Perceived implementation of the Office of Alcoholism and Substance Abuse Services (OASAS) tobacco-free regulation in NY State and clinical practice behaviors to support tobacco cessation: a repeated cross-sectional study

J Subst Abuse Treat. 2013 Jul;45(1):83-90. doi: 10.1016/j.jsat.2013.01.001. Epub 2013 Jan 30.


This study measured substance use disorder clinicians' perceptions regarding the implementation extensiveness of the Office of Alcohol and Substance Abuse Services (OASAS) tobacco-free regulation, passed in New York State in July of 2008, at three time-points and across organizations with varying characteristics. Repeated cross-sectional data were collected from clinicians approximately 4months pre-regulation (time 0, n=362), 10-12months post-regulation (time 1, n=462), and 20-24months post-regulation (time 2, n=509). Clinician perceptions of implementation extensiveness (number of required policies in effect), use of tobacco cessation-related intake procedures, and use of guideline recommended counseling for treating tobacco dependence are significantly greater at time 1 and time 2 compared to time 0. Additionally, differences are found in perceived implementation extensiveness based on hospital-based status, profit status, and level of care offered, although the pattern of effects differed some over the three time-points under investigation.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Cross-Sectional Studies
  • Data Collection
  • Directive Counseling / methods
  • Female
  • Government Regulation
  • Health Policy
  • Humans
  • Male
  • Middle Aged
  • New York
  • Practice Guidelines as Topic
  • Smoking Cessation / legislation & jurisprudence
  • Smoking Cessation / methods*
  • Substance Abuse Treatment Centers / methods*
  • Time Factors
  • Tobacco Use Disorder / rehabilitation*