pursue a STEM PhD, and higher scholarly productivity. Asian students reported lower scientific identity and intentions to pursue a STEM PhD, which were unrelated to their mentoring structures.


Assuntos
Identidade de Gênero , Tutoria , Mentores , Grupos Minoritários/educação , Pesquisa/educação , Estudantes/psicologia , Feminino , Humanos , Masculino , Universidades
5.
J Appl Psychol ; 102(3): 324-337, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28125264

RESUMO

As part of the centennial celebration for the Journal of Applied Psychology, this article reviews the literature on organizational socialization and mentoring. Our review includes a comparison of organizational socialization and mentoring as processes for employee adjustment and development, the historical context that fueled the emergence of these two areas of study, and a chronological mapping of key foundations, trends, themes that emerged across time, and major milestones. Along the way, a special emphasis is placed on research published in the Journal of Applied Psychology and high impact work is highlighted. We conclude with a discussion of five areas for future research. Specifically, we outline ideas for bridging the socialization and mentoring literatures, better understanding and capturing dynamic processes across time, the development of multilevel theories and models, addressing causality, and considering the implications for organizational socialization and mentoring research based on how technology is changing the way we work. (PsycINFO Database Record


Assuntos
Pesquisa Comportamental/métodos , Tutoria , Cultura Organizacional , Psicologia Aplicada/métodos , Socialização , Desenvolvimento de Pessoal , Pesquisa Comportamental/história , História do Século XX , História do Século XXI , Humanos , Psicologia Aplicada/história
6.
CBE Life Sci Educ ; 15(2)2016.
Artigo em Inglês | MEDLINE | ID: mdl-27174583

RESUMO

Undergraduate researchers at research universities are often mentored by graduate students or postdoctoral researchers (referred to collectively as "postgraduates") and faculty, creating a mentoring triad structure. Triads differ based on whether the undergraduate, postgraduate, and faculty member interact with one another about the undergraduate's research. Using a social capital theory framework, we hypothesized that different triad structures provide undergraduates with varying resources (e.g., information, advice, psychosocial support) from the postgraduates and/or faculty, which would affect the undergraduates' research outcomes. To test this, we collected data from a national sample of undergraduate life science researchers about their mentoring triad structure and a range of outcomes associated with research experiences, such as perceived gains in their abilities to think and work like scientists, science identity, and intentions to enroll in a PhD program. Undergraduates mentored by postgraduates alone reported positive outcomes, indicating that postgraduates can be effective mentors. However, undergraduates who interacted directly with faculty realized greater outcomes, suggesting that faculty interaction is important for undergraduates to realize the full benefits of research. The "closed triad," in which undergraduates, postgraduates, and faculty all interact directly, appeared to be uniquely beneficial; these undergraduates reported the highest gains in thinking and working like a scientist.


Assuntos
Disciplinas das Ciências Biológicas/educação , Pesquisa Empírica , Docentes/educação , Tutoria , Pesquisadores/educação , Capital Social , Universidades , Avaliação Educacional , Feminino , Humanos , Masculino , Modelos Educacionais , Estudantes
7.
Adm Policy Ment Health ; 43(2): 241-9, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25677250

RESUMO

This study examined the prevalence of and factors (psychological climate for change and staff attributes) related to indoor and outdoor tobacco bans for patients, employees, and visitors in U.S. substance use disorder treatment programs. Data were collected from a random sample of 1,026 program administrators. Almost all programs banned tobacco use indoors and around one third banned tobacco use outdoors. When there was no tobacco ban, the majority of programs restricted smoking to designated indoor and/or outdoor areas. Further, all psychological climate for change factors (perceived program support, perceived tobacco culture, and tobacco ban beliefs) but none of the staff attributes (percentage licensed/certified clinicians, percentage clinicians with master's degrees, total staff with education in health-related field) were significantly related to the implementation of comprehensive tobacco bans (both indoors and outdoors).


