{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T01:27:50Z","timestamp":1792114070719,"version":"4.4.0"},"reference-count":0,"publisher":"JCFCorp SG PTE LTD","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["am j health behav"],"published-print":{"date-parts":[[2020,9,1]]},"abstract":"<jats:p><jats:bold>Objectives:<\/jats:bold> About 65%-87% of substance use disorder patients smoke cigarettes, compared to 14% of the general adult population. Few substance use treatment centers (SUTCs) have comprehensive tobacco-free workplace (TFW) policies or offer tobacco interventions. Taking Texas Tobacco\n Free (TTTF) implements an evidence-based TFW program in SUTCs, including at the Billy T. Cattan Recovery Outreach Center (BTC). We present a mixed methods case study of BTC's TTTF implementation, success factors, and challenges. <jats:bold>Methods:<\/jats:bold> TTTF provided policy development assistance,\n training, treatment resources, and technical assistance over \u223c9 months. Implementation was tailored using mixed methods. Quantitative data included surveys to stakeholders (N<jats:sub>max<\/jats:sub> = 7), a pre- and post-training questionnaire assessing knowledge gain, and reported quantities of\n tobacco use assessments (TUAs) administered and nicotine replacement therapy (NRT) provided. Qualitative data included stakeholder focus groups and interviews (18 participants). <jats:bold>Results:<\/jats:bold> All employees reported TFW policy compliance. Employees exhibited a 20% knowledge gain. Clinicians\n increased self-report of NRT provision and tobacco cessation counseling. During implementation, BTC administered TUAs to 171 patients and dispensed NRT to 70 of 110 tobacco-using patients. <jats:bold>Conclusion:<\/jats:bold> Qualitative findings contextualized quantitative outcomes. TTTF implementation changed\n clinician attitudes, knowledge, and practices regarding tobacco treatment, facilitating patient quit attempts.<\/jats:p>","DOI":"10.5993\/ajhb.44.5.9","type":"journal-article","created":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T15:23:07Z","timestamp":1603120987000},"page":"652-665","source":"Crossref","is-referenced-by-count":22,"title":["Tobacco-free Workplace Program at a Substance Use Treatment Center"],"prefix":"10.5993","volume":"44","author":[{"given":"Kathy","family":"Le","sequence":"first","affiliation":[{"name":"Research Scientist, University of Houston, Department of Psychological, Health, and Learning Sciences, Houston, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virmarie","family":"Correa-Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Assistant Professor, University of Houston, Department of Psychological, Health, and Learning Sciences, Houston, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel Martinez","family":"Leal","sequence":"additional","affiliation":[{"name":"Senior Researcher, University of Houston, Department of Psychological, Health, and Learning Sciences, Houston, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryce","family":"Kyburz","sequence":"additional","affiliation":[{"name":"Taking Texas Tobacco Free Program Manager, Integral Care, Austin, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tzu-An","family":"Chen","sequence":"additional","affiliation":[{"name":"Research Assistant Professor, University of Houston, HEALTH Research Institute, Houston, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Barrientos","sequence":"additional","affiliation":[{"name":"Center Director, Recovery Outreach Center, Victoria, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elma","family":"Saenz","sequence":"additional","affiliation":[{"name":"Clinic Coordinator, Recovery Outreach Center, Victoria, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Williams","sequence":"additional","affiliation":[{"name":"Director of Clinical Services, Integral Care, Austin, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel P.","family":"O'Connor","sequence":"additional","affiliation":[{"name":"Professor, University of Houston, Department of Health & Human Performance, Houston, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ezemenari M.","family":"Obasi","sequence":"additional","affiliation":[{"name":"Professor, University of Houston, Department of Psychological, Health, and Learning Sciences, Houston, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Casey","sequence":"additional","affiliation":[{"name":"Director of Clinical Innovation and Development, Integral Care, Austin, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorraine R.","family":"Reitzel","sequence":"additional","affiliation":[{"name":"Professor, University of Houston, Department of Psychological, Health, and Learning Sciences, Houston, TX;, Email: Lrreitzel@uh.edu"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"26169","container-title":["American Journal of Health Behavior"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/png\/ajhb\/2020\/00000044\/00000005\/art00009","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,30]],"date-time":"2020-10-30T04:35:48Z","timestamp":1604032548000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.5993\/AJHB.44.5.9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,1]]},"references-count":0,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,9,1]]}},"alternative-id":["1087-3244(20200901)44:5L.652;1-"],"URL":"https:\/\/doi.org\/10.5993\/ajhb.44.5.9","relation":{},"ISSN":["1087-3244"],"issn-type":[{"value":"1087-3244","type":"print"}],"subject":[],"published":{"date-parts":[[2020,9,1]]}}}