https://ogma.newcastle.edu.au/vital/access/ /manager/Index en-au 5 https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:17141 Wed 11 Apr 2018 17:18:55 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:24637 Wed 11 Apr 2018 12:32:37 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:24289 Wed 11 Apr 2018 12:16:30 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:24277 Sat 24 Mar 2018 07:14:58 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:25182 Mon 23 Sep 2019 12:21:33 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:32885 18 years, N = 4175) over a 19 month period in two inpatient adult psychiatric facilities in New South Wales, Australia. The clinical practice change intervention comprised six key strategies: leadership and consensus, enabling systems and procedures, training and education, information and resources, audit and feedback and an on-site practice change support officer. Systematic medical record audit and segmented logistic regression was used to determine differences in proportions for each nicotine dependence treatment outcome measure between the ‘pre’, ‘during’ and ‘post-intervention’ periods. Results: The prevalence of all five outcome measures increased significantly between the pre and post-intervention periods, including clinician recorded: assessment of patient smoking status (36.43 to 51.95%; adjusted odds ratio [AOR] = 2.39, 99% Confidence Interval [CI]: 1.23 to 4.66); assessment of patient nicotine dependence status (4.74 to 11.04%; AOR = 109.67, 99% CI: 35.35 to 340.22); provision of brief advice to quit (0.85 to 8.81%; AOR = 97.43, 99% CI: 31.03 to 306.30); provision of nicotine replacement therapy (8.06 to 26.25%; AOR = 19.59, 99% CI: 8.17 to 46.94); and provision of nicotine dependence treatment on discharge (8.82 to 13.45%, AOR = 12.36; 99% CI: 6.08 to 25.14). Conclusions: This is the first study to provide evidence that a clinical practice change intervention may increase clinician recorded provision of nicotine dependence treatment in inpatient psychiatric settings. The intervention offers a mechanism for psychiatric facilities to increase the provision of nicotine dependence treatment in accordance with clinical guidelines.]]> Fri 03 Dec 2021 10:34:59 AEDT ]]>