Assuntos
Pessoal de Saúde/estatística & dados numéricos , Política Organizacional , Política Antifumo , Centros de Tratamento de Abuso de Substâncias/estatística & dados numéricos , Transtornos Relacionados ao Uso de Substâncias/reabilitação , Pessoal de Saúde/organização & administração , Política de Saúde , Humanos , Cultura Organizacional , Centros de Tratamento de Abuso de Substâncias/organização & administração , Produtos do Tabaco , Abandono do Uso de Tabaco , Tabagismo , Estados Unidos
8.
J Adolesc Health ; 57(3): 327-33, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26299559

RESUMO

PURPOSE: Adolescence is a prime developmental stage for early tobacco cessation (TC) intervention. This study examined substance use disorder counselors' reports of the availability and implementation of TC services (behavioral treatments and pharmacotherapies) in their treatment programs and the relationship between their tobacco-related knowledge and implementation of TC services. METHODS: Survey data were collected in 2012 from 63 counselors working in 22 adolescent-only treatment programs. Measures included 15 TC behavioral treatments, nine TC pharmacotherapies, and three tobacco-related knowledge scales (morbidity/mortality, modalities and effectiveness, pharmacology). RESULTS: First, nine of the 15 behavioral treatments are reported as being available by more than half of counselors; four of the 15 behavioral treatments are used by counselors with more than half of adolescents. Of the nine pharmacotherapies, availability of the nicotine patch is reported by almost 40%, buproprion by nearly 30%, and clonidine by about 21% of counselors. Pharmacotherapies are used by counselors with very few adolescents. Second, counselors' tobacco-related knowledge varies based on the knowledge scale examined. Third, we only find a significant positive relationship between counselors' implementation of TC behavioral treatments and TC modalities and effectiveness knowledge. DISCUSSION: Findings suggest that more behavioral treatments should be made available in substance use disorder treatment programs considering that they are the main treatment recommendation for adolescents. Counselors should be encouraged to routinely use a wide range of available behavioral treatments. Finally, counselors should be encouraged to expand their knowledge of TC modalities and effectiveness because of the relationship with behavioral treatments implementation.


Assuntos
Serviços de Saúde do Adolescente/organização & administração , Aconselhamento/métodos , Implementação de Plano de Saúde/organização & administração , Acessibilidade aos Serviços de Saúde , Transtornos Relacionados ao Uso de Substâncias/psicologia , Abandono do Uso de Tabaco/métodos , Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos de Amostragem
9.
Artigo em Inglês | MEDLINE | ID: mdl-26005696

RESUMO

STUDY BACKGROUND: Despite efforts to promote the use of tobacco cessation services (TCS), implementation extensiveness remains limited. This study investigated three factors (cognitive, behavioral, environmental) identified by social cognitive theory as predictors of substance use disorder counselors' likelihood of use versus non-use of tobacco cessation (TC) 5 A's (ask patients about tobacco use, advise to quit, assess willingness to quit, assist in quitting, arrange for follow-up contact), counseling, and pharmacotherapy with their patients who smoke cigarettes. METHODS: Data were collected in 2010 from 942 counselors working in 257 treatment programs that offered TCS. Cognitive factors included perceived job competence and TC attitudes. Behavioral factors encompassed TC-related skills and general training. External factors consisted of TC financial resource availability and coworker TC attitudes. Data were analyzed using logistic regression models with nested data. RESULTS: Approximately 86% of counselors used the 5 A's, 76% used counseling, and 53% used pharmacotherapy. When counselors had greater TC-related skills and greater general training they were more likely to implement the 5 A's. Implementation of counseling was more likely when counselors had more positive attitudes toward TC treatment, greater general training, greater financial resource availability, and when coworkers had more positive attitudes toward TC treatment. Implementation of pharmacotherapy was more likely when counselors had more positive attitudes toward TC treatment, greater general training, and greater financial resource availability. CONCLUSION: Findings indicate that interventions to promote TCS implementation should consider all three factors simultaneously as suggested by social cognitive theory.

10.
J Appl Psychol ; 100(4): 1275-85, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25602124

RESUMO

Although mentoring has documented relationships with employee attitudes and outcomes of interest to organizations, neither the causal direction nor boundary conditions of the relationship between mentoring and organizational citizenship behaviors (OCBs) has been fully explored. On the basis of Social Learning Theory (SLT; Bandura, 1977, 1986), we predicted that mentoring received by supervisors would causally precede OCBs, rather than employee OCBs resulting in the receipt of more mentoring from supervisors. Results from cross-lagged data collected at 2 points in time from 190 intact supervisor-employee dyads supported our predictions; however, only for OCBs directed at individuals (OCB-Is) and not for OCBs directed at the organization (OCB-Os). Further supporting our theoretical rationale for expecting mentoring to precede OCBs, we found that coworker support operates as a substitute for mentoring in predicting OCB-Is. By contrast, no moderating effects were found for perceived organizational support. The results are discussed in terms of theoretical implications for mentoring and OCB research, as well as practical suggestions for enhancing employee citizenship behaviors.


