Integration of an Evidence-Based Tobacco Cessation Program into a Substance Use Disorders Program to
Friday, August 14, 2020
Posted by: Natalia Gromov
Smith PM, Seamark LD, Beck
K.
Integration of an
Evidence-Based Tobacco Cessation Program into a Substance Use Disorders Program
to Enhance Equity of Treatment Access for Northern, Rural, and Remote
Communities.
Transl Behav Med. 2020;10(3):555-564. doi:10.1093/tbm/ibz162
Integrating tobacco cessation interventions into substance use disorder (SUD)
programs is recommended, yet few are implemented into practice. This
translational research implementation study was designed to integrate an
evidence-based tobacco cessation intervention into a 2-week hospital outpatient
SUD program that served a rural municipality and 33 remote Indigenous
communities. Objectives included determining tobacco use prevalence,
intervention uptake, and staffing resources required for intervention delivery.
A series of 1-hr tobacco and health/well-being interactive education and
behavior-change groups were developed for the SUD program to create a central
access point to offer an evidence-based, intensive tobacco cessation
intervention that included an initial counseling/planning session and nine post-SUD
treatment follow-ups (weekly month 1; biweekly month 2; and 3, 6, and 12
months). Group sign-in data included age, gender, community, tobacco use, and
interest in receiving tobacco cessation help. Thirty-two groups (April 2018 to
February 2019) were attended by 105 people from 22 communities-56% were female,
mean age = 30.9 (±7.3; 93% <45 years), 86% smoked, and 38% enrolled in the
intensive tobacco cessation intervention. The age-standardized tobacco use
ratio was two times higher than would be expected in the general rural
population in the region. Average staff time to provide the intervention was
1.5-2.5 hr/week. Results showed that a Healthy Living group integrated into SUD
programming provided a forum for tobacco education, behavior-change skills development,
and access to an intensive tobacco cessation intervention for which enrollment
was high yet the intervention could be delivered with only a few staff hours a
week.
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