Smoking cessation in inpatient psychiatry treatment facilities: A review

Kagabo, Robert; Gordon, Adam J.; Okuyemi, Kola

doi:10.1016/j.abrep.2020.100255

Cited by 15 publications

(10 citation statements)

References 71 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Esos resultados están en consonancia con la literatura científica que muestra que el tabaco está siendo utilizado, hace muchos años, como una forma de: recompensar los buenos comportamientos de los pacientes psiquiátricos; controlar sus síntomas; incentivarlos a ser menos resistentes a los planos de cuidado, y facilitar las interacciones. Además, en algunas situaciones es utilizado como chantaje (3,4,(15)(16)(17)(18)(19) .…”

Section: Discussionunclassified

Opinion and perception of attitudes related to smoking and its prohibition in mental health services

2022

View full text Add to dashboard Cite

Introduction: The opinions and perceptions about smoking in the psychiatric population contribute to the fact that its prevalence in this population remains two or three times higher than that found in other groups.Aims: 1) To compare the opinions of the psychiatric population and general population regarding the smoking ban in mental health services, as well as their perception of mental health professionals’ attitudes in relation to smoking; 2) To identify the association between personal and clinical variables with opinions and perception of attitudes.Methods: This Brazilian cross-sectional epidemiological study took place in: Mental Health Outpatient Unit (n=126), Psychiatric Hospital (n=126) and Primary Health Unit (n=126). Individual interviews were performed using a questionnaire.Results: Most participants believe that smoking ban may aggravate psychiatric symptoms. When comparing the responses of the psychiatric population with those of the general population, it is observed that the two groups have similar opinions regarding the effects of tobacco on psychiatric symptoms and behaviors. The population hospitalized in the psychiatric hospital was the one that most agreed with the perception of the attitudes of professionals working in mental health services towards smoking, possibly due to situations experienced in the psychiatric hospital. Among the personal and clinical variables, the illiterate or those who studied up to primary/junior high school were the ones who most agreed that the smoking ban aggravates psychiatric symptoms.Conclusions: This study contribute to the practice of psychiatric nursing by disclosing the opinions and perceptions of attitudes associated with smoking in mental health services. Introducción: Las opiniones y percepciones acerca del tabaquismo de la población psiquiátrica contribuyen a que su prevalencia, en esa población, sea de dos a tres veces superior a la encontrada en otros grupos.Objetivos: 1) Comparar las opiniones de la población psiquiátrica y de la población general en relación a la prohibición de fumar, en los servicios de salud mental, así como comparar la percepción que tienen de las actitudes de profesionales de salud mental, en relación al tabaquismo; 2) Identificar la asociación entre variables personales y clínicas con las opiniones y percepciones de las actitudes.Método: Este estudio epidemiológico brasileño de corte transversal fue realizado en Ambulatorio de Salud Mental (n=126), en Hospital psiquiátrico (n=126) y en Unidad Básica de Salud (n=126). Fueron realizadas entrevistas individuales usando un cuestionario.Resultados: La mayoría de los participantes cree que los síntomas psiquiátricos pueden agravarse con la prohibición de fumar. Al comparar las respuestas de la población psiquiátrica con la población general, se observó que los dos grupos tienen opiniones similares acerca de los efectos del tabaco en los síntomas psiquiátricos y en el comportamiento. La población internada en el hospital psiquiátrico fue la que más concordó con las afirmaciones relacionadas a las actitudes de los profesionales que trabajan en los servicios de salud mental, en relación al tabaquismo, posiblemente debido a las situaciones que experimentan en el hospital psiquiátrico. Entre las variables personales y clínicas, los analfabetos y los que estudiaron hasta la enseñanza fundamental fueron los que más concordaron que la prohibición de fumar puede agravar los síntomas psiquiátricos.Conclusión: Este estudio contribuye para la práctica de la enfermería psiquiátrica, al revelar las opiniones y percepciones de actitudes relacionadas al tabaquismo, en los servicios de salud mental. Introdução: As opiniões e percepções acerca do tabagismo da população psiquiátrica contribuem para sua prevalência, nessa população, ser duas a três vezes superior à encontrada em outros grupos.Objetivo: 1) Comparar as opiniões da população psiquiátrica e da população geral em relação à proibição do fumo nos serviços de saúde mental, bem como a percepção que elas têm das atitudes dos profissionais de saúde mental em relação ao tabagismo; 2) Identificar a associação entre variáveis pessoais e clínicas com as opiniões e percepção das atitudes.Método: Este estudo epidemiológico brasileiro de corte transversal foi realizado em: Ambulatório de Saúde Mental (n=126), Hospital psiquiátrico (n=126) e Unidade Básica de Saúde (n=126). Foram conduzidas entrevistas individuais usando questionário.Resultados: A maioria dos participantes acredita que os sintomas psiquiátricos podem ser agravados com a proibição do fumo. Ao comparar as respostas da população psiquiátrica com as da população geral, é observado que os dois grupos têm opiniões similares acerca dos efeitos do tabaco nos sintomas psiquiátricos e no comportamento. A população internada no hospital psiquiátrico foi a que mais concordou com as afirmativas relacionadas às atitudes dos profissionais que trabalham nos serviços de saúde mental em relação ao tabagismo, possivelmente devido às situações que experienciam no hospital psiquiátrico. Dentre as variáveis pessoais e clínicas, os analfabetos e os que estudaram até o ensino fundamental foram os que mais concordaram que a proibição do fumo pode agravar os sintomas psiquiátricos.Conclusão: Este estudo contribui para a prática da enfermagem psiquiátrica ao revelar as opiniões e percepções das atitudes relacionadas ao tabagismo nos serviços de saúde mental.

