Table 1 Components of the study’s implementation strategies and the constructs from the guiding theoretical framework
Strategy component | Targeted barriers |
|---|---|
Both arms: Psychiatrist training and academic detailing | • Lack of provider knowledge about tobacco treatment • Low provider perceived behavioral control in treating patients for smoking and dealing with resistant patients • Negative attitudes and subjective norms toward the treatment of tobacco |
Arm 1: Opt-in clinical reminder | • Low provider perceived behavioral control in tobacco treatment • Low organizational prioritization (norms) of tobacco treatment |
Arm 2: Opt-out clinical reminder | • Cognitive bias to accept the default treatment • Low provider perceived behavioral control in tobacco treatment • Low prioritization (norms) of tobacco treatment • Limited time to screen and treat (actual behavioral control) |