A brief motivational intervention based on positive experience and temporary smoking abstinence: Feasibility in a psychiatric hospital

Abstract

-Background and Objectives: Feasible interventions promoting tobacco cessation need to be implemented in psychiatric hospitals, where high proportions of patients are heavy smokers. This pilot study examined the feasibility of a new brief motivational intervention associating positive experiences with temporary smoking cessation.Methods: One-day interventions were proposed to 19 smokers hospitalized for severe mental disorders. The multicomponent intervention comprised a 25-hour tobacco cessation period, information about smoking, attending thermal baths and music therapy sessions, intensive group support and feedback sessions. Expired carbon monoxide was monitored and nicotine replacement was available. Patients were evaluated before, during and after the intervention.Results: Most participants were heavy smokers (68.4%) and precontemplative about smoking cessation (52.6%). Rates of successful smoking abstinence were 78.9% after 10 hours and 47.4% at 25 hours; 15.8% stopped for 3 days or more. Median CO level decreased from 24 to 9 ppm. Patients reported high levels of general well-being and satisfaction during the abstinence day. Psychiatric condition did not deteriorate and frequency of withdrawal symptoms was low. 84% of patients used nicotine replacement. Significantly reduced cigarette consumption persisted for at least one week after the intervention.

Staff representations and tobacco‐related practices in a psychiatric hospital with an indoor smoking ban

“…Recently, a brief motivational intervention based on the association between positive experience and temporary smoking abstinence was developed (Keizer et al . ). In mental health settings, specific emphasis might be placed on motivation‐based interventions and a process‐of‐change model (Ziedonis et al .…”

“…This context calls for specific interventions, which might be longer, more gradual, accompanied with increased psycho-social support (American Psychiatric Association 2013), and tailored to patients' psychiatric conditions, stages of change, and individual smoking characteristics (Hollis et al 2005) (Ziedonis et al 2003). Recently, a brief motivational intervention based on the association between positive experience and temporary smoking abstinence was developed (Keizer et al 2012). In mental health settings, specific emphasis might be placed on motivation-based interventions and a process-of-change model (Ziedonis et al 2003).…”

Addressing the arguments against implementation of smoke‐free policies in psychiatric facilities

“…Smoking often provides patients with structure and with opportunities for socialization, and subsequently when psychiatric facilities go smoke‐free, they need to introduce alternatives to promote healthier means of socialization and entertainment (Green & Hawranik, ). There is some evidence that diversional therapy alternatives to smoking such as guided relaxation or fitness groups can reduce boredom and provide opportunities for socialization in psychiatric inpatient units (Green & Hawranik, ; Keizer et al ., ; Steele & Linsley, ). Given the strong evidence on the profound harms of smoking for psychiatric inpatients such as increased morbidity and mortality from smoking‐related diseases (Joukamaa et al.…”

A Short Motivational Program Based on Temporary Smoking Abstinence: Towards Increased Self-Efficacy to Quit in Psychiatric Inpatients

“…The intervention was designed in 2010 and its feasibility and acceptability were assessed in an earlier report [12]. The present study ran between June 2011 and July 2014.…”

“…To address this shortcoming, we developed a tailored intervention, consisting in a short 26 h smoking abstinence period, allowing patients to build up a positive experience and increase self-efficacy towards smoking cessation [12]. The objective of our study was to evaluate this intervention, by comparing data collected before and one-week after the program.…”