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

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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

DOI 10.2105/ajph.2013.301403PMC PMC4103208

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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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Authors: Prochaska, J. J., Hall, S. E., Delucchi, K., & Hall, S. M.
Affiliations: University of California, San Francisco (US)
ORCID: Prochaska, Judith J.
Hall, Stephen E.
Delucchi, Kevin
Hall, Sharon M.
Venue: American Journal of Public Health
Publisher: American Public Health Association
Published: 2014-08
Volume: 104
Issue: 8
Pages: 1557-1565
ISSN: 0090-0036 (ISSN-L)
1541-0048
DOI: 10.2105/ajph.2013.301403
PMC: PMC4103208
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
FWCI: 12.30
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
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 › Public Health, Environmental and Occupational Health › 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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Efficacy of Initiating Tobacco Dependence Treatment in Inpatient Psychiatry: A Randomized Controlled Trial

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