Assuntos
Emprego/psicologia , Relações Interpessoais , Tutoria , Cultura Organizacional , Apoio Social , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
11.
J Subst Abuse Treat ; 49: 8-14, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25178991

RESUMO

This study examined longitudinal adoption patterns of tobacco cessation (TC) counseling and TC pharmacotherapy in substance use disorder treatment programs and baseline predictors (program characteristics and program culture) of these patterns 12-months later. Telephone survey data were collected in 2010 from 685 randomly sampled program administrators working in geographically representative treatment programs across the U.S. Regarding TC counseling, about 41% of programs never adopt, 33% sustain, and 27% change adoption patterns. Concerning TC pharmacotherapy, about 62% of programs never adopt, 19% sustain, and 18% change adoption patterns. The three most consistent predictors of counseling adoption patterns are TC reimbursement, TC financial resource availability, and smoking culture. For TC pharmacotherapy adoption patterns, the most consistent predictors include profit status, TC reimbursement, level of care, TC financial resource availability, and smoking culture. Findings provide insights into program characteristics and program culture as both potential barriers and facilitators of longitudinal TCS adoption.


Assuntos
Aconselhamento/métodos , Abandono do Hábito de Fumar/métodos , Tabagismo/terapia , United States Substance Abuse and Mental Health Services Administration/estatística & dados numéricos , Aconselhamento/economia , Aconselhamento/estatística & dados numéricos , Humanos , Estudos Longitudinais , Abandono do Hábito de Fumar/economia , Abandono do Hábito de Fumar/estatística & dados numéricos , Tabagismo/tratamento farmacológico , Tabagismo/economia , Estados Unidos
12.
J Drug Issues ; 45(1): 69-79, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25530629

RESUMO

Low income adults with substance use disorders (SUDs) have a high prevalence of tobacco use and often limited access to tobacco cessation treatment. This study examines the relationship between low-income SUD patient census (i.e., percentage of patients whose treatment costs are covered by Medicaid and Federal block grants) and SUD programs' availability of three evidence-based tobacco cessation services: behavioral treatments, system-level support, and pharmacotherapy. Data were collected from a random sample of 1,006 program administrators in 2010. Mixed-effects models results show that the percentage of low-income patients is significantly positively associated with the availability of behavioral treatments and system-level support but not pharmacotherapy. Thus, low-income patients may have similar access to tobacco cessation pharmacotherapy but greater access to behavioral treatments and system-level support. However, the availability of tobacco cessation services is not widespread overall, which may hamper access to extensive services to address low-income SUD patients' high smoking rates.

13.
J Addict Dis ; 33(3): 243-52, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25115318

RESUMO

This longitudinal study investigated the extent to which substance abuse (SA) clinician turnover is associated with SA-specific knowledge loss due to change in professions (professional turnover) versus SA-specific knowledge transfer due to movement from one SA clinical setting to another (treatment program turnover). For this study, clinicians had to have voluntarily left their current treatment program. Eligible clinicians completed a quantitative survey while employed and a qualitative post-employment exit interview 1 year later. Compared to those that exited the SA profession (n = 99), clinicians who changed treatment programs (n = 120) had greater SA-specific formal knowledge and were more likely to be personally in recovery. No differences were found between the two groups in terms of SA-specific practical knowledge.


Assuntos
Competência Clínica/normas , Corpo Clínico/provisão & distribuição , Reorganização de Recursos Humanos , Transtornos Relacionados ao Uso de Substâncias/terapia , Adulto , Aconselhamento , Escolaridade , Feminino , Georgia , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Estudos Longitudinais , Masculino , Corpo Clínico/normas , Pessoa de Meia-Idade
14.
J Subst Abuse Treat ; 47(5): 314-20, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25082757

RESUMO

This study aimed to understand substance use disorder counselors' implementation of evidence-based tobacco cessation services (TCS) with their patients who smoke. Drawing from an established adoption of innovations framework, we investigated the association between counselors' perceptions of the availability of TCS (both pharmacotherapies and behavioral treatments) in their treatment program and the implementation of TCS (both pharmacotherapies and behavioral treatments) with their patients who smoke and whether this association is moderated by the strength of an organization's climate for implementation and the fit of the innovation with users' values. Data were collected in 2010 from 682 counselors working in 239 treatment programs across the U.S. that offer evidence-based TCS. Mixed-effect models showed that perceived availability of TCS was related with greater TCS implementation. This relationship was moderated by several indicators of climate for implementation but not by the fit of the innovation with users' values.


