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NAQC Newsroom: Research

Uptake of Smoking Cessation Aids by Smokers With a Mental Illness.

Thursday, July 14, 2016  
Posted by: Natalia Gromov
Metse AP, Wiggers J, Wye P, Clancy R, Moore L, Adams M, Robinson M, Bowman JA.
Uptake of Smoking Cessation Aids by Smokers With a Mental Illness.
J Behav Med. 2016 Jun 29. [Epub ahead of print]

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 randomized controlled trial were analyzed in terms of the proportion of participants (N = 378) that utilized cessation aids including project delivered telephone smoking cessation counseling 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 utilized project delivered cessation counseling calls (89 %) and NRT (79 %), while 11 % used the Quitline. The majority accepted more than seven project delivered telephone cessation counseling 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 behavioral 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.

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