The Implementation of Smoking Cessation Counseling

Authors: Hannah K Knudsen Christina R Studts Jamie L Studts

Publish Date: 2011/06/07

Volume: 39, Issue: 1, Pages: 28-41

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Abstract

Research on the implementation of smoking cessation counseling within substance abuse treatment organizations is limited This study examines associations among counselors’ implementation of therapy sessions dedicated to smoking cessation organizational factors and counselorlevel variables A twolevel hierarchical linear model including organization and counselorlevel variables was estimated using survey data collected from 1794 counselors working in 359 treatment organizations Overall implementation of smoking cessation counseling was low In the final model implementation was positively associated with counselors’ knowledge of the Public Health Service’s clinical practice guideline perceived managerial support and belief that smoking cessation had a positive impact on recovery Private versus public funding and presence of a formal smoking cessation program were organizationlevel variables which interacted with these counselorlevel effects These results highlight the importance of organizational contexts as well as counselors’ knowledge and attitudes for effective implementation of smoking cessation counseling in substance abuse treatment organizationsPrimary data collection for this research and manuscript preparation was supported by the National Institute on Drug Abuse R01DA020757 Construction of the original samples was also supported by NIDA R01DA13110 R01DA14482 and R01DA14976 through research support to Dr Paul M Roman at the University of Georgia The opinions expressed are those of the authors and do not represent the official position of the funding agency The authors are grateful to the research staff at the University of Georgia particularly Jennifer Shaikun who managed the counselorlevel data collection

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