{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:28:21Z","timestamp":1787167701182,"version":"build-2736575974"},"reference-count":42,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T00:00:00Z","timestamp":1715731200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Kentucky Cabinet for Health and Family Services, Tobacco Prevention and Cessation Program"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Am Psychiatr Nurses Assoc"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>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\u2019 intention to provide and consumer intention to engage in tobacco treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>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\u2019 intentions to engage in tobacco treatment. In regression analysis, only subjective norms and perceived behavior control were significant predictors for providers\u2019 intentions to provide tobacco treatment, but there were no significant predictors of consumers\u2019 intentions to engage in tobacco treatment. Both providers and consumers endorsed poor implementation of evidence-based tobacco treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10783903241252804","type":"journal-article","created":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T04:50:23Z","timestamp":1715748623000},"page":"845-851","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Assessing Tobacco Treatment Engagement in Assertive Community Treatment Programs"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5674-6253","authenticated-orcid":false,"given":"Chizimuzo T. C.","family":"Okoli","sequence":"first","affiliation":[{"name":"Chizimuzo T. C. Okoli, PhD, MPH, APRN, FAAN, University of Kentucky College of Nursing, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bassema","family":"Abufarsakh","sequence":"additional","affiliation":[{"name":"Bassema Abufarsakh, PhD, RN, University of Kentucky College of Nursing, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarret","family":"Seng","sequence":"additional","affiliation":[{"name":"Sarret Seng, BS, BSN, RN, University of Kentucky College of Nursing, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Robertson","sequence":"additional","affiliation":[{"name":"Heather Robertson, MA, University of Kentucky College of Nursing, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zainab","family":"Almogheer","sequence":"additional","affiliation":[{"name":"Zainab Almogheer, PhD, University of Kentucky College of Nursing, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,5,15]]},"reference":[{"key":"bibr1-10783903241252804","doi-asserted-by":"publisher","DOI":"10.1111\/inm.13103"},{"key":"bibr2-10783903241252804","doi-asserted-by":"publisher","DOI":"10.1017\/9781108677318.002"},{"key":"bibr3-10783903241252804","doi-asserted-by":"publisher","DOI":"10.1080\/15504263.2015.1025025"},{"key":"bibr4-10783903241252804","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2018.09.028"},{"key":"bibr5-10783903241252804","unstructured":"Centers for Disease Control and Prevention. 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