An empirical perspective on cigarette use in substance use recovery

Goodwin, Renée D.; Wu, Melody; Davidson, Larry

doi:10.1017/s0033291721002300

Cited by 3 publications

(3 citation statements)

References 83 publications

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“…It is less and poorly talked about, undermining its relevance to public health. Empirical evidence from observational studies support these views [ 63 , 64 ].…”

Section: Discussionmentioning

confidence: 99%

“…In general, the way PDA use treatment services are offered does not prioritize smoking cessation services over the other treatment demands it competes for [ 63 , 64 , 78 ]. Studies have recommended a comprehensive care approach which requires detailed assessment of needs and a flexible recovery plan that can be reviewed [ 77 , 79 – 81 ].…”

Section: Discussionmentioning

confidence: 99%

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Exploring the barriers and facilitators to the uptake of smoking cessation services for people in treatment or recovery from problematic drug or alcohol use: A qualitative systematic review

Iyahen,

Omoruyi,

Rowa-Dewar

et al. 2023

PLoS ONE

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Background Smoking prevalence and the associated poor health and mortality is significantly higher among people with/recovering from problematic drug or alcohol (PDA) use in comparison with the general population. Evidence from existing systematic reviews shows smoking cessation enhances rather than compromises long-term abstinence from alcohol or drug use. However, these systematic reviews lack important contextual detail around the reasons why uptake of, and successful engagement with existing stop smoking services remains low for people in treatment or recovery from PDA use. This systematic review explores qualitative data on the barriers and facilitators to the uptake of smoking cessation services for people in treatment or recovery from PDA use. This key objective addresses the limited inclusion of qualitative studies in previous systematic reviews on this issue. Methods A qualitative systematic review was conducted with searches across four electronic databases (PubMed, Embase, PsycINFO and Cumulative Index to Nursing and Allied Health Literature [CINAHL]). All studies that had a qualitative component about free smoking cessation/reduction programmes for people in treatment or recovery from PDA use were included. Studies that examined electronic smoking or services that required a fee were excluded. Study quality was assessed using National Institute for Health and Care Excellence checklist. Qualitative synthesis involved inductive thematic analysis. (PROSPERO Registration number: CRD42022298521). Results 8809 potentially eligible articles were identified, 72 full texts were screened and ten articles were included for full review. Barriers to uptake and engagement with existing stop smoking services centered on three key themes: perception of public health importance, programme structure, and intervention elements. Facilitators included supportive treatment environment and optimization of support/staff resources for smoking cessation service delivery. Conclusion Recommendations included influencing a change in the way people perceive the importance of smoking cessation activities during PDA use treatment or recovery. There was also some emphasis on the need to create the right environment for sustained adherence to treatment or recovery plans, and deliver the interventions within the health system as comprehensive care. The limited qualitative evidence on community-based and outpatient services highlights a research gap.

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“…It is less and poorly talked about, undermining its relevance to public health. Empirical evidence from observational studies support these views [ 63 , 64 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Exploring the barriers and facilitators to the uptake of smoking cessation services for people in treatment or recovery from problematic drug or alcohol use: A qualitative systematic review

Iyahen,

Omoruyi,

Rowa-Dewar

et al. 2023

PLoS ONE

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show abstract

“…This study provides an opportunity to reflect on the history of cigarette smoking in the field of psychiatry, which has a long tradition of overlooking, if not encouraging, tobacco use in clinical mental health and SUD treatment settings . This practice continues today, despite mounting evidence that cigarette smoking is predictive of persistent depression and relapse among people in recovery from SUD .…”

mentioning

confidence: 99%

Prevalence of Cigarette Smoking Among US Adults With Major Depression or Substance Use Disorders

Goodwin

Davidson

2022

JAMA

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Initial leadership concerns and availability of tobacco cessation services moderate changes in employee-reported concerns about tobacco-free workplace policy implementation over time

Siddiqi,

Carter,

Chen

et al. 2024

Translational Behavioral Medicine

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Tobacco-free workplace policies (TFWPs) are underused evidence-based interventions that reduce the elevated use of tobacco among substance use treatment center (SUTC) employees and patients. SUTC employees’ anticipated concerns about stakeholder pushback are barriers to TFWP adoption. Examination of discrepancies between anticipated and actualized employee-reported TFWP concerns arising from coworkers, patients, and community members in the context of leadership concerns and tobacco cessation care availability for employees may inform strategies to increase TFWP uptake. This study analyzed changes in employee-reported TFWP concerns from before to after a comprehensive tobacco-free workplace intervention that included TFWP implementation, using Chi-square/Fisher’s exact tests. Preimplementation leadership policy concerns and tobacco cessation care availability were examined as moderators in generalized linear mixed models. Overall, 452 employees and 13 leaders provided data from 13 SUTCs collectively serving >82 000 patients annually. Results revealed significant decreases over time in employee-reported concerns about TFWP resistance from coworkers. Moderation analyses indicated that employee-anticipated concerns from coworkers and patients, respectively, were less likely to be actualized in SUTCs where leadership endorsed preimplementation TFWP concerns, whereas employee-reported patient concerns rose over time in SUTCs where leadership had no initial implementation concerns. Additionally, employee-anticipated concerns from coworkers were overestimated in SUTCs that did not offer tobacco cessation care to employees. Results supporting the nonactualization of anticipated employee concerns following TFWP implementation can be used to engage other SUTCs for TFWP adoption. Furthermore, moderation effects may suggest that center characteristics translate to greater attention to rollout, ultimately enhancing TFWP stakeholder acceptance.

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An empirical perspective on cigarette use in substance use recovery

Cited by 3 publications

References 83 publications

Exploring the barriers and facilitators to the uptake of smoking cessation services for people in treatment or recovery from problematic drug or alcohol use: A qualitative systematic review

Exploring the barriers and facilitators to the uptake of smoking cessation services for people in treatment or recovery from problematic drug or alcohol use: A qualitative systematic review

Prevalence of Cigarette Smoking Among US Adults With Major Depression or Substance Use Disorders

Initial leadership concerns and availability of tobacco cessation services moderate changes in employee-reported concerns about tobacco-free workplace policy implementation over time

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