Factors Associated With Staff Engagement in Patients' Tobacco Treatment in a State Psychiatric Facility

J Am Psychiatr Nurses Assoc. 2017 Jul/Aug;23(4):268-278. doi: 10.1177/1078390317704045. Epub 2017 Apr 11.


Background: Persons with mental illnesses (MI) who use tobacco are likely to experience poorer physical health and worsened psychiatric symptomology as compared to their non-tobacco-using counterparts. Therefore, engaging them in treatment is an important aspect of evidence-based care.

Objective: To use the theory of planned behavior to examine factors associated with intentions to provide and the provision of evidence-based tobacco treatment.

Design: This study is based on a cross-sectional analysis of survey data from 195 staff at a state psychiatric hospital.

Results: When controlling for demographic variables, attitudes, subjective norms, and perceived behavioral control toward providing tobacco treatment were associated with intentions to provide tobacco treatment, but only subjective norms and perceived behavioral control were associated with reported provision of evidence-based tobacco treatment.

Conclusions: Understanding factors that influence provider delivery of tobacco treatment can better determine strategies to reduce the disproportionate tobacco use and related illnesses in behavioral health settings.

Keywords: behavioral health setting; mental illness; theory of planned behavior; tobacco treatment.

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Cross-Sectional Studies
  • Female
  • Health Care Surveys / statistics & numerical data
  • Hospitals, Psychiatric
  • Hospitals, State
  • Humans
  • Intention
  • Kentucky
  • Male
  • Mental Disorders / complications*
  • Psychiatric Nursing / methods*
  • Smoking Cessation
  • Tobacco Use Disorder / complications*
  • Tobacco Use Disorder / therapy*
  • Work Engagement*