Evaluation of a smoking cessation program for adults with severe mental illness in a public mental health service

IF 2.6 4区 医学 Q1 NURSING
Hamish Fibbins, Philip B. Ward, Rachel Morell, Oscar Lederman, Scott Teasdale, Kimberley Davies, Bernadette McGuigan, Jackie Curtis
{"title":"Evaluation of a smoking cessation program for adults with severe mental illness in a public mental health service","authors":"Hamish Fibbins,&nbsp;Philip B. Ward,&nbsp;Rachel Morell,&nbsp;Oscar Lederman,&nbsp;Scott Teasdale,&nbsp;Kimberley Davies,&nbsp;Bernadette McGuigan,&nbsp;Jackie Curtis","doi":"10.1111/jpm.13052","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> What Is Known on the Subject</h3>\n \n <div>\n \n <ul>\n \n \n <li>Smoking rates have decreased in the general population but remain high among people with severe mental illness (SMI).</li>\n </ul>\n </div>\n </section>\n \n <section>\n \n <h3> What the Paper Adds to Existing Knowledge</h3>\n \n <div>\n \n <ul>\n \n \n <li>An individualized smoking cessation program was tested with 99 adults with SMI.</li>\n \n \n <li>The program showed it is possible to help people with SMI smoke fewer cigarettes and reduce nicotine addiction.</li>\n \n \n <li>Customized smoking cessation programs are essential for those with high nicotine dependence and mental health challenges.</li>\n </ul>\n </div>\n </section>\n \n <section>\n \n <h3> Implications for Practice</h3>\n \n <div>\n \n <ul>\n \n \n <li>Mental health services should offer tailored tobacco cessation programs because these programs can improve the health of people with mental illness who smoke.</li>\n \n \n <li>It is important for mental health services to follow government guidelines and provide evidence-based support.</li>\n </ul>\n </div>\n </section>\n \n <section>\n \n </section>\n \n <section>\n \n <h3> Introduction</h3>\n \n <p>Despite significant reductions in smoking rates in the general population over recent decades, smoking rates remain relatively unchanged among people with SMI.</p>\n </section>\n \n <section>\n \n <h3> Aim</h3>\n \n <p>To evaluate the feasibility and preliminary effectiveness of the <i>Keep Quitting in Mind</i> pilot program, an individualized smoking cessation program for people experiencing SMI.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>In total, 99 adult participants with SMI and engaged with a community mental health service, participated in the intervention. The intervention included motivational interviewing and goal setting, in addition to provision of pharmaceutical aids (including nicotine replacement therapy).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Analysis determined that the <i>Keep Quitting in Mind</i> pilot program was feasible in a public adult mental health service and participation in the program was associated with reductions in the number of cigarettes smoked daily and level of nicotine addiction.</p>\n </section>\n \n <section>\n \n <h3> Discussion</h3>\n \n <p>This real-world pilot program demonstrated feasibility and potential effectiveness in reducing smoking among adults with mental illness. Aligning with government guidelines, tailored smoking cessation programs are crucial due to high nicotine dependence and mental health complexities.</p>\n </section>\n \n <section>\n \n <h3> Implications for Practice</h3>\n \n <p>Given the high rates of cigarette smoking by people with mental illness and the cardiometabolic health risks associated with this, mental health services should consider adding evidence-based and bespoke tobacco cessation programs as part of core business.</p>\n </section>\n </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"31 6","pages":"990-997"},"PeriodicalIF":2.6000,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.13052","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Psychiatric and Mental Health Nursing","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jpm.13052","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

Abstract

What Is Known on the Subject

  • Smoking rates have decreased in the general population but remain high among people with severe mental illness (SMI).

What the Paper Adds to Existing Knowledge

  • An individualized smoking cessation program was tested with 99 adults with SMI.
  • The program showed it is possible to help people with SMI smoke fewer cigarettes and reduce nicotine addiction.
  • Customized smoking cessation programs are essential for those with high nicotine dependence and mental health challenges.

