Texas tobacco quitline knowledge, attitudes, and practices within healthcare agencies serving individuals with behavioral health needs: A multimethod study
Patients with behavioral health conditions have disproportionately high tobacco use rates and face significant barriers to accessing evidence-based tobacco cessation services. Tobacco quitlines are an effective and accessible resource, yet they are often underutilized. We identify knowledge, practic...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-10-01
|
| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221133552300147X |
| _version_ | 1797680864495140864 |
|---|---|
| author | Maggie Britton Anastasia Rogova Tzuan A. Chen Isabel Martinez Leal Bryce Kyburz Teresa Williams Mayuri Patel Lorraine R. Reitzel |
| author_facet | Maggie Britton Anastasia Rogova Tzuan A. Chen Isabel Martinez Leal Bryce Kyburz Teresa Williams Mayuri Patel Lorraine R. Reitzel |
| author_sort | Maggie Britton |
| collection | DOAJ |
| description | Patients with behavioral health conditions have disproportionately high tobacco use rates and face significant barriers to accessing evidence-based tobacco cessation services. Tobacco quitlines are an effective and accessible resource, yet they are often underutilized. We identify knowledge, practices, and attitudes towards the Texas Tobacco Quitline (TTQL) within behavioral healthcare settings in Texas. Quantitative and qualitative data were collected in 2021 as part of a statewide needs assessment in behavioral healthcare settings. Survey respondents (n = 125) represented 23 Federally Qualified Health Centers, 29 local mental health authorities (LMHAs), 12 substance use treatment programs in LMHAs, and 61 standalone substance use treatment centers (26 people participated in qualitative interviews). Over half of respondents indicated familiarity with the TTQL and believed that the TTQL was helpful for quitting. Qualitative findings reveal potential concerns about inconsistency of services, long wait time, and the format of the quitline. About half of respondents indicated that their center promoted patient referral to TTQL, and few indicated that their center had an electronic referral system with direct TTQL referral capacity. Interview respondents reported overall lack of systematic follow up with patients regarding their use of the TTQL services. Findings suggest the need for (1) increased TTQL service awareness among healthcare providers; (2) further investigation into any changes needed to better serve patients with behavioral health conditions who use tobacco; and (3) electronic health record integration supporting direct referrals and enhanced protocols to support patient follow up after TTQL referral. |
| first_indexed | 2024-03-11T23:36:27Z |
| format | Article |
| id | doaj.art-ed75e8c3c8634e9e90916ac8b0f07406 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-03-11T23:36:27Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-ed75e8c3c8634e9e90916ac8b0f074062023-09-20T04:20:52ZengElsevierPreventive Medicine Reports2211-33552023-10-0135102256Texas tobacco quitline knowledge, attitudes, and practices within healthcare agencies serving individuals with behavioral health needs: A multimethod studyMaggie Britton0Anastasia Rogova1Tzuan A. Chen2Isabel Martinez Leal3Bryce Kyburz4Teresa Williams5Mayuri Patel6Lorraine R. Reitzel7The University of Texas MD Anderson Cancer Center, Department of Health Disparities Research, Unit 1440, 1400 Pressler Street, Houston, TX 77030, United States; University of Houston, Department of Psychological, Health, and Learning Sciences, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, United States; University of Houston, HEALTH Research Institute, 4349 Martin Luther King Blvd, Houston, TX 77204, United States; Corresponding author at: Health Disparities Research Department, Unit 1440, UT MD Anderson Cancer Center, PO Box 301402, Houston, TX 77230, United States.The University of Texas MD Anderson Cancer Center, Department of Health Disparities Research, Unit 1440, 1400 Pressler Street, Houston, TX 77030, United States; University of Houston, Department of Psychological, Health, and Learning Sciences, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, United States; University of Houston, HEALTH Research Institute, 4349 Martin Luther King Blvd, Houston, TX 77204, United StatesUniversity of Houston, Department of Psychological, Health, and Learning Sciences, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, United States; University of Houston, HEALTH Research Institute, 4349 Martin Luther King Blvd, Houston, TX 77204, United StatesThe University of Texas MD Anderson Cancer Center, Department of Health Disparities Research, Unit 1440, 1400 Pressler Street, Houston, TX 77030, United States; University of Houston, Department of Psychological, Health, and Learning Sciences, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, United States; University of Houston, HEALTH Research Institute, 4349 Martin Luther King Blvd, Houston, TX 77204, United StatesIntegral Care, 1430 Collier St, Austin, TX 78704, United StatesIntegral Care, 1430 Collier St, Austin, TX 78704, United StatesTexas Department of State Health Services, Tobacco Prevention