tobacco use mental disorders treatment utilisation pharmacotherapy behavioural aids smoking cessation
Psychiatric inpatient settings represent an opportunity to initiate the provision of tobacco cessation care to smokers with a mental illness. This study describes the use of evidence-based smoking cessation aids proactively and universally offered to a population of psychiatric inpatients upon discharge, and explores factors associated with their uptake. Data derived from the conduct of a randomised controlled trial were analysed in terms of the proportion of participants (N = 378) that utilised cessation aids including project delivered telephone smoking cessation counselling and nicotine replacement therapy (NRT), and Quitline support. Factors associated with uptake of cessation aids were explored using multivariable logistic regression analyses. A large proportion of smokers utilised project delivered cessation counselling calls (89 %) and NRT (79 %), while 11 % used the Quitline. The majority accepted more than seven project delivered telephone cessation counselling calls (52 %), and reported NRT use during more than half of their accepted calls (70 %). Older age, higher nicotine dependence, irregular smoking and seeing oneself as a non-smoker were associated with uptake of behavioural cessation aids. Higher nicotine dependence was similarly associated with use of pharmacological aids, as was NRT use whilst an inpatient. Most smokers with a mental illness took up a proactive offer of aids to support their stopping smoking. Consideration by service providers of factors associated with uptake may increase further the proportion of such smokers who use evidence-based cessation aids and consequently quit smoking successfully.
Details
Title
Uptake of smoking cessation aids by smokers with a mental illness
Authors
Alexandra P Metse (Author) - University of Newcastle Australia
John Wiggers (Author) - University of Newcastle Australia
Paula Wye (Author) - University of Newcastle Australia
Richard Clancy (Author) - University of Newcastle Australia
Lyndell Moore (Author) - University of Newcastle Australia
Maree Adams (Author) - University of Newcastle Australia
Maryanne Robinson (Author) - University of Newcastle Australia
Jenny A Bowman (Author) - University of Newcastle Australia
Publication details
Journal of Behavioral Medicine, Vol.39(5), pp.876-886
Publisher
Springer New York LLC
Date published
2016
DOI
10.1007/s10865-016-9757-3
ISSN
1573-3521; 0160-7715
PMID
27357297; PMC5012253
Copyright note
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Organisation Unit
School of Social Sciences - Legacy; University of the Sunshine Coast, Queensland; School of Health - Psychology; School of Health and Behavioural Sciences - Legacy