show abstract

Section: Discussionunclassified

Opinion and perception of attitudes related to smoking and its prohibition in mental health services

2022

View full text Add to dashboard Cite

show abstract

“…On the other hand, there was no difference in mental health domains among SCIMITAR participants at six and 12 months[28].Results from eight clinical trials with treatment periods lasting eight to 12 weeks started in inpatient settings and continued post discharge, have shown smoking quit rates of different cessation intervention, including behavioural and pharmacological interventions, range from 4-22% among people with mental illnesses[29]. Banham et al (2010) reviewed eight randomised controlled trials and found similar results to the current study.…”

mentioning

confidence: 95%

Effect of A Group Tobacco Cessation Behavioural Intervention Among Patients with Mental Illness in Kenya: Results from a Controlled Clinical Trial

Olando

Mathai

Kuria

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Individuals with mental disorders are more susceptible to initiating and sustaining tobacco use; unfortunately, most do not get support to quit. Group behavioural counselling, an effective low-cost strategy for cessation has been shown to be effective, yet has not been studied among this population in Kenya.Methods: Mentally ill tobacco users at Mathari Referral and Teaching Hospital’s Clinic for Substance Abuse Treatment in Nairobi, were recruited from September 2017-March 2019. Participants were allocated into intervention and control groups (1:1). Intervention group participants met in groups of 10 over 24-weeks to participate in group behavioural counselling sessions using a structured curriculum to promote cessation. Control group participants received usual care. The primary outcome was tobacco cessation at 24-weeks measured through salivary cotinine strips. Secondary outcomes included self-reported number of cigarettes/sticks used daily and health-related quality of life (HRQoL), using the WHOQoL Brief Questionnaire at 24-weeks. Between-group event rates were compared using Cox proportional hazards models, while differences in HRQoL scores were analysed using paired t-tests.Results: Participants’ mean age was 35 (SD=9) years, 87% were male, and 42% had completed secondary education. Over half (65%) had substance use disorders (diagnosed) and 15% had major depressive disorders. Most participants (94%) used cigarettes at baseline and participants smoked for a mean of 13 (SD=11) years with an average of 14 (SD=7) sticks daily. Intervention group participants reported a higher cessation rate (15.2% vs. 0% at week 12;P=0.02 and 9.1% vs. 0%;P=0.10) at 24-weeks, with a lower number of sticks smoked (97% vs. 58.6%;P<0.0001) compared with control group participants at 24-weeks follow-up. Intervention group participants reported higher change in HRQoL scores compared to control participants in physical (30.6% vs. 10.4%;OR=3.79 [95% CI,1.25-11.48]) and environmental domains (34.7% vs. 8.3%;OR=5.84 [95% CI,1.79-19.03]) at end of study.Conclusion: The group behavioural intervention among tobacco using Kenyans with mental illness led to improved tobacco cessation outcomes. Trial registration number: NCT04013724

