- Title
- Efficacy of a universal smoking cessation intervention initiated in inpatient psychiatry and continued post-discharge: a randomised controlled trial
- Creator
- Metse, Alexandra P.; Wiggers, John; Prochaska, Judith J.; Bowman, Jenny A.; Wye, Paula; Wolfenden, Luke; Freund, Megan; Clancy, Richard; Stockings, Emily; Terry, Margarett; Allan, John; Colyvas, Kim
- Relation
- NHMRC.1100130 and NHMRC 1104600 http://purl.org/au-research/grants/nhmrc/1104600
- Relation
- Australian and New Zealand Journal of Psychiatry Vol. 51, Issue 4, p. 366-381
- Publisher Link
- http://dx.doi.org/10.1177/0004867417692424
- Publisher
- Sage Publications
- Resource Type
- journal article
- Date
- 2017
- Description
- Objective: 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. Method: 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 mot ivational 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. Results: 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 3/450% and to have made at least one quit attempt, relative to controls. Conclusions: 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.
- Subject
- smoking cessation; intervention; mental illness; inpatient; mental health services
- Identifier
- http://hdl.handle.net/1959.13/1355014
- Identifier
- uon:31395
- Identifier
- ISSN:0004-8674
- Rights
- © 2017. Reprinted by permission of SAGE Publications
- Language
- eng
- Full Text
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