TITLE

Treating Tobacco Dependence at the Intersection of Diversity, Poverty, and Mental Illness: A Randomized Feasibility and Replication Trial

AUTHOR(S)
Hickman III, Norval J.; Delucchi, Kevin L.; Prochaska, Judith J.
PUB. DATE
August 2015
SOURCE
Nicotine & Tobacco Research;Aug2015, Vol. 17 Issue 8, p1012
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Introduction: In an ethnically-diverse, uninsured psychiatric sample with co-occurring drug/alcohol addiction, we evaluated the feasibility and reproducibility of a tobacco treatment intervention. The intervention previously demonstrated efficacy in insured psychiatric and nonpsychiatric samples with 20.0%-25.0% abstinence at 18 months. Methods: Daily smokers, recruited in 2009-2010 from psychiatric units at an urban public hospital, were randomized to usual care (on-unit nicotine replacement plus quit advice) or intervention, which added a Transtheoretical-model tailored, computer-assisted intervention, stage-matched manual, brief counseling, and 10-week post-hospitalization nicotine replacement. Results: The sample (N = 100, 69% recruitment rate, age M = 40) was 56% racial/ethnic minority, 65% male, 79% unemployed, and 48% unstably housed, diagnosed with unipolar (54%) and bipolar (14%) depression and psychotic disorders (46%); 77% reported past-month illicit drug use. Prior to hospitalization, participants averaged 19 (SD = 11) cigarettes/day for 23 (SD = 13) years; 80% smoked within 30 minutes of awakening; 25% were preparing to quit. Encouraging and comparable to effects in the general population, 7-day point prevalence abstinence for intervention versus control was 12.5% versus 7.3% at 3 months, 17.5% versus 8.5% at 6 months, and 26.2% versus 16.7% at 12 months. Retention exceeded 80% over 12 months. The odds of abstinence increased over time, predicted by higher self-efficacy, greater perceived social status, and diagnosis of psychotic disorder compared to unipolar depression. Conclusions: Findings indicate uninsured smokers with serious mental illness can engage in tobacco treatment research with quit rates comparable to the general population. A larger investigation is warranted. Inclusion of diverse smokers with mental illness in clinical trials is supported and encouraged.
ACCESSION #
108915412

 

Related Articles

  • Two smokers and evidence based medicine. Brewster, H A // BMJ: British Medical Journal (International Edition);9/8/2001, Vol. 323 Issue 7312, p569 

    Relates the author's experience treating two older men who were cigarette smokers. Warning to the first patient that he could lose his leg if he continued to smoke; Death of the patient; How the other patient became increasingly confused after his cigarettes were taken away; Request of his...

  • Psychometrics of the recovery process inventory. Jerrell, Jeanette M.; Cousins, Victoria C.; Roberts, Katherine M. // Journal of Behavioral Health Services & Research;Oct2006, Vol. 33 Issue 4, p464 

    The reliability and validity of the Recovery Process Inventory (RPI) were assessed in a statewide sample of 459 persons with severe mental illness from a public mental health system. Six factors were identified that reflect important aspects of the recovery process, have good internal...

  • First do no harm.  // Nature;1/13/2011, Vol. 469 Issue 7329, p132 

    The author reflects on the need to present the supporting evidence to prove the efficiency of the near-infrared spectroscopy (NIRS), a diagnostic technique, for mental-health problems in Japan. The incorrect diagnosis of people with psychiatric disorders may lead to the incorrect prescription of...

  • US expert slams Patrick McGorry's psychosis model.  // Art of Healing;Mar-May2012, Vol. 1 Issue 38, p18 

    The article offers the insights of Allen Frances of Duke University in North Carolina on the model developed by Patrick McGorry on the early diagnosis of psychosis. Frances mentions that the model initiated by McGorry could lead people without psychosis being placed on medications that have...

  • Ex-smokers get the blues. Sweet, Melissa // Bulletin with Newsweek;7/17/2001, Vol. 119 Issue 6283, p45 

    Presents news concerning public health as of July 17, 2001. Possible health benefits of cigarettes; Study concerning the impact of sudden sounds on the health of a British old man; Death of an asthma research volunteer in Maryland.

  • Motivation, Cognitive, and Affective Factors that Predict Smoking Relapse: A Cross-Sectional Study in a Filipino Sample. Bello, Aylin M.; Robles, Jennifer N.; Sarmiento, Arsthel F .; Tuliao, Antover P.; Reyes, Rachel C. // Journal of Smoking Cessation;Apr2011, Vol. 6 Issue 1, p17 

    In the plethora of international research on smoking relapse there are findings that suggest distinct ethnocultural differences in relapse predictors. This study aimed to uncover cognitive and affective factors that contribute to relapse in a sample of Filipino adult smokers (N = 115). Using...

  • Outcome predictors of smoking cessation treatment provided by an addiction care unit between 2007 and 2010. Castaldelli-Maia, João Maurício; Cavalcanti Carvalho, Carlos Felipe; Armentano, Fábio; Piotto Frallonardo, Fernanda; Correa de Toledo Ferraz Alves, Tania; Guerra de Andrade, Arthur; Nicastri, Sérgio // Revista Brasileira de Psiquiatria;Oct-Dec2013, Vol. 35 Issue 4, p338 

    Objective: To analyze the predictors of smoking cessation treatment outcomes in a sample with a high rate of medical and psychiatric disorders and addictions. Methods: Analysis of predictors of success of a 6-week treatment provided by an addiction care unit (CAPS-AD) to 367 smokers in Brazil...

  • PROMOÇÃO DA SAÚDE MENTAL DO IDOSO NA ATENÇÃO BÁSICA: AS CONTRIBUIÇÕES DA TERAPIA COMUNITÁRIA. de Andrade, Fábia Barbosa; Ferreira Filha, Maria de Oliveira; Dias, Maria Djair; Silva, Antonia Oliveira; Clara Costa, Iris do Céu; de Lima, Édija Anália Rodrigues; Teixeira Mendes, Cristina Kátya Torres // Texto & Contexto Enfermagem;jan/mar2010, Vol. 19 Issue 1, p129 

    To the Brazilian National Elderly Health Policy, there are two population megagroups. Representing the first group are the senior citizens considered to be independent, while the second involves fragile senior citizens. Community Therapy is found to be inserted in such a reality as a space to...

  • Empowerment, Lifelong Learning and Recovery in Mental Health: towards a new paradigm. Desai, Suki // Diversity & Equality in Health & Care;2013, Vol. 10 Issue 3, p205 

    The article reviews the book "Empowerment, Lifelong Learning and Recovery in Mental Health: Towards a New Paradigm," edited by Peter Ryan, Shulamit Ramon and Tim Greacen.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics