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Exploring individual and contextual factors contributing to tobacco cessation intervention implementation
Ana Andrés1, Yolanda Castellano2, Marcela Fu3
1Faculty of Psychology, Education and Sport Sciences, Ramon Llull University, Blanquerna. C/ Císter, 34, Barcelona 08022, Spain.
Addictive Behaviors
|September 12, 2018
Summary
A new questionnaire (KABO) identifies barriers and facilitators for smoking cessation interventions in hospitals. Individual factors were key to implementation success, guiding future research on evidence-based practices.
Area of Science:
- Healthcare Management
- Public Health
- Behavioral Science
Background:
- Smoking cessation interventions in hospitals face implementation challenges.
- Healthcare providers and organizations encounter barriers to effective practice.
- Previous research highlights the need for better implementation strategies.
Purpose of the Study:
- To develop and test a questionnaire assessing factors influencing smoking cessation intervention implementation.
- To identify knowledge, attitude, behavioral, and organizational (KABO) factors.
- To create a reliable and valid instrument for healthcare settings.
Main Methods:
- Developed an initial 44-item pool based on the 5 A's intervention model.
- Collected data from 702 healthcare workers in Catalonia.
- Assessed validity through item analysis, internal structure, internal consistency, and relationship with the 5 A's model.
Main Results:
- A refined 26-item KABO questionnaire was developed, explaining 69.7% of the variance.
- Seven key domains were identified: individual skills, organizational support, attitudes, commitment, resources, patient readiness beliefs, and organizational endorsement.
- The questionnaire demonstrated adequate internal consistency for both domains and the total scale.
Conclusions:
- The KABO questionnaire is a reliable and valid tool for assessing barriers and facilitators to smoking cessation implementation.
- Individual factors significantly influence the implementation of these interventions in hospitals.
- The identified domains offer a framework for future research on evidence-based practice implementation and its impact on smoking cessation outcomes.
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