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Effectiveness of Proactive Tobacco Cessation Treatment Outreach Among Smokers With Serious Mental Illness.
Nicotine Tob Res. 2020 08 24; 22(9):1433-1438.NT

Abstract

INTRODUCTION

People with serious mental illness (SMI) have a high smoking prevalence and low quit rates. Few cessation treatments are tested in smokers with SMI. Mental health (MH) providers are reluctant to address smoking. Proactive tobacco cessation treatment strategies reach out directly to smokers to offer counseling and medication and improve treatment utilization and quit rates. The current study is a secondary analysis of a randomized controlled trial of proactive outreach for tobacco cessation treatment in VA MH patients.

AIMS AND METHODS

Participants (N = 1938, 83% male, mean age 55.7) across four recruitment sites, who were current smokers and had a MH visit in the past 12 months, were identified using the electronic medical record. Participants were randomized to Intervention (telephone outreach call plus invitation to engage in MH tailored telephone counseling and assistance obtaining nicotine replacement therapy) or Control (usual care). The current study assessed outcomes in participants with SMI (N = 982).

RESULTS

Compared to the Control group, participants assigned to the Intervention group were more likely to engage in telephone counseling (22% vs. 3%) and use nicotine replacement therapy (51% vs. 41%). Participants in the Intervention group were more likely to be abstinent (7-day point prevalence; 18%) at 12 months than participants in the Control group (11%) but equally likely to make quit attempts.

CONCLUSIONS

Proactive tobacco cessation treatment is an effective strategy for tobacco users with SMI. Proactive outreach had a particularly strong effect on counseling utilization. Future randomized clinical trials examining proactive tobacco treatment approaches in SMI treatment settings are needed.

IMPLICATIONS

Few effective treatment models exist for smokers with SMI. Proactive tobacco cessation outreach with connections to MH tailored telephone counseling and medication promotes tobacco abstinence among smokers with SMI and is an effective treatment strategy for this underserved population.

Authors+Show Affiliations

Department of Clinical Pharmacology and Toxicology, Hennepin Healthcare, Minneapolis, MN.VA HSR&D Center for Care Delivery and Outcomes Research, Minneapolis VA Health Care System, Minneapolis, MN. Department of Medicine, University of Minnesota Medical School, Minneapolis, MN.Department of Medicine, VA New York Harbor Healthcare System, New York, NY. Department of Population Health, New York University School of Medicine, New York, NY.VA HSR&D Center for Care Delivery and Outcomes Research, Minneapolis VA Health Care System, Minneapolis, MN. Department of Medicine, University of Minnesota Medical School, Minneapolis, MN.VA HSR&D Center for Care Delivery and Outcomes Research, Minneapolis VA Health Care System, Minneapolis, MN. Department of Medicine, University of Minnesota Medical School, Minneapolis, MN.Department of Population Health, New York University School of Medicine, New York, NY.VA HSR&D Center for Care Delivery and Outcomes Research, Minneapolis VA Health Care System, Minneapolis, MN. Department of Medicine, University of Minnesota Medical School, Minneapolis, MN.VA HSR&D Center for Care Delivery and Outcomes Research, Minneapolis VA Health Care System, Minneapolis, MN. Department of Medicine, University of Minnesota Medical School, Minneapolis, MN.Department of Mental Health, VA San Diego Healthcare System, San Diego, CA.Department of Medicine, VA New York Harbor Healthcare System, New York, NY. Department of Population Health, New York University School of Medicine, New York, NY.

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

31957794

Citation

Japuntich, Sandra J., et al. "Effectiveness of Proactive Tobacco Cessation Treatment Outreach Among Smokers With Serious Mental Illness." Nicotine & Tobacco Research : Official Journal of the Society for Research On Nicotine and Tobacco, vol. 22, no. 9, 2020, pp. 1433-1438.
Japuntich SJ, Hammett PJ, Rogers ES, et al. Effectiveness of Proactive Tobacco Cessation Treatment Outreach Among Smokers With Serious Mental Illness. Nicotine Tob Res. 2020;22(9):1433-1438.
Japuntich, S. J., Hammett, P. J., Rogers, E. S., Fu, S., Burgess, D. J., El Shahawy, O., Melzer, A. C., Noorbaloochi, S., Krebs, P., & Sherman, S. E. (2020). Effectiveness of Proactive Tobacco Cessation Treatment Outreach Among Smokers With Serious Mental Illness. Nicotine & Tobacco Research : Official Journal of the Society for Research On Nicotine and Tobacco, 22(9), 1433-1438. https://doi.org/10.1093/ntr/ntaa013
Japuntich SJ, et al. Effectiveness of Proactive Tobacco Cessation Treatment Outreach Among Smokers With Serious Mental Illness. Nicotine Tob Res. 2020 08 24;22(9):1433-1438. PubMed PMID: 31957794.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effectiveness of Proactive Tobacco Cessation Treatment Outreach Among Smokers With Serious Mental Illness. AU - Japuntich,Sandra J, AU - Hammett,Patrick J, AU - Rogers,Erin S, AU - Fu,Steven, AU - Burgess,Diana J, AU - El Shahawy,Omar, AU - Melzer,Anne C, AU - Noorbaloochi,Siamak, AU - Krebs,Paul, AU - Sherman,Scott E, PY - 2019/10/23/received PY - 2020/01/17/accepted PY - 2020/1/21/pubmed PY - 2021/1/13/medline PY - 2020/1/21/entrez SP - 1433 EP - 1438 JF - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco JO - Nicotine Tob Res VL - 22 IS - 9 N2 - INTRODUCTION: People with serious mental illness (SMI) have a high smoking prevalence and low quit rates. Few cessation treatments are tested in smokers with SMI. Mental health (MH) providers are reluctant to address smoking. Proactive tobacco cessation treatment strategies reach out directly to smokers to offer counseling and medication and improve treatment utilization and quit rates. The current study is a secondary analysis of a randomized controlled trial of proactive outreach for tobacco cessation treatment in VA MH patients. AIMS AND METHODS: Participants (N = 1938, 83% male, mean age 55.7) across four recruitment sites, who were current smokers and had a MH visit in the past 12 months, were identified using the electronic medical record. Participants were randomized to Intervention (telephone outreach call plus invitation to engage in MH tailored telephone counseling and assistance obtaining nicotine replacement therapy) or Control (usual care). The current study assessed outcomes in participants with SMI (N = 982). RESULTS: Compared to the Control group, participants assigned to the Intervention group were more likely to engage in telephone counseling (22% vs. 3%) and use nicotine replacement therapy (51% vs. 41%). Participants in the Intervention group were more likely to be abstinent (7-day point prevalence; 18%) at 12 months than participants in the Control group (11%) but equally likely to make quit attempts. CONCLUSIONS: Proactive tobacco cessation treatment is an effective strategy for tobacco users with SMI. Proactive outreach had a particularly strong effect on counseling utilization. Future randomized clinical trials examining proactive tobacco treatment approaches in SMI treatment settings are needed. IMPLICATIONS: Few effective treatment models exist for smokers with SMI. Proactive tobacco cessation outreach with connections to MH tailored telephone counseling and medication promotes tobacco abstinence among smokers with SMI and is an effective treatment strategy for this underserved population. SN - 1469-994X UR - https://www.unboundmedicine.com/medline/citation/31957794/Effectiveness_of_Proactive_Tobacco_Cessation_Treatment_Outreach_Among_Smokers_With_Serious_Mental_Illness_ L2 - https://academic.oup.com/ntr/article-lookup/doi/10.1093/ntr/ntaa013 DB - PRIME DP - Unbound Medicine ER -