Journal article
Efficacy of a universal smoking cessation intervention initiated in inpatient psychiatry and continued post-discharge: A randomised controlled trial
Australian and New Zealand Journal of Psychiatry, Vol.51(4), pp.366-381
2017
PMID: 28195010
Abstract
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. 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 while 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 smoking-related outcomes were also assessed. Subgroup analyses were conducted based on psychiatric diagnosis, baseline readiness to quit and nicotine dependence. Seven-day point prevalence abstinence was higher for intervention participants (15.8%) than controls (9.3%) at 6 months post-discharge (odds ratio = 1.07, p = 0.04), but not at 12 months (13.4% and 10.0%, respectively; odds ratio = 1.03, p = 0.25). Significant intervention effects were not found on measures of prolonged abstinence at either 6 or 12 months 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 at least one quit attempt, relative to controls. Universal smoking cessation treatment initiated in inpatient psychiatry and continued post-discharge 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 universal smoking cessation intervention initiated in inpatient psychiatry and continued post-discharge: A randomised controlled trial
- Authors
- Alexandra P Metse (Author) - University of Newcastle AustraliaJohn Wiggers (Author) - University of Newcastle AustraliaPaula Wye (Author) - University of Newcastle AustraliaLuke Wolfenden (Author) - University of Newcastle AustraliaMegan Freund (Author) - University of Newcastle AustraliaRichard Clancy (Author) - University of Newcastle AustraliaEmily Stockings (Author) - UNSW AustraliaMargarett Terry (Author) - Mater Health ServicesJohn Allan (Author) - Queensland HealthKim Colyvas (Author) - University of Newcastle AustraliaJudith J Prochaska (Author) - Stanford UniversityJenny A Bowman (Author) - University of Newcastle Australia
- Publication details
- Australian and New Zealand Journal of Psychiatry, Vol.51(4), pp.366-381
- Publisher
- Sage Publications Ltd.
- DOI
- 10.1177/0004867417692424
- ISSN
- 1440-1614
- PMID
- 28195010
- Organisation Unit
- School of Health and Behavioural Sciences - Legacy; University of the Sunshine Coast, Queensland; School of Social Sciences - Legacy; School of Health - Psychology
- Language
- English
- Record Identifier
- 99507208202621
- Output Type
- Journal article
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- Psychiatry
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Source: InCites