Assuntos
Atitude do Pessoal de Saúde , Aconselhamento , Abandono do Hábito de Fumar/métodos , Fumar/terapia , Tabagismo/terapia , Adulto , Prática Clínica Baseada em Evidências , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estados Unidos
15.
J Vocat Behav ; 84(3): 283-292, 2014 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-24748681

RESUMO

This research investigates the influence of shared perceptions of developmental climate on individual-level perceptions of organizational commitment, engagement, and perceived competence, and whether these attitudes mediate the relationship between developmental climate and both individual voluntary turnover and supervisor-rated job performance. Survey data were collected from 361 intact employee-supervisory mentoring dyads and matched with employee turnover data collected one year later to test the proposed framework using multilevel modeling techniques. As expected, shared perceptions of developmental climate were significantly and positively related to all three individual work attitudes. In addition, both organizational commitment and perceived competence were significant mediators of the positive relationship between shared perceptions of developmental climate and voluntary turnover, as well as shared perceptions of developmental climate and supervisor-rated job performance. By contrast, no significant mediating effects were found for engagement. Theoretical implications, limitations, and future research are discussed.

16.
J Behav Health Serv Res ; 41(1): 50-63, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23430285

RESUMO

In 2008, the state of New York required substance use disorder treatment organizations to be 100% tobacco-free. This longitudinal study examined clinicians' perceptions of the implementation extensiveness of the tobacco-free practices approximately 10-12 months (Time 1) and 20-24 months (Time 2) post regulation and investigated whether clinicians' commitment to change and use of provided resources at Time 1 predicts perceptions of implementation extensiveness at Time 2. Clinicians (N = 287) noted a mean implementation of 5.60 patient practices (0-10 scale), 2.33 visitor practices (0-8 scale), and 6.66 employee practices (0-12 scale) at Time 1. At Time 2, clinicians perceived a mean implementation of 5.95 patient practices (no increase from Time 1), 2.89 visitor practices (increase from Time 1), and 7.12 employee practices (no increase from Time 1). Commitment to change and use of resources positively predicted perceived implementation extensiveness of visitor and employee practices. The use of resources positively predicted implementation for patient practices.


Assuntos
Atitude do Pessoal de Saúde , Política de Saúde , Padrões de Prática Médica , Abandono do Hábito de Fumar/métodos , Centros de Tratamento de Abuso de Substâncias , Transtornos Relacionados ao Uso de Substâncias/terapia , Adulto , Feminino , Regulamentação Governamental , Recursos em Saúde , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , New York , Percepção , Guias de Prática Clínica como Assunto , Abandono do Hábito de Fumar/legislação & jurisprudência , Governo Estadual
17.
J Addict Med ; 8(1): 59-65, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24365803

RESUMO

OBJECTIVES: This study investigated 3 organizational factors (ie, counseling staff clinical skills, absence of treatment program obstacles, and policy-related incentives) as predictors of tobacco cessation pharmacotherapy (TCP) adoption (comprised of the 9 available TCPs) in addiction treatment programs using the innovation implementation effectiveness framework. METHODS: Data were obtained in 2010 from a random sample of 1006 addiction treatment program administrators located across the United States using structured telephone interviews. RESULTS: According to program administrator reports, TCP is adopted in approximately 30% of treatment programs. Negative binomial regression results show that fewer treatment program obstacles and more policy-related incentives are related to greater adoption of TCP. Counter to prediction, clinical skills are unrelated to TCP adoption. CONCLUSIONS: Our findings suggest that organizational factors, on the basis of established theoretical frameworks, merit further examination as facilitators of the adoption of diverse TCP in addiction treatment programs.


Assuntos
Abandono do Hábito de Fumar/métodos , Abandono do Hábito de Fumar/estatística & dados numéricos , Centros de Tratamento de Abuso de Substâncias/organização & administração , Pessoal de Saúde/estatística & dados numéricos , Humanos , Análise de Regressão , Fumar/epidemiologia , Fumar/terapia , Centros de Tratamento de Abuso de Substâncias/métodos , Centros de Tratamento de Abuso de Substâncias/estatística & dados numéricos
18.
J Subst Abuse Treat ; 46(4): 447-55, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24355811

