Clinician’s perceptions and experiences with tobacco treatment in people who use cannabis: a qualitative study
Abstract Introduction Global demand for the treatment of cannabis use disorder has increased significantly, prompting a need to understand effective strategies for addressing concurrent cannabis and tobacco use. This study focuses on clinicians' experiences and perceptions in delivering tobacco...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | Substance Abuse Treatment, Prevention, and Policy |
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| Online Access: | https://doi.org/10.1186/s13011-024-00632-8 |
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| author | Cristina Martínez Marga Pla Ariadna Feliu Marta Enríquez Judith Saura Carmen Cabezas Joan Colom Josep M. Suelves Sílvia Mondon Pablo Barrio Magalí Andreu Antònia Raich Jordi Bernabeu Xavier Roca Maite Narváez Esteve Fernández Group of clinicians of the ACT_ATAC study |
| author_facet | Cristina Martínez Marga Pla Ariadna Feliu Marta Enríquez Judith Saura Carmen Cabezas Joan Colom Josep M. Suelves Sílvia Mondon Pablo Barrio Magalí Andreu Antònia Raich Jordi Bernabeu Xavier Roca Maite Narváez Esteve Fernández Group of clinicians of the ACT_ATAC study |
| author_sort | Cristina Martínez |
| collection | DOAJ |
| description | Abstract Introduction Global demand for the treatment of cannabis use disorder has increased significantly, prompting a need to understand effective strategies for addressing concurrent cannabis and tobacco use. This study focuses on clinicians' experiences and perceptions in delivering tobacco cessation services to people who use cannabis. Methods Fifteen participants (12 females, 3 males) participated in three homogenous focus groups, including two groups with extensive experience in providing tobacco cessation among the substance use population in Catalonia, Spain, and one group of clinicians without such experience. Thematic analysis was conducted to identify key patterns and insights in their discourse, focusing on shared themes and divergences across groups. Results Five main themes and 17 subthemes emerged: Individual characteristics, Clinician characteristics, Models of intervention, Organizational healthcare models, and Health policies. Clinicians stressed the importance of intervention models and the active role of professionals in addressing tobacco use within routine care, as tobacco cessation could mitigate social and chronic stigma among people who use cannabis, especially those engaged in polydrug use. Discussion and conclusions Recommendations included integrating tobacco cessation into all services, reducing healthcare service fragmentation, improving resource accessibility, enhancing clinical documentation, and advocating for stronger population-level tobacco control policies. Trial registration The ACT-ATAC project has been successfully registered at Clinicaltrials.gov [NCT04841655]. |
| format | Article |
| id | doaj-art-5d075660d7d3427598875a706bbff506 |
| institution | Kabale University |
| issn | 1747-597X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Substance Abuse Treatment, Prevention, and Policy |
| spelling | doaj-art-5d075660d7d3427598875a706bbff5062025-01-26T12:15:33ZengBMCSubstance Abuse Treatment, Prevention, and Policy1747-597X2025-01-0120111310.1186/s13011-024-00632-8Clinician’s perceptions and experiences with tobacco treatment in people who use cannabis: a qualitative studyCristina Martínez0Marga Pla1Ariadna Feliu2Marta Enríquez3Judith Saura4Carmen Cabezas5Joan Colom6Josep M. Suelves7Sílvia Mondon8Pablo Barrio9Magalí Andreu10Antònia Raich11Jordi Bernabeu12Xavier Roca13Maite Narváez14Esteve Fernández15Group of clinicians of the ACT_ATAC studyTobacco Control Unit, Cancer Control and Prevention Program, Institut Català d’OncologiaL’Hospitalet de LlobregatDepartment of Public Health, Maternal Health and Mental Health, School of Nursing. Universitat de Barcelona, L’Hospitalet del LlobregatTobacco Control Unit, Cancer Control and Prevention Program, Institut Català d’OncologiaL’Hospitalet de LlobregatTobacco Control Unit, Cancer Control and Prevention Program, Institut Català d’OncologiaL’Hospitalet