Evaluating the efficacy of an integrated smoking cessation intervention for mental health patients: study protocol for a randomised controlled trial

Alexandra P Metse; Jenny A Bowman; Paula Wye; Emily Stockings; Maree Adams; Richard Clancy; Margarett Terry; Luke Wolfenden; Megan Freund; John Allan; Judith J Prochaska; John Wiggers

doi:10.1186/1745-6215-15-266

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Evaluating the efficacy of an integrated smoking cessation intervention for mental health patients: study protocol for a randomised controlled trial

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Evaluating the efficacy of an integrated smoking cessation intervention for mental health patients: study protocol for a randomised controlled trial

Alexandra P Metse, Jenny A Bowman, Paula Wye, Emily Stockings, Maree Adams, Richard Clancy, Margarett Terry, Luke Wolfenden, Megan Freund, John Allan, …

Trials, Vol.15, pp.1-7

2014

DOI: https://doi.org/10.1186/1745-6215-15-266

PMCID: PMC4091653

PMID: 24996596

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Abstract

smoking cessation

mental illness

inpatient

community

multimodal intervention

Smoking rates, and associated negative health outcomes, are disproportionately high among people with mental illness compared to the general population. Smoke-free policies within mental health hospitals can positively impact on patients' motivation and self-efficacy to address their smoking. However, without post-discharge support, preadmission smoking behaviours typically resume. This protocol describes a randomised controlled trial that aims to assess the efficacy of linking mental health inpatients to community-based smoking cessation supports upon discharge as a means of reducing smoking prevalence. Eight hundred participants with acute mental illness will be recruited into the randomised controlled trial whilst inpatients at one of four psychiatric inpatient facilities in the state of New South Wales, Australia. After completing a baseline interview, participants will be randomly allocated to receive either: 'Supported Care', a multimodal smoking cessation intervention; or 'Normal Care', consisting of existing hospital care only. The 'Supported Care' intervention will consist of a brief motivational interview and a package of self-help material for abstaining from smoking whilst in hospital, and, following discharge, 16 weeks of motivational telephone-based counselling, 12 weeks of free nicotine replacement therapy, and a referral to the Quitline. Data will be collected at 1, 6 and 12 months post-discharge via computer-assisted telephone interview. The primary outcomes are abstinence from smoking (7-day point prevalence and prolonged cessation), and secondary outcomes comprise daily cigarette consumption, nicotine dependence, quit attempts, and readiness to change smoking behaviour. If shown to be effective, the study will provide evidence in support of systemic changes in the provision of smoking cessation care to patients following discharge from psychiatric inpatient facilities. Australian New Zealand Clinical Trials Registry ANZTCN: ACTRN12612001042831. Date registered: 28 September 2012.

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Title: Evaluating the efficacy of an integrated smoking cessation intervention for mental health patients: study protocol for a randomised controlled trial
Authors: Alexandra P Metse (Author) - University of Newcastle Australia
Jenny A Bowman (Author) - University of Newcastle Australia
Paula Wye (Author) - University of Newcastle Australia
Emily Stockings (Author) - University of Newcastle Australia
Maree Adams (Author) - University of Newcastle Australia
Richard Clancy (Author) - University of Newcastle Australia
Margarett Terry (Author) - Mater Health Services
Luke Wolfenden (Author) - University of Newcastle Australia
Megan Freund (Author) - University of Newcastle Australia
John Allan (Author) - New South Wales Department of Health
Judith J Prochaska (Author) - Stanford University
John Wiggers (Author) - University of Newcastle Australia
Publication details: Trials, Vol.15, pp.1-7
Publisher: BioMed Central Ltd.
Date published: 2014
DOI: 10.1186/1745-6215-15-266
ISSN: 1745-6215
PMID: 24996596; PMC4091653
Copyright note: © 2014 Metse et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Organisation Unit: School of Social Sciences - Legacy; University of the Sunshine Coast, Queensland; School of Health - Psychology; School of Health and Behavioural Sciences - Legacy
Language: English
Record Identifier: 99507208302621
Output Type: Journal article

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