- Title
- Homeless clients benefit from smoking cessation treatment delivered by a homeless persons' program
- Creator
- Segan, Catherine Jane; Maddox, Sarah; Borland, Ron
- Relation
- NHMRC.359279 http://purl.org/au-research/grants/nhmrc/359279
- Relation
- Nicotine & Tobacco Research Vol. 17, Issue 8, p. 996-1001
- Publisher Link
- http://dx.doi.org/10.1093/ntr/ntv062
- Publisher
- Oxford University Press
- Resource Type
- journal article
- Date
- 2015
- Description
- Introduction: Few homeless programs offer smoking cessation treatment. This study examined the feasibility, acceptability, and effectiveness of a smoking cessation treatment model delivered by staff of a homeless persons’ program. Methods: Fourteen nurses from Melbourne’s Royal District Nursing Service Homeless Persons’ Program recruited 49 clients into a 12-week program offering weekly nurse-delivered smoking cessation appointments with intermittent carbon monoxide measurements, doctor-prescribed free nicotine patch, bupropion or varenicline, and Quitline phone support. Surveys were completed at program enrolment, end of program (EoP, 3 months) and 6 months post-enrolment. Results: Clients attended on average 6.7 nurse-delivered appointments. Most used pharmacotherapy (69%, n = 34) and Quitline (61%, n = 30, average 8.4 calls among users). Using all-cases analyses 29% had made a quit attempt by EoP; 24-hour point prevalence abstinence rates were 6% at EoP and 4% at 6 months (no participants achieved sustained cessation), and 29% reported 50% consumption reduction at 6 months, the latter positively associated with increased Quitline use. Tobacco consumption and money spent on tobacco halved by EoP with similar levels maintained at 6 months. Discarded butt smoking reduced. Using within-subjects analyses, all participants reported either the same or less symptoms of anxiety at EoP compared to baseline and 92% reported the same or less depressive symptoms. Conclusions: Integrating nurse support with readily accessible cessation interventions (government subsidized pharmacotherapy plus Quitline) was feasible and acceptable. While quit rates were low, treatment benefits included harm-reduction (reduced consumption and butt smoking), significant financial savings, and psychological benefits (improved or stable mood).
- Subject
- smoking cessation; homeless programs; treatment model
- Identifier
- http://hdl.handle.net/1959.13/1404858
- Identifier
- uon:35403
- Identifier
- ISSN:1462-2203
- Rights
- This is a pre-copyedited, author-produced version of an article accepted for publication in the Nicotine & Tobacco Research following peer review. The version of the above record is available online at: https://doi.org/10.1093/ntr/ntv062.
- Language
- eng
- Full Text
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