Implementation of the Tobacco Tactics intervention versus usual care in Trinity Health community hospitals

  • Sonia A. Duffy (Creator)
  • David L. Ronis (Creator)
  • Lee A. Ewing (Creator)
  • Andrea H. Waltje (Creator)
  • Stephanie V. Hall (Creator)
  • Patricia L. Thomas (Creator)
  • Christine M. Olree (Creator)
  • Kimberly A. Maguire (Creator)
  • Lisa Friedman (Creator)
  • Sue Klotz (Creator)
  • Neil Jordan (Creator)
  • Gay L. Landstrom (Creator)



Abstract Background Guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) implementation framework, a National Institutes of Health-sponsored study compared the nurse-administered Tobacco Tactics intervention to usual care. A prior paper describes the effectiveness of the Tobacco Tactics intervention. This subsequent paper provides data describing the remaining constructs of the RE-AIM framework. Methods This pragmatic study used a mixed methods, quasi-experimental design in five Michigan community hospitals of which three received the nurse-administered Tobacco Tactics intervention and two received usual care. Nurses and patients were surveyed pre- and post-intervention. Measures included reach (patient participation rates, characteristics, and receipt of services), adoption (nurse participation rates and characteristics), implementation (pre-to post-training changes in nurses' attitudes, delivery of services, barriers to implementation, opinions about training, documentation of services, and numbers of volunteer follow-up phone calls), and maintenance (continuation of the intervention once the study ended). Results Reach: Patient participation rates were 71.5 %. Compared to no change in the control sites, there were significant pre- to post-intervention increases in self-reported receipt of print materials in the intervention hospitals (n = 1370, p 
Date made available2016

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