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A quasi-experimental study examining New York State's tobacco-free regulation: effects on clinical practice behaviors.
Eby, Lillian T; Laschober, Tanja C.
Affiliation
  • Eby LT; Industrial-Organizational Psychology Program, University of Georgia, 325 Psychology Building, Athens, GA 30602, USA. leby@uga.edu
Drug Alcohol Depend ; 132(1-2): 158-64, 2013 Sep 01.
Article in En | MEDLINE | ID: mdl-23428317
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.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Practice Patterns, Physicians' / Smoking / Smoking Cessation / Smoke-Free Policy / Tobacco Use Type of study: Guideline / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspects: Equity_inequality Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: America do norte Language: En Journal: Drug Alcohol Depend Year: 2013 Document type: Article Affiliation country: United States Country of publication: Ireland

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Practice Patterns, Physicians' / Smoking / Smoking Cessation / Smoke-Free Policy / Tobacco Use Type of study: Guideline / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspects: Equity_inequality Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: America do norte Language: En Journal: Drug Alcohol Depend Year: 2013 Document type: Article Affiliation country: United States Country of publication: Ireland