Cited by 149Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesBehavioral Health and Interventions

Efficacy of Initiating Tobacco Dependence Treatment in Inpatient Psychiatry: A Randomized Controlled Trial

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Prochaska, Judith J., Hall, Stephen E., Delucchi, Kevin, Hall, Sharon M.·2014·American Journal of Public Health

Abstract

Objectives. We evaluated the efficacy of a motivational tobacco cessation treatment combined with nicotine replacement relative to usual care initiated in inpatient psychiatry. Methods. We randomized participants (n = 224; 79% recruitment rate) recruited from a locked acute psychiatry unit with a 100% smoking ban to intervention or usual care. Prior to hospitalization, participants averaged 19 (SD = 12) cigarettes per day; only 16% intended to quit smoking in the next 30 days. Results. Verified smoking 7-day point prevalence abstinence was significantly higher for intervention than usual care at month 3 (13.9% vs 3.2%), 6 (14.4% vs 6.5%), 12 (19.4% vs 10.9%), and 18 (20.0% vs 7.7%; odds ratio [OR] = 3.15; 95% confidence interval [CI] = 1.22, 8.14; P = .018; retention > 80%). Psychiatric measures did not predict abstinence; measures of motivation and tobacco dependence did. The usual care group had a significantly greater likelihood than the intervention group of psychiatric rehospitalization (adjusted OR = 1.92; 95% CI = 1.06, 3.49). Conclusions. The findings support initiation of motivationally tailored tobacco cessation treatment during acute psychiatric hospitalization. Psychiatric severity did not moderate treatment efficacy, and cessation treatment appeared to decrease rehospitalization risk, perhaps by providing broader therapeutic benefit.

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  • Another study reported after this review randomised people with serious mental illness to cessation support or usual care and showed that cessation support reduced readmissions for worsening mental illness.

    “Another study reported after this review randomised people with serious mental illness to cessation support or usual care.It showed that cessation support reduced readmissions for worsening mental illness.38”

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Research works printed but not linked: 7

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Authors
Prochaska, J. J., Hall, S. E., Delucchi, K., & Hall, S. M.
Affiliations
University of California, San Francisco (US)
Venue
American Journal of Public Health
Published
2014-08
Volume
104
Issue
8
Pages
1557-1565
ISSN
  • 0090-0036 (ISSN-L)
  • 1541-0048
OpenAlex
W2118226787
Cited by
149
References
58
Citations by year
2026: 4 · 2025: 5 · 2024: 8 · 2023: 4 · 2022: 14 · 2021: 15 · 2020: 7 · 2019: 14 · 2018: 14 · 2017: 11 · 2016: 19 · 2015: 17 · 2014: 13 · 2013: 4
FWCI
12.30
Type
journal article
Language
en
Open access
Locations
  • American Journal of Public Health (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • National Institutes of Health (5k05da016752-10)
  • National Institute on Drug Abuse (K23DA018691, P-50 DA-09253, K05 DA-016752, P50DA009253)
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords
tobacco cessation, tobacco dependence treatment, nicotine replacement therapy, motivational interviewing, tobacco dependence, psychiatric inpatients, acute psychiatric hospitalization, smoking abstinence, psychiatric rehospitalization
MeSH terms
Adult, Mental Disorders, Female, Humans, Inpatients, Male, Patient Compliance, Patient Readmission, Psychiatric Department, Hospital, Smoking Cessation, Treatment Outcome

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