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A Learning Collaborative Model for Implementation of Smoking Cessation among Homeless Veterans

Published online by Cambridge University Press:  08 August 2017

Jean C. Beckham Open the ORCID record for Jean C. Beckham [Opens in a new window] ,
Angela C. Kirby ,
Nick Tise ,
Vickie L. Carpenter ,
Eric A. Dedert ,
J. Murray McNiel ,
Jennifer J. Runnals  and
Patrick S. Calhoun
Jean C. Beckham*
Affiliation:
Durham Veterans Affairs Medical Center, Durham, NC Veterans Affairs Mid-Atlantic Region Mental Illness Research, Education, and Clinical Center, Durham, NC Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC
Angela C. Kirby
Affiliation:
Durham Veterans Affairs Medical Center, Durham, NC Veterans Affairs Mid-Atlantic Region Mental Illness Research, Education, and Clinical Center, Durham, NC
Nick Tise
Affiliation:
Duke Evidence-Based Practice Implementation Center, Duke School of Medicine, Durham, NC
Vickie L. Carpenter
Affiliation:
Durham Veterans Affairs Medical Center, Durham, NC
Eric A. Dedert
Affiliation:
Durham Veterans Affairs Medical Center, Durham, NC Veterans Affairs Mid-Atlantic Region Mental Illness Research, Education, and Clinical Center, Durham, NC Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC
J. Murray McNiel
Affiliation:
Durham Veterans Affairs Medical Center, Durham, NC Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC
Jennifer J. Runnals
Affiliation:
Durham Veterans Affairs Medical Center, Durham, NC Veterans Affairs Mid-Atlantic Region Mental Illness Research, Education, and Clinical Center, Durham, NC
Patrick S. Calhoun
Affiliation:
Durham Veterans Affairs Medical Center, Durham, NC Veterans Affairs Mid-Atlantic Region Mental Illness Research, Education, and Clinical Center, Durham, NC Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC Veterans Affairs Center for Health Services Research in Primary Care, Durham, NC
*
Address for correspondence: Jean Beckham, Ph.D., Durham Veterans Affairs Medical Center, 508 Fulton St. (Building 16, Room 57), Durham, NC 27705, USA. Email: jean.beckham@va.gov or beckham@duke.edu
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Abstract

We evaluated the feasibility of incorporating integrated care (IC) for smoking cessation into routine care for homeless veterans at seven Department of Veterans Affairs (VA) Medical Centers and the utility of the learning collaborative (LC) model in facilitating implementation. The goal of IC is for clinicians to provide smoking cessation concurrent with other clinical duties. The LC model utilises multidisciplinary teams and recognised field experts to develop methods for accelerating the use of evidence-based treatments. Multidisciplinary teams comprising 34 (of about 175) staff members from seven VA homeless provider teams participated. Via self-report questionnaires, we assessed providers’ perceptions of the LC and the number of providers delivering IC. Nineteen of thirty-four providers (54%) reported delivering IC at the end of training and at 10-months. Providers rated the face-to-face trainings and collaborative team trainings as the most helpful LC components. Barriers to the use of the LC included lack of leadership support and the lack of ability to electronically track progress through the electronic medical record. Additional research, quality improvement, and policy changes at higher administrative levels are needed to identify methods to sustain the use of LC among providers serving homeless veterans.

Type
Original Articles
Information
Journal of Smoking Cessation , Volume 13 , Issue 3 , September 2018 , pp. 129 - 136
Copyright
Copyright © The Author(s) 2017 

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