and Control Branch, 1100 West 49th Street, Mail Code 1965, Austin, TX 78756, United StatesThe University of Texas MD Anderson Cancer Center, Department of Health Disparities Research, Unit 1440, 1400 Pressler Street, Houston, TX 77030, United States; University of Houston, Department of Psychological, Health, and Learning Sciences, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, United StatesPatients with behavioral health conditions have disproportionately high tobacco use rates and face significant barriers to accessing evidence-based tobacco cessation services. Tobacco quitlines are an effective and accessible resource, yet they are often underutilized. We identify knowledge, practices, and attitudes towards the Texas Tobacco Quitline (TTQL) within behavioral healthcare settings in Texas. Quantitative and qualitative data were collected in 2021 as part of a statewide needs assessment in behavioral healthcare settings. Survey respondents (n = 125) represented 23 Federally Qualified Health Centers, 29 local mental health authorities (LMHAs), 12 substance use treatment programs in LMHAs, and 61 standalone substance use treatment centers (26 people participated in qualitative interviews). Over half of respondents indicated familiarity with the TTQL and believed that the TTQL was helpful for quitting. Qualitative findings reveal potential concerns about inconsistency of services, long wait time, and the format of the quitline. About half of respondents indicated that their center promoted patient referral to TTQL, and few indicated that their center had an electronic referral system with direct TTQL referral capacity. Interview respondents reported overall lack of systematic follow up with patients regarding their use of the TTQL services. Findings suggest the need for (1) increased TTQL service awareness among healthcare providers; (2) further investigation into any changes needed to better serve patients with behavioral health conditions who use tobacco; and (3) electronic health record integration supporting direct referrals and enhanced protocols to support patient follow up after TTQL referral.http://www.sciencedirect.com/science/article/pii/S221133552300147XTexas Tobacco QuitlineTobacco CessationHealth EquityBehavioral HealthcareNeeds AssessmentMultimethod Design |
| spellingShingle | Maggie Britton Anastasia Rogova Tzuan A. Chen Isabel Martinez Leal Bryce Kyburz Teresa Williams Mayuri Patel Lorraine R. Reitzel Texas tobacco quitline knowledge, attitudes, and practices within healthcare agencies serving individuals with behavioral health needs: A multimethod study Preventive Medicine Reports Texas Tobacco Quitline Tobacco Cessation Health Equity Behavioral Healthcare Needs Assessment Multimethod Design |
| title | Texas tobacco quitline knowledge, attitudes, and practices within healthcare agencies serving individuals with behavioral health needs: A multimethod study |
| title_full | Texas tobacco quitline knowledge, attitudes, and practices within healthcare agencies serving individuals with behavioral health needs: A multimethod study |
| title_fullStr | Texas tobacco quitline knowledge, attitudes, and practices within healthcare agencies serving individuals with behavioral health needs: A multimethod study |
| title_full_unstemmed | Texas tobacco quitline knowledge, attitudes, and practices within healthcare agencies serving individuals with behavioral health needs: A multimethod study |
| title_short | Texas tobacco quitline knowledge, attitudes, and practices within healthcare agencies serving individuals with behavioral health needs: A multimethod study |
| title_sort | texas tobacco quitline knowledge attitudes and practices within healthcare agencies serving individuals with behavioral health needs a multimethod study |
| topic | Texas Tobacco Quitline Tobacco Cessation Health Equity Behavioral Healthcare Needs Assessment Multimethod Design |
| url | http://www.sciencedirect.com/science/article/pii/S221133552300147X |
| work_keys_str_mv | AT maggiebritton texastobaccoquitlineknowledgeattitudesandpracticeswithinhealthcareagenciesservingindividualswithbehavioralhealthneedsamultimethodstudy AT anastasiarogova texastobaccoquitlineknowledgeattitudesandpracticeswithinhealthcareagenciesservingindividualswithbehavioralhealthneedsamultimethodstudy AT tzuanachen texastobaccoquitlineknowledgeattitudesandpracticeswithinhealthcareagenciesservingindividualswithbehavioralhealthneedsamultimethodstudy AT isabelmartinezleal texastobaccoquitlineknowledgeattitudesandpracticeswithinhealthcareagenciesservingindividualswithbehavioralhealthneedsamultimethodstudy AT brycekyburz texastobaccoquitlineknowledgeattitudesandpracticeswithinhealthcareagenciesservingindividualswithbehavioralhealthneedsamultimethodstudy AT teresawilliams texastobaccoquitlineknowledgeattitudesandpracticeswithinhealthcareagenciesservingindividualswithbehavioralhealthneedsamultimethodstudy AT mayuripatel texastobaccoquitlineknowledgeattitudesandpracticeswithinhealthcareagenciesservingindividualswithbehavioralhealthneedsamultimethodstudy AT lorrainerreitzel texastobaccoquitlineknowledgeattitudesandpracticeswithinhealthcareagenciesservingindividualswithbehavioralhealthneedsamultimethodstudy |