show abstract

“…While there is some evidence on the clinical and costeffectiveness of behavioral change interventions for quitting tobacco [28][29][30][31], there is a lack of data on the effectiveness of these interventions in the tertiary healthcare setting. To our knowledge, merely two randomized controlled trials initiated in hospital settings comparing intensive with brief intervention have been documented so far on tobacco cessation [32,33], while no such study has been conducted in India.…”

Section: Introductionmentioning

confidence: 99%

Comparative effectiveness of two behavioral change intervention packages for tobacco cessation initiated in the tertiary care setting of North India—protocol for a two-arm randomized controlled trial

Dhawan

Goel

Aggarwal

et al. 2022

Trials

View full text Add to dashboard Cite

Background To reduce the global burden of tobacco use, clinical guidelines support behavioral therapy and pharmacotherapy as preferred interventions for tobacco cessation. The evidence-based behavioral interventions has consistently shown to be impactful in community settings; however, its efficacy has not been established in hospital settings. The current study aims to investigate impact of trans-theoretical-based behavioral intervention package on tobacco users suffering from non-communicable diseases attending tertiary care settings of North India. Methods/design A two-arm randomized controlled trial (RCT) in a tertiary healthcare hospital will be performed. A total of 360 tobacco users attending NCD clinics in four departments, cardiology, neurology, pulmonary medicine, and ENT (otolaryngology), will be recruited over a period of 3 months. After ascertaining the eligibility criteria, they will be followed up to 6 months (1, 3, 6) for their tobacco use status, readiness to quit, nicotine dependence, stage of behavior change, and self-reported and biochemical validation (urine cotinine) for tobacco abstinence. Assignment of intervention including allocation concealment, sequence generation, and blinding will be done as per SPIRIT guidelines for RCT protocols. Discussion As no strong evidence exists about the effectiveness of tobacco cessation intervention in tertiary settings, the current study will build evidence about the similar interventions in such settings. Trial registration CTRI/2019/09/021406.

show abstract

Smoking cessation in inpatient psychiatry treatment facilities: A review

Cited by 15 publications

References 71 publications

Opinion and perception of attitudes related to smoking and its prohibition in mental health services

Opinion and perception of attitudes related to smoking and its prohibition in mental health services

Effect of A Group Tobacco Cessation Behavioural Intervention Among Patients with Mental Illness in Kenya: Results from a Controlled Clinical Trial

Comparative effectiveness of two behavioral change intervention packages for tobacco cessation initiated in the tertiary care setting of North India—protocol for a two-arm randomized controlled trial

Contact Info

Product

Resources

About

Smoking cessation in inpatient psychiatry treatment facilities: A review

Cited by 15 publications

References 71 publications

Opinion and perception of attitudes related to smoking and its prohibition in mental health services

Opinion and perception of attitudes related to smoking and its prohibition in mental health services

Effect of A Group Tobacco Cessation Behavioural Intervention Among Patients with Mental Illness in Kenya:&nbsp;Results from a Controlled Clinical Trial

Comparative effectiveness of two behavioral change intervention packages for tobacco cessation initiated in the tertiary care setting of North India—protocol for a two-arm randomized controlled trial

Contact Info

Product

Resources

About

Effect of A Group Tobacco Cessation Behavioural Intervention Among Patients with Mental Illness in Kenya: Results from a Controlled Clinical Trial