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Successful implementation of a wellness and tobacco cessation curriculum in psychosocial rehabilitation clubhouses.
Lee, Joseph G L; Ranney, Leah M; Goldstein, Adam O; McCullough, Anna; Fulton-Smith, Sterling M; Collins, Nicole O.
Afiliación
  • Lee JG; Tobacco Prevention and Evaluation Program, Department of Family Medicine, School of Medicine, University of North Carolina at Chapel Hill, CB 7595, 590 Manning Drive, Chapel Hill, North Carolina 27599, USA. jose.lee@unc.edu
BMC Public Health ; 11: 702, 2011 Sep 14.
Article en En | MEDLINE | ID: mdl-21917179
BACKGROUND: Tobacco remains a seemingly intractable problem for individuals living with severe and persistent mental illness. This study evaluated the implementation, technical assistance, and perceived impact of a model curriculum ("Learning About Healthy Living") to promote wellness and motivation to quit tobacco use in psychosocial rehabilitation clubhouses. METHODS: We used semi-structured interviews (n = 9) with clubhouse staff (n = 12) and a survey of participating clubhouse members (n = 271) in nine clubhouses. RESULTS: Fifty-eight percent of clubhouse participants completed surveys. Results showed tobacco users open to tobacco-free policies (62%) and perceiving more discussions about quitting tobacco with healthcare providers (69%). Analyses of staff interviews and member surveys revealed four key themes: (1) the curriculum was successfully implemented and appreciated; (2) technical assistance kept implementation on track; (3) adding wellness content and interactive components should enhance the curriculum; and, (4) the curriculum advanced other healthful policies and practices. CONCLUSIONS: Mental health settings are important locations for implementing programs to address tobacco use. In this real-world implementation of a model curriculum in psychosocial rehabilitation clubhouses, the curriculum tested well, was feasible and well-received, and suggests potential impact on tobacco use outcomes. Revision, dissemination, and a randomized controlled trial evaluation of the model curriculum should now occur.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Centros de Rehabilitación / Cese del Hábito de Fumar / Curriculum / Promoción de la Salud / Trastornos Mentales Tipo de estudio: Clinical_trials / Diagnostic_studies / Prognostic_studies / Qualitative_research Aspecto: Implementation_research Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: BMC Public Health Asunto de la revista: SAUDE PUBLICA Año: 2011 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Centros de Rehabilitación / Cese del Hábito de Fumar / Curriculum / Promoción de la Salud / Trastornos Mentales Tipo de estudio: Clinical_trials / Diagnostic_studies / Prognostic_studies / Qualitative_research Aspecto: Implementation_research Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: BMC Public Health Asunto de la revista: SAUDE PUBLICA Año: 2011 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido