Non-pharmacological interventions for smoking in persons with schizophrenia spectrum disorders – A systematic review

Rajalu, Banu Manickam; Jayarajan, Deepak; Muliyala, Krishna Prasad; Sharma, Priyamvada; Gandhi, Sailaxmi; Chand, Prabhat; Thirthalli, Jagadisha; Murthy, Pratima

doi:10.1016/j.ajp.2020.102530

Cited by 3 publications

(4 citation statements)

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“…The nonpharmacological interventions varied widely, and specific nonpharmacological management such as home visits and MI were more effective than others. 33…”

Section: Resultsmentioning

confidence: 99%

“…The package has been developed based on an extensive literature review, 33 expert validation, and considering the practical challenges in a busy OPD. It included unique components of personalized feedback for settings with limited resources and has the potential to be used in regular follow-up visits by a psychiatric nurse or any other mental health professional.…”

Section: Discussionmentioning

confidence: 99%

“…A systematic literature review was carried out using the following databases-PubMed, Cochrane, EBSCO, PsycINFO, ProQuest, and Google Scholar-for existing pharmacological, nonpharmacological, and combination interventions for tobacco reduction/cessation in patients with severe mental illness, schizophrenia in particular. 33 The PTCIP was based on the systematic review, and the components were initially selected or added based on the authors' clinical experience (mean years ± SD = 16.5 ± 6.32) of working with patients with mental illness and substance use disorders, as the evidence was available only from high-income countries. Components were selected keeping in mind the local clinical realities in terms of treatment resources, the volume of patients, time available for face-to-face consultation for treatment during their routine psychiatric follow-up, and access to mobile phones.…”

Section: Methodsmentioning

confidence: 99%

“…We have reported the findings of the systematic review elsewhere. 33 In summary, six RCTs (two nonpharmacological interventions, four combinations of nonpharmacological and pharmacological interventions compared with routine care) that measured reduction and cessation of tobacco use after a minimum follow-up period of six months were included in the systematic review. The review found that combinations of pharmacological and nonpharmacological treatments facilitated abstinence and reduced cigarette smoking more than nonpharmacological interventions used in isolation.…”

Section: Development Of a Personalized Tobacco Cessation Intervention...mentioning

confidence: 99%

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Development of a Personalized Tobacco Cessation Intervention Package (PTCIP) for Persons with Schizophrenia in India

Rajalu

Jayarajan

Muliyala

et al. 2022

Indian Journal of Psychological Medicine

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Background: Among persons with schizophrenia (PwS), tobacco use is higher in comparison to the general population, contributing to greater morbidity and mortality. Pharmacological interventions combined with psychosocial interventions are effective in tobacco cessation. While the effectiveness of extant psychosocial interventions—when used in isolation—seems limited, developing better combinations of interventions could help treatment providers deliver tobacco cessation services to PwS at different stages of motivation to quit. We aimed to develop a personalized tobacco cessation intervention package (PTCIP) for PwS. Methods: The stage-based intervention package was developed through a systematic review of interventions for tobacco cessation, the authors’ clinical experience, and expert validation. The components of the intervention package, developed for PwS visiting the outpatient psychiatric department, were retained, removed, or added based on the content validity ratio (CVR). Results: The final components included brief advice, principles of motivational interviewing, psychoeducation, decisional balance matrix, positive reinforcement, offering various treatment options, personalized feedback using a smoking-risk calculator, and prediction of cardiovascular risk using the WHO package of essential noncommunicable disease (PEN). The delivery of the intervention package was refined based on pilot testing in eight participants. Conclusion: The tailored package was designed to be delivered by a mental health professional as a single comprehensive 40 min to 45 min face-to-face session, integrated with routine follow-up visits, followed by two telephonic conversations in the second and third week of the initial session. The package needs to be tested in a randomized controlled trial for its effectiveness.

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“…The nonpharmacological interventions varied widely, and specific nonpharmacological management such as home visits and MI were more effective than others. 33…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Development Of a Personalized Tobacco Cessation Intervention...mentioning

confidence: 99%

See 2 more Smart Citations