A randomised controlled trial linking mental health inpatients to community smoking cessation supports: A study protocol

被引：10

作者：

Stockings, Emily A. L. ^{[1
]}

Bowman, Jennifer A. ^{[1
]}

Wiggers, John ^{[4
]}

Baker, Amanda L. ^{[1
,3
]}

Terry, Margarett ^{[2
]}

Clancy, Richard ^{[2
]}

Wye, Paula M. ^{[1
,2
]}

Knight, Jenny ^{[4
]}

Moore, Lyndell H. ^{[1
,2
]}

机构：

[1] Univ Newcastle, Callaghan, NSW 2308, Australia

[2] Mater Hosp, MHSUS, Sydney, NSW 2298, Australia

[3] Mater Hosp, CBMHR, Sydney, NSW 2998, Australia

[4] HNEPH, Wallsend Hlth Serv, Walisend, NSW 2287, Australia

来源：

BMC PUBLIC HEALTH | 2011年 / 11卷

关键词：

NICOTINE REPLACEMENT THERAPY; CIGARETTE-SMOKING; QUIT SMOKING; TOBACCO USE; DEPENDENCE; ILLNESS; MOTIVATION; SMOKERS; SCHIZOPHRENIA; INTERVENTION;

D O I：

10.1186/1471-2458-11-570

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Mental health inpatients smoke at higher rates than the general population and are disproportionately affected by tobacco dependence. Despite the advent of smoke free policies within mental health hospitals, limited systems are in place to support a cessation attempt post hospitalisation, and international evidence suggests that most smokers return to pre-admission smoking levels following discharge. This protocol describes a randomised controlled trial that will test the feasibility, acceptability and efficacy of linking inpatient smoking care with ongoing community cessation support for smokers with a mental illness. Methods/Design: This study will be conducted as a randomised controlled trial. 200 smokers with an acute mental illness will be recruited from a large inpatient mental health facility. Participants will complete a baseline survey and will be randomised to either a multimodal smoking cessation intervention or provided with hospital smoking care only. Randomisation will be stratified by diagnosis (psychotic, non-psychotic). Intervention participants will be provided with a brief motivational interview in the inpatient setting and options of ongoing smoking cessation support post discharge: nicotine replacement therapy (NRT); referral to Quitline; smoking cessation groups; and fortnightly telephone support. Outcome data, including cigarettes smoked per day, quit attempts, and self-reported 7-day point prevalence abstinence (validated by exhaled carbon monoxide), will be collected via blind interview at one week, two months, four months and six months post discharge. Process information will also be collected, including the use of cessation supports and cost of the intervention. Discussion: This study will provide comprehensive data on the potential of an integrated, multimodal smoking cessation intervention for persons with an acute mental illness, linking inpatient with community cessation support.

引用

页数：10

共 67 条

[41] Would smokers with schizophrenia benefit from a more flexible approach to smoking treatment? [J].