Climate for innovation, 12-step orientation, and tobacco cessation treatment.
This study examined the relationship between (1) three indicators of climate for innovation (clinician skills, absence of program obstacles, policy-related incentives) and adoption extensiveness of both behavioral treatments for tobacco cessation (TC) and system-level support for TC in substance use disorder treatment programs, (2) a program's 12-step treatment orientation and adoption extensiveness, and (3) whether 12-step treatment orientation moderates the relationship between climate for innovation and adoption extensiveness. Data were obtained from a random sample of 1006 program administrators. Hierarchical regression results showed that both absence of program obstacles and policy-related incentives are positively related to adoption extensiveness. Twelve-step treatment orientation is neither related to adoption extensiveness nor a moderator of the relationship between climate for innovation and adoption extensiveness. Although the adoption of both behavioral treatments for TC and system-level support for TC is not extensive, we conclude that a 12-step treatment orientation neither hampers nor promotes adoption extensiveness.
['Muilenburg|Jessica L|JL|', 'Laschober|Tanja C|TC|', 'Eby|Lillian T|LT|']
D001521:Behavior Therapy D002983:Clinical Competence D004059:Diffusion of Innovation D006801:Humans D009936:Organizational Innovation D016134:Organizational Policy D012044:Regression Analysis D016540:Smoking Cessation D016320:Substance Abuse Treatment Centers D019966:Substance-Related Disorders
12-Step orientation Addiction treatment Adoption of innovation Evidence-based practices Smoking treatment