Implications for Practice

  • Mental health services should offer tailored tobacco cessation programs because these programs can improve the health of people with mental illness who smoke.
  • It is important for mental health services to follow government guidelines and provide evidence-based support.

Introduction

Despite significant reductions in smoking rates in the general population over recent decades, smoking rates remain relatively unchanged among people with SMI.

Aim

To evaluate the feasibility and preliminary effectiveness of the Keep Quitting in Mind pilot program, an individualized smoking cessation program for people experiencing SMI.

Methods

In total, 99 adult participants with SMI and engaged with a community mental health service, participated in the intervention. The intervention included motivational interviewing and goal setting, in addition to provision of pharmaceutical aids (including nicotine replacement therapy).

Results

Analysis determined that the Keep Quitting in Mind pilot program was feasible in a public adult mental health service and participation in the program was associated with reductions in the number of cigarettes smoked daily and level of nicotine addiction.

Discussion

This real-world pilot program demonstrated feasibility and potential effectiveness in reducing smoking among adults with mental illness. Aligning with government guidelines, tailored smoking cessation programs are crucial due to high nicotine dependence and mental health complexities.

Implications for Practice

Given the high rates of cigarette smoking by people with mental illness and the cardiometabolic health risks associated with this, mental health services should consider adding evidence-based and bespoke tobacco cessation programs as part of core business.

对公共精神卫生服务机构为患有严重精神疾病的成年人提供的戒烟计划进行评估。
相关知识普通人群的吸烟率有所下降,但严重精神疾病(SMI)患者的吸烟率仍然很高:我们对 99 名成年 SMI 患者进行了个性化戒烟计划测试。该项目表明,帮助严重精神疾病患者减少吸烟量并降低尼古丁成瘾是可行的。对于尼古丁依赖性高且面临心理健康挑战的人群来说,定制化戒烟计划至关重要:心理健康服务机构应提供量身定制的戒烟项目,因为这些项目可以改善吸烟的精神疾病患者的健康状况。摘要:引言:尽管近几十年来普通人群的吸烟率显著下降,但精神疾病患者的吸烟率仍相对未变。目的:评估 "保持戒烟在心中 "试点项目的可行性和初步效果,该项目是一项针对精神疾病患者的个性化戒烟项目:共有99名患有SMI并接受过社区心理健康服务的成年人参与了干预。干预措施包括动机访谈和目标设定,以及提供药物辅助(包括尼古丁替代疗法):分析结果表明,"保持戒烟意识 "试点项目在公共成人心理健康服务中是可行的,参与该项目与减少每日吸烟数量和尼古丁成瘾程度有关:讨论:这一真实世界的试点项目证明了减少成年精神病患者吸烟的可行性和潜在有效性。由于尼古丁依赖性高和精神健康的复杂性,符合政府指导方针、量身定制的戒烟计划至关重要:实践启示:鉴于精神疾病患者吸烟率高以及与之相关的心脏代谢健康风险,精神健康服务机构应考虑增加以证据为基础的定制戒烟项目,并将其作为核心业务的一部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
4.70
自引率
3.70%
发文量
75
审稿时长
4-8 weeks
期刊介绍: The Journal of Psychiatric and Mental Health Nursing is an international journal which publishes research and scholarly papers that advance the development of policy, practice, research and education in all aspects of mental health nursing. We publish rigorously conducted research, literature reviews, essays and debates, and consumer practitioner narratives; all of which add new knowledge and advance practice globally. All papers must have clear implications for mental health nursing either solely or part of multidisciplinary practice. Papers are welcomed which draw on single or multiple research and academic disciplines. We give space to practitioner and consumer perspectives and ensure research published in the journal can be understood by a wide audience. We encourage critical debate and exchange of ideas and therefore welcome letters to the editor and essays and debates in mental health.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信