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. 2014 Apr;46(4):447-55.
doi: 10.1016/j.jsat.2013.10.016. Epub 2013 Nov 12.

Climate for innovation, 12-step orientation, and tobacco cessation treatment

Jessica L Muilenburg  1 , Tanja C Laschober  2 , Lillian T Eby  3
Affiliations

Climate for innovation, 12-step orientation, and tobacco cessation treatment

Jessica L Muilenburg et al. J Subst Abuse Treat. 2014 Apr.

Abstract

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.

Keywords: 12-Step orientation; Addiction treatment; Adoption of innovation; Evidence-based practices; Smoking treatment.

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