Evaluation of a community-based smoking cessation programme for people with severe mental illness
Abstract
OBJECTIVE: To evaluate the effectiveness of a smoking cessation programme for smokers living with mental illness, provided within community mental health services, and determine factors which impact on the rates of cessation. METHODS: One hundred and twenty-nine smoking cessation group programmes were provided within community mental health services in South Australia between 2006 and 2011. Participants' smoking cessation rates were analysed in terms of demographic factors, smoking history, diagnosis and group participation. Participants completed written questionnaires at registration, at the end of each programme and at 12 months. They were also asked to complete the Fagerström rating scale and use the Micro+Smokerlyzer to measure breath carbon monoxide levels. RESULTS: Eight hundred and forty-four smokers living with mental illness registered for the programme. Many continued to be involved in addressing their tobacco use over more than one programme. At the end of their last programme, 581 completed an evaluation and 129 (22.2%) were not smoking. If it is assumed that all who did not complete an evaluation had continued smoking, then the cessation rate was 15.3%. Cessation rates were higher for those who attended more sessions, had decided at registration that they wanted to quit or had a lower level of nicotine dependence. Cessation rates were not significantly affected by gender, diagnosis or the number of years of smoking. CONCLUSIONS: People with mental illness are concerned about their tobacco use and will seek help if this is available. Smoking cessation programmes which are tailored for this group of smokers can be effective and should be provided by mental health and tobacco control services.
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A large Australian study reported a smoking cessation rate in a severe mental illness population of 15.3%, comparable to what has been achieved in smokers without mental disorder.
“A large Australian study reported a smoking cessation rate in this population of 15.3 %, comparable to what has been achieved in smokers without mental disorder.”
From The detrimental effects of smoking on the course and outcome in adults with bipolar disorder—A narrative review (2023) · cites this paper as [11]
Likelihood to quit was higher for those who attended more sessions, had already decided at entry that they want to quit, and in those participants with a lower extent of nicotine dependence.
“Likelihood to quit was higher for those who attended more sessions, had already decided at entry that they want to quit, and in those participants with a lower extent of ND.”
From The detrimental effects of smoking on the course and outcome in adults with bipolar disorder—A narrative review (2023) · cites this paper as [11]
Cessation rates did not differ between males and females, nor were the number of years of smoking or the psychiatric diagnosis significantly correlated with the cessation rate.
“Cessation rates did not differ between males and females, nor were the number of years of smoking or the psychiatric diagnosis significantly correlated with the cessation rate (11).”
From The detrimental effects of smoking on the course and outcome in adults with bipolar disorder—A narrative review (2023) · cites this paper as [11]
Four of five therapeutic studies examining substance misuse reported significant reductions in participants' consumption of alcohol, tobacco, and other drug use.
“Four of five studies that examined substance misuse reported significant reductions in participants' consumption of alcohol (Forbes et al. 2012), tobacco (Baker et al. 2006;Ashton et al. 2015) and other drug use (Nagel et al. 2009).”
From Effect of community mental health care programs in Australia: A systematic review (2020) · cites this paper as Ashton et al. 2015
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- Authors
- Ashton, M., Rigby, A., & Galletly, C.
- Affiliations
- SA Health (AU)
- Ramsay Health Care (Australia) (AU)
- Corresponding author
- Galletly, Cherrie
- ORCID
- Galletly, Cherrie
- Venue
- Tobacco Control
- Publisher
- BMJ
- Published
- 2013-12-13
- Volume
- 24
- Issue
- 3
- Pages
- 275-280
- ISSN
- 0964-4563 (ISSN-L)
- 1468-3318
- OpenAlex
- W2034282511
- Cited by
- 25
- References
- 14
- Citations by year
- 2024: 1 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 4 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 6 · 2015: 2
- FWCI
- 1.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Tobacco Control (publishedVersion)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- smoking cessation, severe mental illness, community mental health services, nicotine dependence, breath carbon monoxide, program attendance
- MeSH terms
- Adolescent, Adult, Aged, Mental Disorders, Community Mental Health Services, Female, Health Surveys, Humans, Male, Middle Aged, Psychotherapy, Group, Smoking, South Australia, Program Evaluation, Smoking Cessation, Young Adult
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