scholarly journals History and Correlates of Smoking Cessation Behaviors Among Smokers With Serious Mental Illness

2019 ◽  
Vol 22 (9) ◽  
pp. 1492-1499 ◽  
Author(s):  
Su Fen Lubitz ◽  
Alex Flitter ◽  
E Paul Wileyto ◽  
Douglas Ziedonis ◽  
Nathaniel Stevens ◽  
...  
Keyword(s):  
Mental Illness ◽  
Carbon Monoxide ◽  
Smoking Cessation ◽  
General Population ◽  
Serious Mental Illness ◽  
Smoking Cessation Counseling ◽  
Smoking Cessation Advice ◽  
Smoking Cessation Treatment ◽  
Quit Attempt ◽  
Quit Attempts

Abstract Introduction Individuals with serious mental illness (SMI) smoke at rates two to three times greater than the general population but are less likely to receive treatment. Increasing our understanding of correlates of smoking cessation behaviors in this group can guide intervention development. Aims and Methods Baseline data from an ongoing trial involving smokers with SMI (N = 482) were used to describe smoking cessation behaviors (ie, quit attempts, quit motivation, and smoking cessation treatment) and correlates of these behaviors (ie, demographics, attitudinal and systems-related variables). Results Forty-three percent of the sample did not report making a quit attempt in the last year, but 44% reported making one to six quit attempts; 43% and 20%, respectively, reported wanting to quit within the next 6 months or the next 30 days. Sixty-one percent used a smoking cessation medication during their quit attempt, while 13% utilized counseling. More quit attempts were associated with lower nicotine dependence and carbon monoxide and greater beliefs about the harms of smoking. Greater quit motivation was associated with lower carbon monoxide, minority race, benefits of cessation counseling, and importance of counseling within the clinic. A greater likelihood of using smoking cessation medications was associated with being female, smoking more cigarettes, and receiving smoking cessation advice. A greater likelihood of using smoking cessation counseling was associated with being male, greater academic achievement, and receiving smoking cessation advice. Conclusions Many smokers with SMI are engaged in efforts to quit smoking. Measures of smoking cessation behavior are associated with tobacco use indicators, beliefs about smoking, race and gender, and receiving cessation advice. Implications Consideration of factors related to cessation behaviors among smokers with SMI continues to be warranted, due to their high smoking rates compared to the general population. Increasing our understanding of these predictive characteristics can help promote higher engagement in evidence-based smoking cessation treatments among this subpopulation.

scholarly journals Telephone based smoking cessation intervention for adults with serious mental illness during the COVID-19 pandemic

2021 ◽  
Vol 14 ◽  
pp. 1179173X2110659
Author(s):  
Heather Leutwyler ◽  
Erin Hubbard
Keyword(s):  
Mental Illness ◽  
Smoking Cessation ◽  
San Francisco ◽  
Serious Mental Illness ◽  
Smoking Cessation Intervention ◽  
Smoking Cessation Counseling ◽  
Cessation Intervention ◽  
Data Collection And Analysis ◽  
Readiness To Quit ◽  
The Impact

Background The high rates of smoking in adults with serious mental illness (SMI) increases risk for COVID-19 infection. The purpose of this paper is to present the results of a smoking cessation intervention that was adapted to be offered by phone during a Shelter in Place (SIP) period in San Francisco, California, at the beginning of the COVID-19 pandemic. Methods During the SIP, we offered counseling sessions by phone to five participants. At the end of each session, we assessed readiness to quit, tobacco cessation or reduction, and inquired about the impact of the shelter in place on smoking habits and mental health. Grounded theory guided data collection and analysis. Results The categories that emerged around barriers and facilitators for smoking cessation were COVID-19–related stressors, having purpose, structure and feelings of connections, and the importance of quitting aides for smoking cessation. Conclusion Offering telephone based smoking cessation counseling to adults with SMI while they shelter in place may improve their readiness to quit.

scholarly journals Group-Based Smoking Cessation Program for Older Adults with Serious Mental Illness

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 864-864
Author(s):  
Heather Leutwyler ◽  
Erin Hubbard
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Mental Illness ◽  
Smoking Cessation ◽  
Serious Mental Illness ◽  
Physical Activity Intervention ◽  
Controlled Trial ◽  
Structured Interview ◽  
Smoking Cessation Counseling ◽  
Excess Morbidity

