{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:24:49Z","timestamp":1792805089250,"version":"4.5.0"},"reference-count":29,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100017640","name":"the Department of State Health Services","doi-asserted-by":"publisher","award":["HHS000961900001"],"award-info":[{"award-number":["HHS000961900001"]}],"id":[{"id":"10.13039\/100017640","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100017640","name":"the Department of State Health Services","doi-asserted-by":"publisher","award":["NU58DP006805"],"award-info":[{"award-number":["NU58DP006805"]}],"id":[{"id":"10.13039\/100017640","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100017640","name":"the Department of State Health Services","doi-asserted-by":"publisher","award":["R25DA054015"],"award-info":[{"award-number":["R25DA054015"]}],"id":[{"id":"10.13039\/100017640","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100017640","name":"the Department of State Health Services","doi-asserted-by":"publisher","award":["P20CA221697"],"award-info":[{"award-number":["P20CA221697"]}],"id":[{"id":"10.13039\/100017640","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100017640","name":"the Department of State Health Services","doi-asserted-by":"publisher","award":["P20CA221696"],"award-info":[{"award-number":["P20CA221696"]}],"id":[{"id":"10.13039\/100017640","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention, National and State Tobacco Control Program","doi-asserted-by":"publisher","award":["HHS000961900001"],"award-info":[{"award-number":["HHS000961900001"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention, National and State Tobacco Control Program","doi-asserted-by":"publisher","award":["NU58DP006805"],"award-info":[{"award-number":["NU58DP006805"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention, National and State Tobacco Control Program","doi-asserted-by":"publisher","award":["R25DA054015"],"award-info":[{"award-number":["R25DA054015"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention, National and State Tobacco Control Program","doi-asserted-by":"publisher","award":["P20CA221697"],"award-info":[{"award-number":["P20CA221697"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention, National and State Tobacco Control Program","doi-asserted-by":"publisher","award":["P20CA221696"],"award-info":[{"award-number":["P20CA221696"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"the National Institute on Drug Abuse of the National Institutes of Health","doi-asserted-by":"publisher","award":["HHS000961900001"],"award-info":[{"award-number":["HHS000961900001"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"the National Institute on Drug Abuse of the National Institutes of Health","doi-asserted-by":"publisher","award":["NU58DP006805"],"award-info":[{"award-number":["NU58DP006805"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"the National Institute on Drug Abuse of the National Institutes of Health","doi-asserted-by":"publisher","award":["R25DA054015"],"award-info":[{"award-number":["R25DA054015"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"the National Institute on Drug Abuse of the National Institutes of Health","doi-asserted-by":"publisher","award":["P20CA221697"],"award-info":[{"award-number":["P20CA221697"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"the National Institute on Drug Abuse of the National Institutes of Health","doi-asserted-by":"publisher","award":["P20CA221696"],"award-info":[{"award-number":["P20CA221696"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"name":"the National Cancer Institute through awards","award":["HHS000961900001"],"award-info":[{"award-number":["HHS000961900001"]}]},{"name":"the National Cancer Institute through awards","award":["NU58DP006805"],"award-info":[{"award-number":["NU58DP006805"]}]},{"name":"the National Cancer Institute through awards","award":["R25DA054015"],"award-info":[{"award-number":["R25DA054015"]}]},{"name":"the National Cancer Institute through awards","award":["P20CA221697"],"award-info":[{"award-number":["P20CA221697"]}]},{"name":"the National Cancer Institute through awards","award":["P20CA221696"],"award-info":[{"award-number":["P20CA221696"]}]},{"name":"the University of Texas MD Anderson Cancer Center","award":["HHS000961900001"],"award-info":[{"award-number":["HHS000961900001"]}],"id":[{"id":"https:\/\/ror.org\/04twxam07","id-type":"ROR","asserted-by":"crossref"}]},{"name":"the University of Texas MD Anderson Cancer Center","award":["NU58DP006805"],"award-info":[{"award-number":["NU58DP006805"]}],"id":[{"id":"https:\/\/ror.org\/04twxam07","id-type":"ROR","asserted-by":"crossref"}]},{"name":"the University of Texas MD Anderson Cancer Center","award":["R25DA054015"],"award-info":[{"award-number":["R25DA054015"]}],"id":[{"id":"https:\/\/ror.org\/04twxam07","id-type":"ROR","asserted-by":"crossref"}]},{"name":"the University of Texas