OBJECTIVE: To investigate whether the method of dissemination, antenatal clinic practice norms for smoking intervention and subjective evaluation of the attributes of a new smoking cessation program are associated with a nurse unit manager's initial decision to adopt the new program. METHOD: Twenty-three hospital clinics were randomly allocated to two groups which received the program either by simple or intensive dissemination methods. Simple dissemination involved a mailout of the 'Fresh Start' program and intensive dissemination involved a mailout which was enhanced by personal contact with midwifery facilitators who provided support and training for the program. It was hypothesised that intensive dissemination would improve program adoption compared to simple dissemination. It was also hypothesised that managers' perceptions of the program and clinic smoking intervention practice norms would predict program adoption. A hierarchical regression analysis was used to examine the association between these variables and the adoption of program components. RESULTS: The results indicated that the method of dissemination and the managers' perceptions of the program are significant predictors of program adoption. CONCLUSIONS: Although clinic practice norm for smoking cessation education is not a significant predictor of program adoption, it appears to mediate managers' perceptions of the program.
RCT Entities:
OBJECTIVE: To investigate whether the method of dissemination, antenatal clinic practice norms for smoking intervention and subjective evaluation of the attributes of a new smoking cessation program are associated with a nurse unit manager's initial decision to adopt the new program. METHOD: Twenty-three hospital clinics were randomly allocated to two groups which received the program either by simple or intensive dissemination methods. Simple dissemination involved a mailout of the 'Fresh Start' program and intensive dissemination involved a mailout which was enhanced by personal contact with midwifery facilitators who provided support and training for the program. It was hypothesised that intensive dissemination would improve program adoption compared to simple dissemination. It was also hypothesised that managers' perceptions of the program and clinic smoking intervention practice norms would predict program adoption. A hierarchical regression analysis was used to examine the association between these variables and the adoption of program components. RESULTS: The results indicated that the method of dissemination and the managers' perceptions of the program are significant predictors of program adoption. CONCLUSIONS: Although clinic practice norm for smoking cessation education is not a significant predictor of program adoption, it appears to mediate managers' perceptions of the program.
Authors: Fernando Althabe; Alicia Alemán; Mabel Berrueta; Paola Morello; Luz Gibbons; Mercedes Colomar; Van T Tong; Patricia M Dietz; Sherry L Farr; Alvaro Ciganda; Agustina Mazzoni; Laura Llambí; Ana Becú; Ruben A Smith; Carolyn Johnson; José M Belizán; Pierre M Buekens Journal: Nicotine Tob Res Date: 2015-12-12 Impact factor: 4.244
Authors: Alicia Alemán; Paola Morello; Mercedes Colomar; Laura Llambi; Mabel Berrueta; Luz Gibbons; Pierre Buekens; Fernando Althabe Journal: Int J Environ Res Public Health Date: 2016-12-29 Impact factor: 3.390
Authors: Catherine Chamberlain; Alison O'Mara-Eves; Sandy Oliver; Jenny R Caird; Susan M Perlen; Sandra J Eades; James Thomas Journal: Cochrane Database Syst Rev Date: 2013-10-23
Authors: Fernando Althabe; Alicia Alemán; Agustina Mazzoni; Mabel Berrueta; Paola Morello; Mercedes Colomar; Alvaro Ciganda; Ana Becú; Luz Gibbons; Laura Llambi; María G Bittar Gonzalez; Van T Tong; Sherry L Farr; Ruben A Smith; Patricia M Dietz; Carolyn Johnson; Pierre Buekens; José M Belizán Journal: Reprod Health Date: 2013-08-26 Impact factor: 3.223