Abstract Smoking is one of the most important modifiable risk factors for excess morbidity and mortality in older adults with serious mental illness (SMI). Many older smokers with SMI are reportedly motivated to quit, however evidence-based treatment targeting this vulnerable group is limited. To address an urgent need to identify interventions that assist smoking cessation efforts, we are conducting a pilot two-arm randomized controlled trial (RCT) targeting adults with SMI. Our VIdeogame-based Physical activity (“VIP”) smoking cessation intervention includes: a) group videogame-based physical activity intervention (50 minutes, 3X/week for 12 weeks), b) pharmacotherapy (bupropion or nicotine replacement therapy), and c) smoking cessation counseling. Upon completion of the 12 week program, participants in the VIP and control groups completed a semi-structured interview in order to determine how the program impacted their smoking cessation. To date, six participants completed an interview. Participants described how the program helped with smoking cessation because it allowed them to “face their addiction” and learn more about why they smoke and how to quit. The program provided the structure, resources, and encouragement needed to start the process of quitting. Finally, they enjoyed having the game time as a distraction from smoking. Older adults with SMI need support, resources, and group-based exercise as they begin quitting and practice the skills needed to quit.

scholarly journals Smoking cessation advice for people with serious mental illness

2012 ◽  
Author(s):  
Priya Khanna ◽  
Andrew Clifton ◽  
David Banks ◽  
Graeme Tosh
Keyword(s):  
Mental Illness ◽  
Smoking Cessation ◽  
Serious Mental Illness ◽  
Smoking Cessation Advice

scholarly journals Smoking Cessation Counseling for Asian Immigrants With Serious Mental Illness

2013 ◽  
Vol 14 (5_suppl) ◽  
pp. 70S-79S ◽  
Author(s):  
Anne Saw ◽  
Jin Kim ◽  
Joyce Lim ◽  
Catherine Powell ◽  
Elisa K. Tong
Keyword(s):  
Mental Illness ◽  
Smoking Cessation ◽  
Serious Mental Illness ◽  
Asian Immigrants ◽  
Smoking Cessation Counseling

scholarly journals Time trends in access to smoking cessation support for people with depression or severe mental illness: a cohort study in English primary care

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e048341
Author(s):  
Milena Falcaro ◽  
David Osborn ◽  
Joseph Hayes ◽  
Gary Coyle ◽  
Lisa Couperthwaite ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Illness ◽  
Smoking Cessation ◽  
Cohort Study ◽  
Severe Mental Illness ◽  
Smoking Status ◽  
Smoking Cessation Advice ◽  
Quit Attempts ◽  
Over Time

ObjectivesTo investigate delivery of smoking cessation interventions, recorded quit attempts and successful quitting rates within primary care in smokers with depression or severe mental illness (SMI) compared with those without.DesignLongitudinal cohort study using primary healthcare records.SettingEnglish primary care.Participants882 849 patients registered with participating practices recorded as current smokers during 2007–2014, including three groups: (1) 13 078 with SMI, (2) 55 630 with no SMI but recent depression and (3) 814 141 with no SMI nor recent depression.OutcomesRecorded advice to quit smoking, referrals to smoking cessation services, prescriptions for smoking cessation medication, recorded quit attempts and changes of smoking status.ResultsThe majority (>70%) of smokers had recorded smoking cessation advice. This was consistently higher in those with SMI than the other cohorts of patients, although the gap greatly reduced in more recent years. Increases in smoking cessation advice over time were not accompanied by increases in recorded attempts to quit or changes of smoking status. Overall nicotine replacement therapy prescribing by general practitioners (GPs) was higher in those with SMI (10.1%) and depression (8.7%) than those without (5.9%), but a downward time trend was observed in all groups. Bupropion and varenicline prescribing was very low and lower for those with SMI. Few smokers (<5%) had referrals to stop smoking services, though this increased over time, but no significant differences were observed between those with and without mental health problems.ConclusionsThere was no evidence of consistent inequalities in access to GP-delivered smoking cessation interventions for people with mental health conditions. Smoking cessation advice was widely reported as taking place in all groups. In order to address the widening gap in smoking prevalence in those with poor mental health compared with those without, the emphasis should be on addressing the quality of advice and support given.

scholarly journals Assessment of a Personal Interactive Carbon Monoxide Breath Sensor in People Who Smoke Cigarettes: Single-Arm Cohort Study (Preprint)

