Providers’ Non-Cigarette Tobacco Use Intervention Practices in Relation to Beliefs about Patients, Prioritization of and Skills for Intervention, and Referral Knowledge in Texas Healthcare Centers Providing Care to Persons with Behavioral Health Needs

Midhat Z. Jafry, Sean M. Reuven, Maggie Britton, Tzuan A. Chen, Isabel Martinez Leal, Anastasia Rogova, Bryce Kyburz, Teresa Williams, Mayuri Patel and Lorraine R. Reitzel ()
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Midhat Z. Jafry: Department of Health Disparities Research, University of Texas MD Anderson Cancer Center, Houston, TX 77230, USA
Sean M. Reuven: College of Medicine, University of Houston, 5055 Medical Circle, Houston, TX 77204, USA
Maggie Britton: Department of Health Disparities Research, University of Texas MD Anderson Cancer Center, Houston, TX 77230, USA
Tzuan A. Chen: Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA
Isabel Martinez Leal: Department of Health Disparities Research, University of Texas MD Anderson Cancer Center, Houston, TX 77230, USA
Anastasia Rogova: Department of Health Disparities Research, University of Texas MD Anderson Cancer Center, Houston, TX 77230, USA
Bryce Kyburz: Integral Care, Austin, TX 78704, USA
Teresa Williams: Integral Care, Austin, TX 78704, USA
Mayuri Patel: Department of State Health Services, Tobacco Prevention and Control Branch, Austin, TX 78756, USA
Lorraine R. Reitzel: Department of Health Disparities Research, University of Texas MD Anderson Cancer Center, Houston, TX 77230, USA

IJERPH, 2022, vol. 19, issue 21, 1-12

Abstract: Rates of non-cigarette (colloquially, other) tobacco use is elevated among adults with behavioral health conditions. Little is known about whether behavioral health providers are using brief interventions, including the evidence-based 5As (Ask, Advise, Assess, Assist, and Arrange) for other tobacco use, or what provider factors may be associated with use of these interventions. The current study redressed this gap. Overall, 86 providers in Texas (9 Federally Qualified Health Centers, 16 Local Mental Health Authorities (LMHAs) that provide a broad range of mental and behavioral health services, 6 substance use treatment programs in LMHAs, and 55 stand-alone substance use treatment programs) took a survey assessing their beliefs regarding (1) patients’ concerns about other tobacco use; (2) their desire to quit; (3) importance of intervening on other tobacco use with cessation counseling; (4) perceived skills to intervene; (5) knowledge of referral options for treatment. Logistic regression analyses were conducted to determine the association between each factor and use of the 5As. Results showed that 70.9% of providers asked patients about other tobacco use status, 65.1% advised them to quit, 59.3% assessed quit interest, 54.7% assisted with a quit attempt, and 31.4% arranged a follow-up. Providers who believed patients were concerned about other tobacco use, recognized the importance of offering other tobacco use cessation counseling, believed they had the necessary skills to treat other tobacco use, and possessed knowledge of referral options, respectively, were more likely to deliver the 5As ( ps < 0.05). Results add to a limited literature on provider intervention practices for other tobacco use in settings where behavioral health care is provided, highlighting the significance of provider beliefs, perceived skills, and referral knowledge to care delivery. Findings reveal opportunities to increase delivery of the 5As for other tobacco use to behavioral health patients and suggest provider factors that could be targeted to build this capacity.

Keywords: substance use disorders; mental health disorders; non-cigarette tobacco use; concurrent use; behavioral health providers; provider skills; referral knowledge; beliefs about patients (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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