de LlobregatTobacco Control Unit, Cancer Control and Prevention Program, Institut Català d’OncologiaL’Hospitalet de LlobregatPublic Health Secretariat, Government of CataloniaPublic Health Agency of CataloniaPublic Health Agency of CataloniaAddictions Unit, Psychiatry Department, Institute of Neurosciences, Hospital Clínic de BarcelonaAddictions Unit, Psychiatry Department, Institute of Neurosciences, Hospital Clínic de BarcelonaAddictions Unit, Psychiatry Department, Institute of Neurosciences, Hospital Clínic de BarcelonaMental Health Department, Althaia Xarxa Assistencial UniversitàriaMental Health Department, Althaia Xarxa Assistencial UniversitàriaAddictive Behaviors Unit, Psychiatry Department, IIB Sant Pau, Hospital de La Santa Creu I Sant PauTobacco Control Unit, Cancer Control and Prevention Program, Institut Català d’OncologiaL’Hospitalet de LlobregatTobacco Control Unit, Cancer Control and Prevention Program, Institut Català d’OncologiaL’Hospitalet de LlobregatAbstract Introduction Global demand for the treatment of cannabis use disorder has increased significantly, prompting a need to understand effective strategies for addressing concurrent cannabis and tobacco use. This study focuses on clinicians' experiences and perceptions in delivering tobacco cessation services to people who use cannabis. Methods Fifteen participants (12 females, 3 males) participated in three homogenous focus groups, including two groups with extensive experience in providing tobacco cessation among the substance use population in Catalonia, Spain, and one group of clinicians without such experience. Thematic analysis was conducted to identify key patterns and insights in their discourse, focusing on shared themes and divergences across groups. Results Five main themes and 17 subthemes emerged: Individual characteristics, Clinician characteristics, Models of intervention, Organizational healthcare models, and Health policies. Clinicians stressed the importance of intervention models and the active role of professionals in addressing tobacco use within routine care, as tobacco cessation could mitigate social and chronic stigma among people who use cannabis, especially those engaged in polydrug use. Discussion and conclusions Recommendations included integrating tobacco cessation into all services, reducing healthcare service fragmentation, improving resource accessibility, enhancing clinical documentation, and advocating for stronger population-level tobacco control policies. Trial registration The ACT-ATAC project has been successfully registered at Clinicaltrials.gov [NCT04841655].https://doi.org/10.1186/s13011-024-00632-8TobaccoCannabisHealth policyHealthcare servicesSubstance use |
| spellingShingle | Cristina Martínez Marga Pla Ariadna Feliu Marta Enríquez Judith Saura Carmen Cabezas Joan Colom Josep M. Suelves Sílvia Mondon Pablo Barrio Magalí Andreu Antònia Raich Jordi Bernabeu Xavier Roca Maite Narváez Esteve Fernández Group of clinicians of the ACT_ATAC study Clinician’s perceptions and experiences with tobacco treatment in people who use cannabis: a qualitative study Substance Abuse Treatment, Prevention, and Policy Tobacco Cannabis Health policy Healthcare services Substance use |
| title | Clinician’s perceptions and experiences with tobacco treatment in people who use cannabis: a qualitative study |
| title_full | Clinician’s perceptions and experiences with tobacco treatment in people who use cannabis: a qualitative study |
| title_fullStr | Clinician’s perceptions and experiences with tobacco treatment in people who use cannabis: a qualitative study |
| title_full_unstemmed | Clinician’s perceptions and experiences with tobacco treatment in people who use cannabis: a qualitative study |
| title_short | Clinician’s perceptions and experiences with tobacco treatment in people who use cannabis: a qualitative study |
| title_sort | clinician s perceptions and experiences with tobacco treatment in people who use cannabis a qualitative study |
| topic | Tobacco Cannabis Health policy Healthcare services Substance use |
| url | https://doi.org/10.1186/s13011-024-00632-8 |
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