RESUMO

This study examined the relationship between (1) three indicators of climate for innovation (clinician skills, absence of program obstacles, policy-related incentives) and adoption extensiveness of both behavioral treatments for tobacco cessation (TC) and system-level support for TC in substance use disorder treatment programs, (2) a program's 12-step treatment orientation and adoption extensiveness, and (3) whether 12-step treatment orientation moderates the relationship between climate for innovation and adoption extensiveness. Data were obtained from a random sample of 1006 program administrators. Hierarchical regression results showed that both absence of program obstacles and policy-related incentives are positively related to adoption extensiveness. Twelve-step treatment orientation is neither related to adoption extensiveness nor a moderator of the relationship between climate for innovation and adoption extensiveness. Although the adoption of both behavioral treatments for TC and system-level support for TC is not extensive, we conclude that a 12-step treatment orientation neither hampers nor promotes adoption extensiveness.


Assuntos
Difusão de Inovações , Abandono do Hábito de Fumar/métodos , Centros de Tratamento de Abuso de Substâncias/métodos , Transtornos Relacionados ao Uso de Substâncias/reabilitação , Terapia Comportamental/métodos , Competência Clínica , Humanos , Inovação Organizacional , Política Organizacional , Análise de Regressão
19.
Drug Alcohol Depend ; 132(1-2): 158-64, 2013 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-23428317

RESUMO

BACKGROUND: On July 24, 2008, New York State (NYS) became the first state to require all state-funded or state-certified substance use disorder (SUD) treatment organizations to be 100% tobacco-free and offer tobacco cessation (TC) treatment. METHODS: The current study used a quasi-experimental, non-equivalent control group design with a pretest and posttest to examine the effect of the NYS tobacco-free regulation on three clinical practice behaviors (use of TC-related intake procedures, use of guideline recommended counseling for TC, and pharmacotherapy availability) in a diverse sample of SUD treatment programs. Repeated cross-sectional data were collected from NYS counselors (experimental group) and non-NYS counselors (control group) approximately 4 months pre-regulation (N=282 and 659, respectively) and 10-12 months post-regulation (N=364 and 733, respectively). RESULTS: Using mixed-effects models, results at pre-regulation indicate no group differences in the three clinical practice behaviors. However, significant post-regulation effects were found such that the experimental group reports greater use of TC-related intake procedures, guideline recommended counseling, and availability of pharmacotherapy than the control group. Additionally, the experimental but not the control group shows increases in all three clinical practice behaviors from pre-regulation to post-regulation. CONCLUSIONS: We conclude that the NYS tobacco-free regulation had a significant and positive effect on promoting patient TC efforts among counselors.


Assuntos
Padrões de Prática Médica/estatística & dados numéricos , Política Antifumo/legislação & jurisprudência , Abandono do Hábito de Fumar/estatística & dados numéricos , Fumar/legislação & jurisprudência , Uso de Tabaco/legislação & jurisprudência , Adulto , Aconselhamento , Estudos Transversais , Interpretação Estatística de Dados , Feminino , Fidelidade a Diretrizes , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , New York , Fumar/tratamento farmacológico , Fatores Socioeconômicos , Uso de Tabaco/tratamento farmacológico
20.
J Subst Abuse Treat ; 45(1): 83-90, 2013 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-23375360

RESUMO

This study measured substance use disorder clinicians' perceptions regarding the implementation extensiveness of the Office of Alcohol and Substance Abuse Services (OASAS) tobacco-free regulation, passed in New York State in July of 2008, at three time-points and across organizations with varying characteristics. Repeated cross-sectional data were collected from clinicians approximately 4months pre-regulation (time 0, n=362), 10-12months post-regulation (time 1, n=462), and 20-24months post-regulation (time 2, n=509). Clinician perceptions of implementation extensiveness (number of required policies in effect), use of tobacco cessation-related intake procedures, and use of guideline recommended counseling for treating tobacco dependence are significantly greater at time 1 and time 2 compared to time 0. Additionally, differences are found in perceived implementation extensiveness based on hospital-based status, profit status, and level of care offered, although the pattern of effects differed some over the three time-points under investigation.


Assuntos
Atitude do Pessoal de Saúde , Abandono do Hábito de Fumar/métodos , Centros de Tratamento de Abuso de Substâncias/métodos , Tabagismo/reabilitação , Adulto , Estudos Transversais , Coleta de Dados , Aconselhamento Diretivo/métodos , Feminino , Regulamentação Governamental , Política de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , New York , Guias de Prática Clínica como Assunto , Abandono do Hábito de Fumar/legislação & jurisprudência , Fatores de Tempo
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