Feasibility of a systems approach to treat commercial Tobacco dependence within American Indian Health Clinics

Brandie Buckless, Kristine Rhodes, Meggan McCann, Bruce Christiansen, Jean Forster, Anne Joseph

Research output: Contribution to journalArticlepeer-review


American Indians and Alaska Natives (AI/ANs) have the highest smoking prevalence, smoking-related disease, and mortality rates of any racial or ethnic group. Three AI health clinics in Minnesota implemented an evidence-based tobacco dependence treatment intervention that included provider education and customized clinical system tools. A baseline assessment of each clinic facility guided the focus of the intervention and tailored the clinical system tools. Clinic staff were assessed with pre/post-training evaluations and annual assessments. Results indicated self-reported improvements in the rate of identifying smoking status (57% to 89%), documenting smoking status (from 60% to 80%), and providing evidence-based treatments such as pharmacotherapy (from 36% to 78%).

Original languageEnglish (US)
Pages (from-to)52-77
Number of pages26
JournalAmerican Indian and Alaska Native Mental Health Research
Issue number3
StatePublished - 2018

Bibliographical note

Funding Information:
The authors would like to acknowledge each of the participating tribal and urban clinics and Raymond Boyle, Megan Whittet, and Erin O’Gara of the ClearWay Minnesota Research Department for funding and support, and Wendy Theobald and Michael Fiore from the University of Wisconsin Center for Tobacco Research and Intervention for technical assistance.

Publisher Copyright:
© Centers for American Indian and Alaska Native Health Colorado School of Public Health/University of Colorado Anschutz Medical Campus.


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