- Title
- Impact of a postdischarge smoking cessation intervention for smokers admitted to an inpatient psychiatric facility: A randomized controlled trial
- Creator
- Stockings, Emily A. L.; Bowman, Jenny A.; Wiggers, John H.; Baker, Amanda L.; Terry, Margarett; Clancy, Richard; Wye, Paula M.; Knight, Jenny; Moore, Lyndell H.; Adams, Maree F.; Colyvas, Kim
- Relation
- Nicotine and Tobacco Research Vol. 16, Issue 11, p. 1417-1428
- Publisher Link
- http://dx.doi.org/10.1093/ntr/ntu097
- Publisher
- Oxford University Press
- Resource Type
- journal article
- Date
- 2014
- Description
- Introduction: Persons with a mental disorder smoke at higher rates and suffer disproportionate tobacco-related burden compared with the general population. The aim of this study was to determine if a smoking cessation intervention initiated during a psychiatric hospitalization and continued postdischarge was effective in reducing smoking behaviors among persons with a mental disorder. Methods: A randomized controlled trial was conducted at an Australian inpatient psychiatric facility. Participants were 205 patient smokers allocated to a treatment as usual control (n = 101) or a smoking cessation intervention (n = 104) incorporating psychosocial and pharmacological support for 4 months postdischarge. Follow-up assessments were conducted at 1 week, 2, 4, and 6 months postdischarge and included abstinence from cigarettes, quit attempts, daily cigarette consumption, and nicotine dependence. Results: Rates of continuous and 7-day point prevalence abstinence did not differ between treatment conditions at the 6-month follow-up; however, point prevalence abstinence was significantly higher for intervention (11.5%) compared with control (2%) participants at 4 months (OR = 6.46, p = .01). Participants in the intervention condition reported significantly more quit attempts (F[1, 202.5] = 15.23, p = .0001), lower daily cigarette consumption (F[4, 586] = 6.5, p < .001), and lower levels of nicotine dependence (F[3, 406] = 8.5, p < .0001) compared with controls at all follow-up assessments. Conclusions: Postdischarge cessation support was effective in encouraging quit attempts and reducing cigarette consumption up to 6 months postdischarge. Additional support strategies are required to facilitate longer-term cessation benefits for smokers with a mental disorder.
- Subject
- smoking cessation; mental disorders; psychiatric hospitalization; tobacco
- Identifier
- http://hdl.handle.net/1959.13/1068184
- Identifier
- uon:18572
- Identifier
- ISSN:1462-2203
- Rights
- This is a pre-copyedited, author-produced PDF of an article accepted for publication in Nicotine and Tobacco Research following peer review. The version of record Stockings, Emily A. L.; Bowman, Jenny A.; Wiggers, John H.; Baker, Amanda L.; Terry, Margarett; Clancy, Richard; Wye, Paula M.; Knight, Jenny; Moore, Lyndell H.; Adams, Maree F.; Colyvas, Kim (2014). Impact of a postdischarge smoking cessation intervention for smokers admitted to an inpatient psychiatric facility: A randomized controlled trial. Originally published in Nicotine and Tobacco Research Vol. 16, Issue 11, p. 1417-1428 is available online at: http://dx.doi.org/10.1093/ntr/ntu097
- Language
- eng
- Full Text
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