Organizational-Level Moderators Impacting Tobacco-Related Knowledge Change after Tobacco Education Training in Substance Use Treatment Centers

Kathy Le, Tzuan A. Chen, Isabel Martinez Leal, Virmarie Correa-Fernández, Ezemenari M. Obasi, Bryce Kyburz, Teresa Williams, Kathleen Casey, Haleem A. Brown, Daniel P. O’Connor and Lorraine R. Reitzel
Additional contact information
Kathy Le: Long School of Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA
Tzuan A. Chen: Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204-5029, USA
Isabel Martinez Leal: Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204-5029, USA
Virmarie Correa-Fernández: Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204-5029, USA
Ezemenari M. Obasi: Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204-5029, USA
Bryce Kyburz: Integral Care, 1430 Collier Street, Austin, TX 78704, USA
Teresa Williams: Integral Care, 1430 Collier Street, Austin, TX 78704, USA
Kathleen Casey: Integral Care, 1430 Collier Street, Austin, TX 78704, USA
Haleem A. Brown: Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204-5029, USA
Daniel P. O’Connor: Department of Health & Human Performance, The University of Houston, 3875 Holman Street, Garrison Gymnasium, Room 104, Houston, TX 77204, USA
Lorraine R. Reitzel: Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204-5029, USA

IJERPH, 2021, vol. 18, issue 14, 1-14

Abstract: Tobacco use is disproportionately elevated among patients with substance use disorders relative to the general U.S. population. Tobacco interventions are lacking within substance use treatment centers (SUTCs) due to lack of knowledge and training. This study examined knowledge gain and the organizational factors that might moderate knowledge gains following tobacco education training provided to employees (N = 580) within 15 SUTCs that were participating in a tobacco-free workplace program. The number of total annual patient visits, unique annual patient visits, number of full-time employees, and organizational readiness for implementing change (ORIC) as assessed prior to implementation were examined as potential moderators. Results demonstrated significant knowledge gain ( p < 0.001) after training overall; individually, 13 SUTCs had significant knowledge gain ( p ’s < 0.014). SUTCs with fewer total annual patient visits and fewer full-time employees showed greater knowledge gains. The ORIC total score and all but one of its subscales (Resource Availability) moderated knowledge gain. SUTCs with greater initial Change Efficacy ( p = 0.029), Valence ( p = 0.027), and Commitment ( p < 0.001) had greater knowledge gain than SUTCs with lower scores on these constructs; SUTCs with greater Task Knowledge ( p < 0.001) regarding requirements for change exhibited less knowledge gain. Understanding the organizational-level factors impacting training effectiveness can inform efforts in organizational change and tobacco control program implementation.

Keywords: tobacco; smoking; implementation; organizational change; training; education; knowledge; substance use (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (8)

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