TY - JOUR
T1 - Exploring individual and contextual factors contributing to tobacco cessation intervention implementation
AU - Andrés, Ana
AU - Castellano, Yolanda
AU - Fu, Marcela
AU - Feliu, Ariadna
AU - Ballbè, Montse
AU - Antón, Laura
AU - Baena, Antoni
AU - Fernández, Esteve
AU - Martínez, Cristina
N1 - Funding Information:
The Tobacco Control Unit is funded by the Government of Catalonia Directorate of Research and Universities grant ( 2017SGR319 ). EF was also supported by the Instituto de Salud Carlos III, Government of Spain , co-funded by the European Regional Development Fund (FEDER) ( INT16/00211 and INT17/00103 ). CM was also supported by the Instituto de Salud Carlos III, Government of Spain , co-funded by the European Regional Development Fund (FEDER) ( INT17/00116 ) and Ministry of Health from the Government of Catalonia (PERIS No 9015-586920/2017 ).
Publisher Copyright:
© 2018 Elsevier Ltd
PY - 2019/1
Y1 - 2019/1
N2 - Background: Previous research suggests that smoking cessation interventions are poorly implemented. This study reports the development and testing of a questionnaire including knowledge, attitude, behavioral, and organizational (KABO) factors affecting the implementation of smoking cessation practices in hospitals by health care providers and organizations. Methods: An initial pool of 44 items was developed to assess the individual knowledge, attitudes, and beliefs of health professionals towards smoking cessation practices according to the 5 A's intervention model, as well as organizational barriers and opportunities for its implementation. Items were measured in a scale from 0=“Not at all/Never” to 10 = “Completely/Always”. Data were collected from health workers (n = 702) in Catalonia. The validity of the instrument was measured by: (a) analyzing the items, (b) assessing the internal structure, (c) estimating the internal consistency, and (d) analyzing the relationship between this tool and the 5 A's intervention model. Results: Seven domains were extracted: individual skills, positive organizational support, attitudes and beliefs, individual commitment, organizational resources, beliefs about patient desire/readiness to quit, and organizational endorsement. These domains explained 69.7% of the variance, and allowed for the development of a refined 26-item version of the questionnaire. Both the seven domains and the total scale showed adequate internal consistency. Conclusions: Psychometric testing indicates that the KABO questionnaire is a reliable and valid instrument for assessing the main barriers and facilitators to smoking cessation intervention implementation. Individual factors better explained the implementation of smoking cessation interventions in hospitals, and the seven identified domains can be used for further investigations into how the implementation of evidence-based practices impacts smoking cessation performance.
AB - Background: Previous research suggests that smoking cessation interventions are poorly implemented. This study reports the development and testing of a questionnaire including knowledge, attitude, behavioral, and organizational (KABO) factors affecting the implementation of smoking cessation practices in hospitals by health care providers and organizations. Methods: An initial pool of 44 items was developed to assess the individual knowledge, attitudes, and beliefs of health professionals towards smoking cessation practices according to the 5 A's intervention model, as well as organizational barriers and opportunities for its implementation. Items were measured in a scale from 0=“Not at all/Never” to 10 = “Completely/Always”. Data were collected from health workers (n = 702) in Catalonia. The validity of the instrument was measured by: (a) analyzing the items, (b) assessing the internal structure, (c) estimating the internal consistency, and (d) analyzing the relationship between this tool and the 5 A's intervention model. Results: Seven domains were extracted: individual skills, positive organizational support, attitudes and beliefs, individual commitment, organizational resources, beliefs about patient desire/readiness to quit, and organizational endorsement. These domains explained 69.7% of the variance, and allowed for the development of a refined 26-item version of the questionnaire. Both the seven domains and the total scale showed adequate internal consistency. Conclusions: Psychometric testing indicates that the KABO questionnaire is a reliable and valid instrument for assessing the main barriers and facilitators to smoking cessation intervention implementation. Individual factors better explained the implementation of smoking cessation interventions in hospitals, and the seven identified domains can be used for further investigations into how the implementation of evidence-based practices impacts smoking cessation performance.
KW - Health care services
KW - Hospitals
KW - Implementation
KW - Instrument development, psychometrics
KW - Smoking cessation
UR - http://www.scopus.com/inward/record.url?scp=85053024599&partnerID=8YFLogxK
U2 - 10.1016/j.addbeh.2018.08.003
DO - 10.1016/j.addbeh.2018.08.003
M3 - Article
C2 - 30205255
AN - SCOPUS:85053024599
SN - 0306-4603
VL - 88
SP - 163
EP - 168
JO - Addictive Behaviors
JF - Addictive Behaviors
ER -
