Abstract：
UNASSIGNED: Despite high tobacco use prevalence among those with serious mental illnesses, few Assertive Community Treatment (ACT) programs provide tobacco treatment. Understanding the factors associated with the intentions to engage in tobacco treatment from both provider and consumer perspectives is important. The purpose was to examine ACT providers\' intention to provide and consumer intention to engage in tobacco treatment.
UNASSIGNED: A cross-sectional survey of ACT program providers (N = 51) and consumers (N = 43) from four community mental health centers. Multiple linear regression analyses were used to examine factors associated with the intentions to provide or engage in tobacco treatment from among attitudinal, subjective norms, and perceived behavioral control variables.
UNASSIGNED: Providers reported positive attitudes, high degree of perceived behavior control, and high intentions for delivering tobacco treatment, but poor perceptions of subjective norms. These results were like consumers\' intentions to engage in tobacco treatment. In regression analysis, only subjective norms and perceived behavior control were significant predictors for providers\' intentions to provide tobacco treatment, but there were no significant predictors of consumers\' intentions to engage in tobacco treatment. Both providers and consumers endorsed poor implementation of evidence-based tobacco treatment.
UNASSIGNED: Poor engagement in tobacco treatment within ACT programs indicates the need for policymakers to support tobacco treatment within the services. This finding calls for training of mental and behavioral health providers while supporting tobacco-free initiatives in ACT treatment service settings.
UNASSIGNED: A cross-sectional survey of ACT program providers (N = 51) and consumers (N = 43) from four community mental health centers. Multiple linear regression analyses were used to examine factors associated with the intentions to provide or engage in tobacco treatment from among attitudinal, subjective norms, and perceived behavioral control variables.
UNASSIGNED: Providers reported positive attitudes, high degree of perceived behavior control, and high intentions for delivering tobacco treatment, but poor perceptions of subjective norms. These results were like consumers\' intentions to engage in tobacco treatment. In regression analysis, only subjective norms and perceived behavior control were significant predictors for providers\' intentions to provide tobacco treatment, but there were no significant predictors of consumers\' intentions to engage in tobacco treatment. Both providers and consumers endorsed poor implementation of evidence-based tobacco treatment.
UNASSIGNED: Poor engagement in tobacco treatment within ACT programs indicates the need for policymakers to support tobacco treatment within the services. This finding calls for training of mental and behavioral health providers while supporting tobacco-free initiatives in ACT treatment service settings.
摘要：
■尽管在患有严重精神疾病的人群中使用烟草的患病率很高，很少有断言社区治疗（ACT）计划提供烟草治疗。从提供者和消费者的角度理解与从事烟草治疗的意图相关的因素是重要的。目的是检查ACT提供者的提供意图和消费者从事烟草治疗的意图。
■对来自四个社区心理健康中心的ACT计划提供者（N=51）和消费者（N=43）的横断面调查。多元线性回归分析用于从态度，主观规范，和感知的行为控制变量。
■供应商报告了积极的态度，高度的感知行为控制，以及提供烟草治疗的高度意图，但对主观规范的认识很差。这些结果就像消费者参与烟草治疗的意图。在回归分析中，只有主观规范和感知行为控制是提供者提供烟草治疗的显著预测因素，但没有显著的预测消费者从事烟草治疗的意图。提供者和消费者都赞同循证烟草治疗的实施不力。
■ACT计划中烟草治疗的参与不力表明政策制定者需要在服务中支持烟草治疗。这一发现要求对心理和行为健康提供者进行培训，同时支持ACT治疗服务环境中的无烟计划。
■对来自四个社区心理健康中心的ACT计划提供者（N=51）和消费者（N=43）的横断面调查。多元线性回归分析用于从态度，主观规范，和感知的行为控制变量。
■供应商报告了积极的态度，高度的感知行为控制，以及提供烟草治疗的高度意图，但对主观规范的认识很差。这些结果就像消费者参与烟草治疗的意图。在回归分析中，只有主观规范和感知行为控制是提供者提供烟草治疗的显著预测因素，但没有显著的预测消费者从事烟草治疗的意图。提供者和消费者都赞同循证烟草治疗的实施不力。
■ACT计划中烟草治疗的参与不力表明政策制定者需要在服务中支持烟草治疗。这一发现要求对心理和行为健康提供者进行培训，同时支持ACT治疗服务环境中的无烟计划。