MD Anderson Cancer Center","award":["P20CA221697"],"award-info":[{"award-number":["P20CA221697"]}],"id":[{"id":"https:\/\/ror.org\/04twxam07","id-type":"ROR","asserted-by":"crossref"}]},{"name":"the University of Texas MD Anderson Cancer Center","award":["P20CA221696"],"award-info":[{"award-number":["P20CA221696"]}],"id":[{"id":"https:\/\/ror.org\/04twxam07","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Rates of non-cigarette (colloquially, other) tobacco use is elevated among adults with behavioral health conditions. Little is known about whether behavioral health providers are using brief interventions, including the evidence-based 5As (Ask, Advise, Assess, Assist, and Arrange) for other tobacco use, or what provider factors may be associated with use of these interventions. The current study redressed this gap. Overall, 86 providers in Texas (9 Federally Qualified Health Centers, 16 Local Mental Health Authorities (LMHAs) that provide a broad range of mental and behavioral health services, 6 substance use treatment programs in LMHAs, and 55 stand-alone substance use treatment programs) took a survey assessing their beliefs regarding (1) patients\u2019 concerns about other tobacco use; (2) their desire to quit; (3) importance of intervening on other tobacco use with cessation counseling; (4) perceived skills to intervene; (5) knowledge of referral options for treatment. Logistic regression analyses were conducted to determine the association between each factor and use of the 5As. Results showed that 70.9% of providers asked patients about other tobacco use status, 65.1% advised them to quit, 59.3% assessed quit interest, 54.7% assisted with a quit attempt, and 31.4% arranged a follow-up. Providers who believed patients were concerned about other tobacco use, recognized the importance of offering other tobacco use cessation counseling, believed they had the necessary skills to treat other tobacco use, and possessed knowledge of referral options, respectively, were more likely to deliver the 5As (ps &lt; 0.05). Results add to a limited literature on provider intervention practices for other tobacco use in settings where behavioral health care is provided, highlighting the significance of provider beliefs, perceived skills, and referral knowledge to care delivery. Findings reveal opportunities to increase delivery of the 5As for other tobacco use to behavioral health patients and suggest provider factors that could be targeted to build this capacity.<\/jats:p>","DOI":"10.3390\/ijerph192114269","type":"journal-article","created":{"date-parts":[[2022,11,2]],"date-time":"2022-11-02T06:49:02Z","timestamp":1667371742000},"page":"14269","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Providers\u2019 Non-Cigarette Tobacco Use Intervention Practices in Relation to Beliefs about Patients, Prioritization of and Skills for Intervention, and Referral Knowledge in Texas Healthcare Centers Providing Care to Persons with Behavioral Health Needs"],"prefix":"10.3390","volume":"19","author":[{"given":"Midhat Z.","family":"Jafry","sequence":"first","affiliation":[{"name":"Department of Health Disparities Research, University of Texas MD Anderson Cancer Center, Houston, TX 77230, USA"},{"name":"Department of Biology and Biochemistry, College of Natural Sciences & Mathematics, University of Houston, Science & Research Building 2, 3455 Cullen Blvd Room 342, Houston, TX 77204, USA"},{"name":"Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean M.","family":"Reuven","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Houston, 5055 Medical Circle, Houston, TX 77204, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maggie","family":"Britton","sequence":"additional","affiliation":[{"name":"Department of Health Disparities Research, University of Texas MD Anderson Cancer Center, Houston, TX 77230, USA"},{"name":"Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4312-7258","authenticated-orcid":false,"given":"Tzuan A.","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA"},{"name":"Health Research Institute, The University of Houston, 4349 Martin Luther King Blvd., Houston, TX 77204, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Martinez Leal","sequence":"additional","affiliation":[{"name":"Department of Health Disparities Research, University of Texas MD Anderson Cancer Center, Houston, TX 77230, USA"},{"name":"Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5701-7083","authenticated-orcid":false,"given":"Anastasia","family":"Rogova","sequence":"additional","affiliation":[{"name":"Department of Health Disparities Research, University of Texas MD Anderson Cancer Center, Houston, TX 77230, USA"},{"name":"Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryce","family":"Kyburz","sequence":"additional","affiliation":[{"name":"Integral Care, Austin, TX 78704, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Williams","sequence":"additional","affiliation":[{"name":"Integral