Journal article
Evaluating the efficacy of an integrated smoking cessation intervention for mental health patients: Study protocol for a randomised controlled trial
Trials, Vol.15, Article number: 266
2014
Abstract
BACKGROUND:
Smoking rates, and associated negative health outcomes, are disproportionately high among people with mental illness compared to the general population. Smoke-free policies within mental health hospitals can positively impact on patients' motivation and self-efficacy to address their smoking. However, without post-discharge support, preadmission smoking behaviours typically resume. This protocol describes a randomised controlled trial that aims to assess the efficacy of linking mental health inpatients to community-based smoking cessation supports upon discharge as a means of reducing smoking prevalence.
METHODS/DESIGN:
Eight hundred participants with acute mental illness will be recruited into the randomised controlled trial whilst inpatients at one of four psychiatric inpatient facilities in the state of New South Wales, Australia. After completing a baseline interview, participants will be randomly allocated to receive either: 'Supported Care', a multimodal smoking cessation intervention; or 'Normal Care', consisting of existing hospital care only. The 'Supported Care' intervention will consist of a brief motivational interview and a package of self-help material for abstaining from smoking whilst in hospital, and, following discharge, 16 weeks of motivational telephone-based counselling, 12 weeks of free nicotine replacement therapy, and a referral to the Quitline. Data will be collected at 1, 6 and 12 months post-discharge via computer-assisted telephone interview. The primary outcomes are abstinence from smoking (7-day point prevalence and prolonged cessation), and secondary outcomes comprise daily cigarette consumption, nicotine dependence, quit attempts, and readiness to change smoking behaviour.
DISCUSSION:
If shown to be effective, the study will provide evidence in support of systemic changes in the provision of smoking cessation care to patients following discharge from psychiatric inpatient facilities.
Details
- Title
- Evaluating the efficacy of an integrated smoking cessation intervention for mental health patients: Study protocol for a randomised controlled trial
- Authors/Creators
- A.P. Metse (Author/Creator) - University of Newcastle AustraliaJ.A. Bowman (Author/Creator) - Hunter Medical Research InstituteP. Wye (Author/Creator) - University of Newcastle AustraliaE. Stockings (Author/Creator) - Hunter Medical Research InstituteM. Adams (Author/Creator) - University of Newcastle AustraliaR. Clancy (Author/Creator) - Mater Health ServicesM. Terry (Author/Creator) - Mater Health ServicesL. Wolfenden (Author/Creator) - University of Newcastle AustraliaM. Freund (Author/Creator) - University of Newcastle AustraliaJ. Allan (Author/Creator) - New South Wales Department of HealthJ.J. Prochaska (Author/Creator) - Stanford Health CareJ. Wiggers (Author/Creator) - Hunter Medical Research Institute
- Publication Details
- Trials, Vol.15, Article number: 266
- Publisher
- BioMed Central
- Identifiers
- 991005542403307891
- Copyright
- © Metse et al
- Murdoch Affiliation
- Murdoch University
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- International collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.252 Smoking Cessation
- 1.252.74 Smoking Cessation
- Web Of Science research areas
- Medicine, Research & Experimental
- ESI research areas
- Clinical Medicine