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Use of a learning collaborative to support implementation of integrated care for smoking cessation for veterans with posttraumatic stress disorder.

Publication ,  Journal Article
Ebert, L; Malte, C; Hamlett-Berry, K; Beckham, J; McFall, M; Saxon, A
Published in: Am J Public Health
October 2014

OBJECTIVES: We evaluated the feasibility of incorporating integrated care (IC) for smoking cessation into routine treatment for posttraumatic stress disorder (PTSD) at Department of Veterans Affairs (VA) Medical Centers and the utility of the Learning Collaborative (LC) model in facilitating implementation. METHODS: We conducted 2 LCs aimed at implementing IC for smoking cessation using multidisciplinary teams comprising 70 staff members from 12 VA PTSD clinics. Using questionnaires, we evaluated providers' perceptions of the LC methodology and the effectiveness and feasibility of routine IC delivery. We assessed number of providers delivering and patients receiving IC using medical record data. RESULTS: More than 85% of participating VA staff considered the LC to be an effective training and implementation platform. The majority thought IC effectively addressed an important need and could be delivered in routine PTSD care. All LC participants who planned to deliver IC did so (n=52). Within 12 months of initial training, an additional 46 locally trained providers delivered IC and 395 veterans received IC. CONCLUSIONS: The LC model effectively facilitated rapid and broad implementation of IC. Facilitators and barriers to sustained use of IC are unknown and should be identified to understand how best to promote ongoing access to evidence-based treatment for smoking cessation in mental health populations.

Duke Scholars

Published In

Am J Public Health

DOI

EISSN

1541-0048

Publication Date

October 2014

Volume

104

Issue

10

Start / End Page

1935 / 1942

Location

United States

Related Subject Headings

  • Veterans
  • United States
  • Tobacco Use Disorder
  • Surveys and Questionnaires
  • Stress Disorders, Post-Traumatic
  • Smoking Cessation
  • Public Health
  • Patient Care Team
  • Male
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ebert, L., Malte, C., Hamlett-Berry, K., Beckham, J., McFall, M., & Saxon, A. (2014). Use of a learning collaborative to support implementation of integrated care for smoking cessation for veterans with posttraumatic stress disorder. Am J Public Health, 104(10), 1935–1942. https://doi.org/10.2105/AJPH.2013.301776
Ebert, Lori, Carol Malte, Kim Hamlett-Berry, Jean Beckham, Miles McFall, and Andrew Saxon. “Use of a learning collaborative to support implementation of integrated care for smoking cessation for veterans with posttraumatic stress disorder.Am J Public Health 104, no. 10 (October 2014): 1935–42. https://doi.org/10.2105/AJPH.2013.301776.
Ebert L, Malte C, Hamlett-Berry K, Beckham J, McFall M, Saxon A. Use of a learning collaborative to support implementation of integrated care for smoking cessation for veterans with posttraumatic stress disorder. Am J Public Health. 2014 Oct;104(10):1935–42.
Ebert, Lori, et al. “Use of a learning collaborative to support implementation of integrated care for smoking cessation for veterans with posttraumatic stress disorder.Am J Public Health, vol. 104, no. 10, Oct. 2014, pp. 1935–42. Pubmed, doi:10.2105/AJPH.2013.301776.
Ebert L, Malte C, Hamlett-Berry K, Beckham J, McFall M, Saxon A. Use of a learning collaborative to support implementation of integrated care for smoking cessation for veterans with posttraumatic stress disorder. Am J Public Health. 2014 Oct;104(10):1935–1942.

Published In

Am J Public Health

DOI

EISSN

1541-0048

Publication Date

October 2014

Volume

104

Issue

10

Start / End Page

1935 / 1942

Location

United States

Related Subject Headings

  • Veterans
  • United States
  • Tobacco Use Disorder
  • Surveys and Questionnaires
  • Stress Disorders, Post-Traumatic
  • Smoking Cessation
  • Public Health
  • Patient Care Team
  • Male
  • Humans