WELCOME TO PROJECT MERITS

September 1, 2014

Filed under: Uncategorized — Merits @ 10:31 AM

 

Forthcoming: Sustained, new, never, and discontinued tobacco cessation services adopters August 10, 2014

Filed under: Uncategorized — Merits @ 9:27 AM

Eby, L. T., Laschober, T. C., & Muilenburg, J. L. (in press). Sustained, new, never, and discontinued tobacco cessation services adopters. Journal of Substance Abuse Treatment.

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.

 

Forthcoming publication: Relationship between low-income patient census and substance use disorder treatment programs’ availability of tobacco cessation services

Filed under: Uncategorized — Merits @ 9:26 AM

Muilenburg, J. L., Laschober, T. C., & Eby, L. T. (in press). Relationship between low-income patient census and substance use disorder treatment programs’ availability of tobacco cessation services. Journal of Drug Issues.

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.

 

New publication: “Understanding why counselors implement tobacco cessation services with patients” July 3, 2014

Filed under: Uncategorized — Merits @ 10:42 AM

Eby, L. T., Laschober, T. C., & Muilenburg, J. L. (in press). Understanding why counselors implement tobacco cessation services with patients. Journal of Substance Abuse Treatment.

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.

 

Wishing you a safe and happy 4th of July!!!

Filed under: Uncategorized — Merits @ 10:20 AM
 

Happy Memorial Day 2014!!! May 25, 2014

Filed under: Uncategorized — Merits @ 11:23 AM
 

Happy Mother’s Day!!! May 11, 2014

Filed under: Uncategorized — Merits @ 3:17 PM
 

 
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