Care, Austin, TX 78704, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayuri","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of State Health Services, Tobacco Prevention and Control Branch, Austin, TX 78756, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7165-5720","authenticated-orcid":false,"given":"Lorraine R.","family":"Reitzel","sequence":"additional","affiliation":[{"name":"Department of Health Disparities Research, University of Texas MD Anderson Cancer Center, Houston, TX 77230, USA"},{"name":"Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1080\/13607863.2011.615739","article-title":"Patterns of tobacco use and tobacco-related psychiatric morbidity and substance use among middle-aged and older adults in the United States","volume":"16","author":"Blazer","year":"2012","journal-title":"Aging Ment. Health"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e47","DOI":"10.2105\/AJPH.2012.300838","article-title":"US health policy related to hookah tobacco smoking","volume":"102","author":"Primack","year":"2012","journal-title":"Am. J. Public Health"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2345","DOI":"10.1158\/1055-9965.EPI-11-0545","article-title":"Nicotine, carbon monoxide, and carcinogen exposure after a single use of a water pipe","volume":"20","author":"Jacob","year":"2011","journal-title":"Cancer Epidemiol. Biomark. Prev."},{"key":"ref_4","unstructured":"National Cancer Institute (2022, September 28). Cigars: Health Effects and Trends, Available online: http:\/\/www.cancercontrol.cancer.gov\/tcrb\/monographs\/9\/index.html."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1016\/S1470-2045(08)70173-6","article-title":"Smokeless tobacco and cancer","volume":"9","author":"Boffetta","year":"2008","journal-title":"Lancet Oncol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"397","DOI":"10.15585\/mmwr.mm7111a1","article-title":"Tobacco Product Use Among Adults-United States, 2020","volume":"71","author":"Cornelius","year":"2022","journal-title":"MMWR Morb. Mortal. Wkly Rep."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.addbeh.2016.06.025","article-title":"Electronic-cigarette use by individuals in treatment for substance abuse: A survey of 24 treatment centers in the United States","volume":"63","author":"Gubner","year":"2016","journal-title":"Addict Behav."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"974","DOI":"10.1007\/s11606-017-4062-6","article-title":"Disparities in US Healthcare Provider Screening and Advice for Cessation Across Chronic Medical Conditions and Tobacco Products","volume":"32","author":"Keith","year":"2017","journal-title":"J. Gen. Intern. Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.jsat.2016.12.008","article-title":"Perceived barriers to smoking cessation among adults with substance use disorders","volume":"74","author":"McHugh","year":"2017","journal-title":"J. Subst. Abus. Treat."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1080\/02791072.2007.10399881","article-title":"Staff smoking and other barriers to nicotine dependence intervention in addiction treatment settings: A review","volume":"39","author":"Guydish","year":"2007","journal-title":"J. Psychoact. Drugs"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.jsat.2016.04.004","article-title":"Barriers and facilitators to tobacco cessation in a nationwide sample of addiction treatment programs","volume":"67","author":"Pagano","year":"2016","journal-title":"J. Subst. Abus. Treat."},{"key":"ref_12","unstructured":"Fiore, M., Ja\u00e9n, C., Baker, T., Bailey, W., Benowitz, N., Curry, S., Dorfman, S., Froelicher, E., Goldstein, M., and Healton, C. (2022, September 01). Treating Tobacco Use and Dependence: 2008 Update. Available online: http:\/\/www.tobaccoprogram.org\/clientuploads\/documents\/Consumer%20Materials\/Clinicians%20Systems%20Mat\/2008-Guidelines.pdf."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"519","DOI":"10.15585\/mmwr.mm6718a3","article-title":"Tobacco Cessation Interventions and Smoke-Free Policies in Mental Health and Substance Abuse Treatment Facilities\u2014United States, 2016","volume":"67","author":"Marynak","year":"2018","journal-title":"MMWR. Morb. Mortal. Wkly Rep."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"106726","DOI":"10.1016\/j.addbeh.2020.106726","article-title":"Implementation of a cluster randomized controlled trial: Identifying student peer leaders to lead E-cigarette interventions","volume":"114","author":"Chu","year":"2021","journal-title":"Addict. Behav."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"106841","DOI":"10.1016\/j.addbeh.2021.106841","article-title":"Developing a targeted e-cigarette health communication campaign for college students","volume":"117","author":"Escoto","year":"2021","journal-title":"Addict. Behav."