Conference presentation
Efficacy of a sustained smoking cessation intervention initiated in inpatient psychiatry and continued post-discharge: a randomised controlled trial
Behavioural Research in Cancer Control (BRCC) Conference , 13th (Melbourne, Australia, 02-May-2017 - 05-May-2017)
2017
Abstract
Background: Interventions are required to redress the disproportionate tobacco-related health burden experienced by persons with a mental illness. This study aimed to assess the efficacy of a universal smoking cessation intervention initiated within an acute psychiatric inpatient setting and continued post-discharge in reducing smoking prevalence and increasing quitting behaviours.
Method: A randomised controlled trial was undertaken across four psychiatric inpatient facilities in Australia. Participants (N=754) were randomised to receive either usual care (n=375) or an intervention comprising a brief motivational interview and self-help material whilst in hospital, followed by a 4-month pharmacological and psychosocial intervention (n=379) upon discharge. Primary outcomes assessed at 6 and 12 months post-discharge were 7-day point prevalence and 1 month prolonged smoking abstinence. A number of secondary smokingrelated outcomes were also assessed. Subgroup analyses were conducted based on psychiatric diagnosis, baseline readiness to quit and nicotine dependence.
Results: Seven day point prevalence abstinence was higher for intervention participants (16.9%) than controls (9.5%) at 6 months post-discharge (OR 1.07, p = 0.03), but not at 12 months (14.2% and 12.3%, respectively; OR 1.02, p = 0.46). Significant intervention effects were not found on measures of prolonged abstinence at either 6 or 12 month post-discharge. Differential intervention effects for the primary outcomes were not detected for any subgroups. At both 6 and 12 months post-discharge, intervention group participants were significantly more likely to: smoke fewer cigarettes per day, have reduced cigarette consumption by ≥ 50% and to have made a least one quit attempt, relative to controls.
Conclusions: Universal smoking cessation treatment initiated in inpatient psychiatry and continued postdischarge was efficacious in increasing 7 day point prevalence smoking cessation rates and related quitting behaviours at 6 months post-discharge, with sustained effects on quitting behaviour at 12 months. Further research is required to identify strategies for achieving longer term smoking cessation.
Details
- Title
- Efficacy of a sustained smoking cessation intervention initiated in inpatient psychiatry and continued post-discharge: a randomised controlled trial
- Authors
- Jennifer A Bowman (Author) - University of Newcastle AustraliaAlexandra Metse (Author) - University of Newcastle AustraliaJohn H Wiggers (Author) - Hunter Medical Research InstituteLuke Wolfenden (Author) - University of Newcastle AustraliaMegan Freund (Author) - University of Newcastle AustraliaRichard Clancy (Author) - Hunter New England Local Health DistrictEmily Stockings (Author) - UNSW AustraliaJudith J Prochaska (Author) - Stanford University
- Conference details
- Behavioural Research in Cancer Control (BRCC) Conference , 13th (Melbourne, Australia, 02-May-2017 - 05-May-2017)
- Organisation Unit
- School of Health - Psychology; University of the Sunshine Coast, Queensland
- Language
- English
- Record Identifier
- 99741795002621
- Output Type
- Conference presentation
Metrics
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