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.

The Impact of a Brief Intervention on Maternal Smoking Behavior

PEDIATRICS ◽  
2000 ◽  
Vol 105 (Supplement_2) ◽  
pp. 267-271
Author(s):  
Judith A. Groner ◽  
Karen Ahijevych ◽  
Lindsey K. Grossman ◽  
Leslie N. Rich
Keyword(s):  
Smoking Cessation ◽  
Controlled Trial ◽  
Safety Information ◽  
Stage Of Change ◽  
Smoking Cessation Intervention ◽  
Control Group ◽  
Primary Care Center ◽  
Cessation Intervention ◽  
Quit Rate ◽  
The Impact

Objective. To determine if mothers receiving a smoking cessation intervention emphasizing health risks of environmental tobacco smoke (ETS) for their children have a higher quit rate than 1) mothers receiving routine smoking cessation advice or 2) a control group. Design. Randomized, controlled trial. Setting. Primary care center in a large urban children's hospital. Intervention. Four hundred seventy-nine mothers were randomly assigned to a smoking cessation intervention either aimed at their child's health or their own health, or to a control group receiving safety information. Outcome Measures. Smoking status, stage of change, cigarettes/day, location smoking occurred, and knowledge of ETS effects. Results. Complete data (baseline and both follow-ups) were available for 166 subjects. There was no impact of group assignment on the quit rate, cigarettes/day, or stage of change. The Child Health Group intervention had a sustained effect on location where smoking reportedly occurred (usually outside) and on improved knowledge of ETS effects. Conclusions. Further research is needed to devise more effective methods of using the pediatric health care setting to influence adult smoking behaviors.

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 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 A smoking cessation intervention in Australian General Practice: secondary analysis of a cluster randomised controlled trial

2021 ◽  
pp. BJGP.2020.0906
Author(s):  
Rukshar K. Gobarani ◽  
Nicholas A. Zwar ◽  
Grant Russell ◽  
Michael J. Abramson ◽  
Billie Bonevski ◽  
...  
Keyword(s):  
General Practice ◽  
Smoking Cessation ◽  
Usual Care ◽  
Secondary Analysis ◽  
Smoking Cessation Intervention ◽  
Smoking Abstinence ◽  
Cessation Intervention ◽  
Home Based ◽  
Australian General Practice ◽  
Readiness To Quit

Background: General practitioners have limited capacity to routinely provide smoking cessation support. New strategies are needed to reach all smokers within this setting. Aim: Evaluate the effect of a pharmacist-coordinated interdisciplinary smoking cessation intervention delivered in Australian general practice. Design: Secondary analysis of a cluster RCT conducted in 41 Australian general practices. Methods: 690 current smokers were included in this study; 373 from intervention clinics (N=21) and 317 from control clinics (N=18). A total of 166 current smokers had spirometry confirmed COPD. In the intervention clinics, trained pharmacists provided smoking cessation support, plus Quitline referral. Control clinics provided usual care plus Quitline referral. Those with COPD in the intervention group (n=84) were referred for Home Medicines Review (HMR) and home-based pulmonary rehabilitation (HomeBase) which included further smoking cessation support. Outcomes included carbon monoxide (CO) validated smoking abstinence, self-reported utilisation of smoking cessation aids and differences between groups in readiness to quit score at 6 months. Results: Intention-to-treat analysis showed similar CO-validated abstinence rates at 6 months in the intervention (4.0%) and control clinics (3.5%) and no differences were observed in readiness to quit scores between groups. CO-validated abstinence rates were similar in those who completed HMR and six sessions of HomeBase compared to those with COPD in usual care. Conclusion: A pharmacist-coordinated interdisciplinary smoking cessation intervention when integrated in a general practice setting had no advantages over usual care. Further research is needed to evaluate the effect of HMR and home-based pulmonary rehabilitation on smoking abstinence in smokers with COPD.

The Impact of Smoking-Cessation Intervention by Multiple Health Professionals

2008 ◽  
Vol 34 (1) ◽  
pp. 54-60 ◽  
Author(s):  
Lawrence C. An ◽  
Steven S. Foldes ◽  
Nina L. Alesci ◽  
James H. Bluhm ◽  
Patricia C. Bland ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Health Professionals ◽  
Smoking Cessation Intervention ◽  
Cessation Intervention ◽  
The Impact ◽  
Multiple Health

scholarly journals Pilot study of a mobile smoking cessation intervention for low-income smokers with serious mental illness

2019 ◽  
Vol 14 (4) ◽  
pp. 203-210 ◽  
Author(s):  
Mary F. Brunette ◽  
Joelle C. Ferron ◽  
Pamela Geiger ◽  
Susan Guarino ◽  
Sarah I. Pratt ◽  
...  
Keyword(s):  
Mental Illness ◽  
Smoking Cessation ◽  
Serious Mental Illness ◽  
Low Income ◽  
Behavioral Interventions ◽  
Behavioral Treatment ◽  
Cognitive Impairments ◽  
Treatment Intervention ◽  
Cessation Intervention ◽  
Cessation Treatment

AbstractIntroductionPeople with serious mental illness (SMI) have high rates of smoking and need better access to cessation treatment. Mobile behavioral interventions for cessation have been effective for the general population, but are not usable by many with SMI due to cognitive impairments or severe symptoms. We developed a tailored mobile cessation treatment intervention with features to reduce cognitive load.MethodWe enrolled 20 smokers with SMI and showed them how to use the program on a device of their choice. They were assessed at 8 weeks for intervention use, usability, satisfaction, smoking characteristics, and biologically verified abstinence.ResultsParticipants accessed an average of 23.6 intervention sessions (SD = 17.05; range 1–48; median = 17.5) for an average total of 231.64 minutes (SD = 227.13; range 4.89–955.21; median = 158.18). For 87% of the sessions, average satisfaction scores were 3 or greater on a scale of 1–4. Regarding smoking, 25% of participants had reduced their smoking and 10% had biologically verified abstinence from smoking at 8 weeks.ConclusionHome and community use of this mobile cessation intervention was feasible among smokers with SMI. Further research is needed to evaluate such scalable approaches to increase access to behavioral treatment for this group.

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