These pages use javascript to create fly outs and drop down navigation elements.

Smoking Cessation Arrangements in Veterans Health Administration Facilities

Please note that this section is an archive (last updated in June 2006). [disclaimer]

Sections:   Overview | Instrument Reviews | Construct Overviews | Book Compendium Reviews | Internet Site Reviews

Created 2003 January 2
Jump To A Section

Practical Information | Research Contacts | Annotated Bibliography | Factors & Norms | Reliability Evidence | Validity Evidence | Comments | Updates | Feedback

Practical Information

Instrument Name:

Smoking Cessation Arrangements in Veterans Health Administration Facilities

Instrument Description:

This instrument is designed to record smoking cessation arrangements in VHA facilities. The measure is completed by Primary/Ambulatory Care Managers and/or Smoking Cessation Coordinators. There are 20 items (some with sub-items), under three sections: Assessment of Patient Smoking Behavior, Smoking Cessation Counseling, Referral & Treatment, and Smoking Cessation Resources. In the Assessment of Patient Smoking Behavior section, care managers are asked to report ways in which patients’ smoking habits are assessed and recorded by caregivers and clinics, methods used to collect patient smoking information, and ways sites are reminded to collect patient smoking information. In the Smoking Cessation Counseling, Referral & Treatment section, care managers or smoking cessation coordinators are asked to record the proportion of patients counseled about smoking, who provides the counseling, ways counseling is documented in patient charts, ways caregivers are reminded to provide counseling, counseling resources at the sites, referral rates for smoking cessation clinics, and the types of treatments offered patients. In the Smoking Cessation Resources section, care managers or smoking cessation coordinators are asked to record perceived barriers for improving smoking cessation rates and other smoking cessation or substance abuse projects recently undertaken at the site.

Price:

Free

Administration Time:

No information found.

Publication Year:

2000 (*revised)

Item Readability:

Flesch-Kincaid Reading Level of 11.9. There are some technical terms, but the target responder (care managers and smoking cessation coordinators) should understand them.

Scale Format:

Select-response format for most items.

Administration Technique:

Completed by care managers and/or smoking cessation coordinators.

Scoring and Interpretation:

Descriptive statistics are used for comparison among facilities.

Forms:

No information found.

Research Contacts

Instrument Developers:

Brian Mittman, PhD, and others.

Instrument Development Location:

Center for the Study of Healthcare Provider Behavior (152)
VA Medical Center 16111 Plummer St.
Sepulveda, CA 91343-2036

Instrument Developer Email:

Brian.Mittman@med.va.gov

Instrument Developer Website:

No information found.

Annotated Bibliography

1. Yano EM. Smoking Cessation Arrangements in VHA Facilities (MDRC). Management Research Tools/Instruments at Meeting on Management Research in VA - Washington DC February 15, 2002.
This report presents the basic information on the instrument.

top

Factors and Norms

Factor Analysis Work:

The items are not designed to assess factors, so factor analysis is not applicable.

Normative Information Availability:

No information found.

Reliability Evidence

Test-retest:

No information found.

Inter-rater:

No information found.

Internal Consistency:

No information found.

Alternate Forms:

No information found.

Validity Evidence

Construct/ Convergent/ Discriminant:

No information found.

Criterion-related/ Concurrent/ Predictive:

No information found.

Content:

No information found.

Responsiveness Evidence:

No information found.

Scale Application in VA Populations:

No information found.

Scale Application in non-VA Populations:

Yes (Ref: 1)

Comments


This measure is designed to document ways that clinical sites and caregivers record and assess patients’ smoking habits and clinics’ referral patterns and treatments for smoking cessation.

Advantages: The measure is readily available and free of charge to users. The items are detailed and the three sections thoroughly document how each clinic or care site documents patients’ smoking status and clinics’ referral patterns, treatment options, and resources for smoking cessation. Such detail will assist in pinpointing areas of improvement for clinics or will assist in documenting ways in which clinics differ in their smoking cessation arrangements.

Disadvantages: This measure was designed for use by VA clinics and therefore is context-specific. The specificity of the measure is advantageous as it promotes a rich understanding about specific smoking cessation activities. However, the specificity is a disadvantage for application of this measure in its exact format in other contexts. However, with item adaptation, the measure might be altered to fit other situations. No information was found about the reliability and validity of data collected using this measure, so it is not possible to evaluate the measurement properties of it. The items are designed to characterize system-level activities related to smoking cessation programs and are not designed to measure underlying constructs. Therefore, many of the traditional psychometric analyses, such as factor analysis and internal consistency assessment, are not applicable. Future research to gather evidence of inter-rater reliability and the accuracy of the item responses would be beneficial.

Recommendations: Researchers or clinicians interested in understanding how clinics or other healthcare sites promote smoking cessation may find this measure helpful. Potential users may consider contacting the developers of this measure to determine necessary item adaptations for application in other contexts.



Updates

No information found.