A group based smoking cessation pilot programme for community mental health clients in Sydney

Devine, Erin; Khan, Raquiba Jahan; Bedford, Karen; Jiang, Wei; Lim, Henry W.

doi:10.1017/jsc.2013.16

Cited by 3 publications

(4 citation statements)

References 17 publications

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“…Although there was a high interest in such interventions for smoking cessation, peer‐based group therapy may not be widely available in mental health settings in Australia (Devine et al . ; Twyman et al . ).…”

Section: Discussionmentioning

confidence: 99%

Are Australian smokers with mental illness receiving adequate smoking cessation and harm reduction information?

Kumar

Ford

Beere

et al. 2018

Int J Mental Health Nurs

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Provision of smoking cessation support in the form of advice and information is central to increasing quit rates, including among people with mental illness (MI), who have 3-5 times higher odds of smoking than those without MI. This study investigated the extent and perceived utility of quit smoking advice and information available to Australian smokers with MI through face-to-face, semi-structured, in-depth interviews with 29 current smokers with MI. Qualitative analysis identified four major sources of quit smoking advice and information: (i) mental health practitioners; (ii) Quitline; (iii) social networks; and (iv) Internet and media. All identified sources, including formal sources (mental health practitioners and Quitline), were perceived as providing inadequate information about quitting smoking, particularly regarding optimal usage of nicotine replacement therapy (NRT). Social networks emerged as a substantial source of quit smoking advice and information, especially for nontraditional methods such as vaping. Participants showed high interest in receiving support from peer-led smoking cessation groups. A minority of participants reported that they had received quit smoking information from Internet and media; this was largely restricted to negative reports about e-cigarettes and short advertisements for nicotine replacement therapy. Our findings suggest that more can be done to provide smokers with MI with practical smoking cessation advice and support. Comprehensive information resources tailored for smokers with MI should be developed and disseminated via multiple pathways. We also recommend a number of policy and practice reforms to promote smoking cessation among those with MI.

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Section: Discussionmentioning

confidence: 99%

Are Australian smokers with mental illness receiving adequate smoking cessation and harm reduction information?

Kumar

Ford

Beere

et al. 2018

Int J Mental Health Nurs

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“…Sample selection bias was apparent. Although the survey questions were initially adopted from the NSW Smoking and Health Survey 17 and are widely used in population health surveys, 9 they have not been validated. No causal relationship could be claimed due to the cross-sectional survey.…”

Section: Discussionmentioning

confidence: 99%

“…The study instrument was a self-administered questionnaire composed of questions mainly adopted from a widely used population health survey questionnaire. 9 The questionnaire asked participants about their knowledge and attitudes to smoking cessation, enablers and barriers that motivated or prevented them from quitting. In addition, smoke-free home and workplace issues and socio-demographic variables were surveyed.…”

Section: Survey Instrumentmentioning

confidence: 99%

Smoking status and associated factors among male Chinese restaurant workers in metropolitan Sydney

Jiang

Leung²,

Tam³

et al. 2016

Health Prom J of Aust

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Issue addressed The smoking rate among male Chinese migrants in Australia is higher than among the general population. This study investigated the smoking rate of male Chinese restaurant workers in metropolitan Sydney, and explored factors associated with smoking and quitting. Methods A self-administered questionnaire survey was completed by Chinese workers in selected Chinese restaurants in metropolitan Sydney from October-December 2012. Eighty-nine Chinese restaurants were approached and 54 (61%) took part in the study. The questionnaire asked participants about their smoking status, knowledge of and attitudes to smoking and quitting as well as socio-demographic information. Multivariable logistic regression was built to assess the associated factors. Results Of the 382 participants who completed the survey, 171 (45%) were current smokers and 50% of current smokers wanted to quit smoking. Participants who spoke Mandarin, had lower English proficiency, did not realise environmental smoke harms children, did not prefer a smoke-free environment or had more than 50% of relatives or friends who smoked were more likely to be current smokers. Participants who were aged 18-29 years, did not understand the benefits of quitting smoking or did not prefer a smoke-free environment were less likely to want to quit. Conclusions Nearly 50% of male Chinese restaurant workers surveyed in this study were current smokers. Key factors associated with the participants' smoking or quitting status are: aged 18-29 years; speaking Mandarin; lower English literacy; and not knowing the dangers of smoking. So what? Tobacco control programs targetted at male Chinese restaurant workers that raise awareness of the harm caused by smoking and the benefits of quitting smoking are required to enhance intention to quit smoking within this population.

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“…Smoking cessation programmes in community mental health settings meanwhile remain understudied (18, 19). The studies which have been conducted tend to focus on quantitative methods (18, 20–24), brief outcomes data (18, 22–26), and had small samples (<30) (20, 22, 25).…”

Section: Introductionmentioning

confidence: 99%

Implementation of a Quit Smoking Programme in Community Adult Mental Health Services–A Qualitative Study

et al. 2018

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Little is known about the experiences of people with severe mental health difficulties in smoking cessation interventions. This study aimed to review the implementation of a smoking cessation programme across 16 community mental health day services. The aim was to establish the experience from both service user and facilitator perspectives and refine implementation for future groups. In-depth interviews were conducted with 20 service users and four focus groups held with 17 facilitators. Thematic analysis was used to analyse the data for emergent themes in relation to key enablers and barriers to implementation. Data from service users and facilitators revealed that implementation was enabled by an open and engaged recruitment approach; the resourcefulness of facilitators; programme materials and group-based format; combining the cessation programme with other and broader health initiatives; and participants' motivations, including health and money. Barriers included the structure of the service; the lack of a joined-up approach across the health services; literacy issues and the serial/logical process assumed by the programme. Barriers perceived as more specific to those with mental health difficulties included the use of smoking as a coping mechanism, lack of alternative activities/structure and lack of consistent determination. The tobacco free policy, implemented shortly before the programme, interestingly emerged as both a barrier and an enabler. In conclusion, although this group-based cessation programme in community mental health settings was well-received overall, a number of key barriers persist. A joined-up approach which addresses the culture of smoking in mental health settings, inconsistencies in smoking policies, and provides consistent cessation support, is needed. Care needs to be taken with the timing as overall it may not be helpful to introduce a new smoking cessation programme at the same time as a tobacco free policy.

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A group based smoking cessation pilot programme for community mental health clients in Sydney

Cited by 3 publications

References 17 publications

Are Australian smokers with mental illness receiving adequate smoking cessation and harm reduction information?

Are Australian smokers with mental illness receiving adequate smoking cessation and harm reduction information?

Smoking status and associated factors among male Chinese restaurant workers in metropolitan Sydney

Implementation of a Quit Smoking Programme in Community Adult Mental Health Services–A Qualitative Study

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