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.addbeh.2016.03.031","article-title":"Knowledge and beliefs about electronic cigarettes among quitline cessation staff","volume":"60","author":"Cummins","year":"2016","journal-title":"Addict. Behav."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1007\/s10597-016-0065-8","article-title":"Smoking Cessation and Electronic Cigarettes in Community Mental Health Centers: Patient and Provider Perspectives","volume":"53","author":"Chen","year":"2017","journal-title":"Community Ment. Health J."},{"key":"ref_18","first-page":"228","article-title":"Barriers and solutions to addressing tobacco dependence in addiction treatment programs","volume":"29","author":"Ziedonis","year":"2006","journal-title":"Alcohol. Res. Health"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1067","DOI":"10.1016\/j.addbeh.2004.03.009","article-title":"Addressing tobacco among individuals with a mental illness or an addiction","volume":"29","author":"Williams","year":"2004","journal-title":"Addict. Behav."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1016\/j.jsat.2009.12.002","article-title":"The implementation of tobacco-related brief interventions in substance abuse treatment: A national study of counselors","volume":"38","author":"Knudsen","year":"2010","journal-title":"J. Subst. Abus. Treat."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"231","DOI":"10.2105\/AJPH.85.2.231","article-title":"Making the most of a teachable moment: A smokeless-tobacco cessation intervention in the dental office","volume":"85","author":"Stevens","year":"1995","journal-title":"Am. J. Public Health"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Siddiqi, A., Chen, T.A., Britton, M., Martinez Leal, I., Carter, B.J., Correa-Fern\u00e1ndez, V., Rogova, A., Kyburz, B., Williams, T., and Casey, K. (2022). Changes in Substance Use Treatment Providers\u2019 Delivery of the 5As for Other Tobacco Use in the Context of the Implementation of a Comprehensive Tobacco-Free Workplace Program Status, The University of Texas MD Anderson Cancer Center. manuscript in preparation; to be submitted.","DOI":"10.3390\/ijerph20032730"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1144","DOI":"10.1037\/0022-006X.72.6.1144","article-title":"A Meta-Analysis of Smoking Cessation Interventions with Individuals in Substance Abuse Treatment or Recovery","volume":"72","author":"Prochaska","year":"2004","journal-title":"J. Consult. Clin. Psychol"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1016\/j.jsat.2013.07.009","article-title":"Characterizing Smoking, Cessation Services, and Quit Interest across Outpatient Substance Abuse Treatment Modalities","volume":"46","author":"McClure","year":"2014","journal-title":"J. Subst. Abus. Treat."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.jsat.2016.11.002","article-title":"Quitting smoking during substance use disorders treatment: Patient and treatment-related variables","volume":"73","author":"Campbell","year":"2017","journal-title":"J. Subst. Abus. Treat"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"367","DOI":"10.3109\/16066359709002970","article-title":"Addiction beliefs of treatment providers: Factors explaining variance","volume":"4","author":"Schaler","year":"1977","journal-title":"Addict. Res."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Martinez Leal, I., Martinez, J., Britton, M., Chen, T.A., Correa-Fern\u00e1ndez, V., Kyburz, B., Nitturi, V., Obasi, E.M., Drenner, K., and Williams, T. (2022). Collaborative Learning: A Qualitative Study Exploring Factors Contributing to a Successful Tobacco Cessation Train-the-Trainer Program as a Community of Practice. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19137664"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Nitturi, V., Chen, T.A., Martinez Leal, I., Correa-Fern\u00e1ndez, V., Drenner, K., Kyburz, B., Williams, T., Obasi, E.M., Britton, M., and Howard, M. (2021). Implementation and Outcomes of a Train-the-Trainer Program at Behavioral Health Treatment Centers as a Mechanism to Maintain Organizational Capacity to Address Tobacco Use Disorder. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph182111635"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"e32242","DOI":"10.2196\/32242","article-title":"Health Care Professionals\u2019 Clinical Skills to Address Vaping and e-Cigarette Use by Patients: Needs and Interest Questionnaire Study","volume":"6","author":"Metcalf","year":"2022","journal-title":"JMIR Form. Res."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/21\/14269\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:07:20Z","timestamp":1760144840000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/21\/14269"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,1]]},"references-count":29,"journal-issue":{"issue":"21","published-online":{"date-parts":[[2022,11]]}},"alternative-id":["ijerph192114269"],"URL":"https:\/\/doi.org\/10.3390\/ijerph192114269","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,1]]}}}