2020 ◽  
Author(s):  
Jennifer D Marler ◽  
Craig A Fujii ◽  
Kristine S Wong ◽  
Joseph A Galanko ◽  
Daniel J Balbierz ◽  
...  
Keyword(s):  
Carbon Monoxide ◽  
Smoking Cessation ◽  
Smoking Behavior ◽  
Exhaled Breath ◽  
Disease States ◽  
Quit Attempt ◽  
Quit Attempts ◽  
Motivation To Quit ◽  
Quitting Smoking ◽  
Evidence Based Treatments

BACKGROUND Tobacco use is the leading cause of preventable morbidity and mortality. Existing evidence-based treatments are underutilized and have seen little recent innovation. The success of personal biofeedback interventions in other disease states portends a similar opportunity in smoking cessation. The Pivot Breath Sensor is a personal interactive FDA-cleared (over-the-counter) device that measures carbon monoxide (CO) in exhaled breath, enabling users to link their smoking behavior and CO values, and track their progress in reducing or quitting smoking. OBJECTIVE The objective of this study is to assess the Pivot Breath Sensor in people who smoke cigarettes, evaluating changes in attitudes toward quitting smoking, changes in smoking behavior, and use experience. METHODS US adults (18-80 years of age, ≥10 cigarettes per day [CPD]) were recruited online for this remote 12-week study. Participants completed a screening call, informed consent, and baseline questionnaire, and then were mailed their sensor. Participants were asked to submit 4 or more breath samples per day and complete questionnaires at 1-4, 8, and 12 weeks. Outcomes included attitudes toward quitting smoking (Stage of Change, success to quit, and perceived difficulty of quitting), smoking behavior (quit attempts, CPD reduction, and 7-, 30-day point prevalence abstinence [PPA]), and use experience (impact and learning). RESULTS Participants comprised 234 smokers, mean age 39.9 (SD 11.3) years, 52.6% (123/234) female, mean CPD 20.3 (SD 8.0). The 4- and 12-week questionnaires were completed by 92.3% (216/234) and 91.9% (215/234) of participants, respectively. Concerning attitude outcomes, at baseline, 15.4% (36/234) were seriously thinking of quitting in the next 30 days, increasing to 38.9% (84/216) at 4 weeks and 47.9% (103/215) at 12 weeks (both <i>P</i>&lt;.001). At 12 weeks, motivation to quit was increased in 39.1% (84/215), unchanged in 54.9% (118/215), and decreased in 6.0% (13/215; <i>P</i>&lt;.001). Additional attitudes toward quitting improved from baseline to 12 weeks: success to quit 3.3 versus 5.0 (<i>P</i>&lt;.001) and difficulty of quitting 2.8 versus 4.3 (<i>P</i>&lt;.001). Regarding smoking behavior, at 4 weeks, 28.2% (66/234) had made 1 or more quit attempts (≥1 day of abstinence), increasing to 48.3% (113/234) at 12 weeks. At 4 weeks, 23.1% (54/234) had reduced CPD by 50% or more, increasing to 38.5% (90/234) at 12 weeks. At 12 weeks, CPD decreased by 41.1% from baseline (<i>P</i>&lt;.001), and 7- and 30-day PPA were 12.0% (28/234) and 6.0% (14/234), respectively. Concerning use experience, 75.3% (171/227) reported the sensor increased their motivation to quit. More than 90% (&gt;196/214) indicated the sensor taught them about their CO levels and smoking behavior, and 73.1% (166/227) reported that seeing their CO values made them want to quit smoking. CONCLUSIONS Use of the Pivot Breath Sensor resulted in a significant increase in motivation to quit, a reduction in CPD, and favorable quit attempt rates. These outcomes confer increased likelihood of quitting smoking. Accordingly, the results support a role for biofeedback via personal CO breath sampling in smoking cessation. CLINICALTRIAL ClinicalTrials.gov NCT04133064; https://clinicaltrials.gov/ct2/show/NCT04133064

scholarly journals Low-Burden Strategies to Promote Smoking Cessation Treatment Among Patients With Serious Mental Illness

2018 ◽  
Vol 69 (8) ◽  
pp. 849-851 ◽  
Author(s):  
Li-Shiun Chen ◽  
Timothy B. Baker ◽  
Jeanette M. Korpecki ◽  
Kelly E. Johnson ◽  
Jaime P. Hook ◽  
...  
Keyword(s):  
Mental Illness ◽  
Smoking Cessation ◽  
Serious Mental Illness ◽  
Smoking Cessation Treatment ◽  
Cessation Treatment ◽  
Promote Smoking Cessation
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