Effectiveness of psychological interventions for smoking cessation in adults with mental health problems: A systematic review

Lightfoot, Katie; Panagiotaki, Georgia; Nobes, Gavin

doi:10.1111/bjhp.12431

Cited by 17 publications

(17 citation statements)

References 41 publications

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“…When we undertook a meta‐analysis, we found that bespoke person‐based smoking cessation interventions for people with SMI were more effective than usual care across all time‐points. This is in line with previous reviews suggesting that smoking cessation interventions are effective in people with mental health problems (but not exclusively SMI) [ 13 ] and the general population [ 40 ]. The largest of the three trials ( n = 526) in this meta‐analysis was at low risk of bias (there were some concerns for the other two), meaning that we are reasonably confident in our conclusion.…”

Section: Discussionsupporting

confidence: 92%

“…In a subsequent meta‐analysis in SMI [ 12 ], results supported the effectiveness of varenicline at 3 and 6 months and bupropion at 3 months, but data from behavioural programmes were not pooled and were narratively reported to show little effect. A systematic review in adults with mental health problems (but not exclusively SMI) supported the effectiveness of CBT, motivational interviewing and behavioural or supportive counselling, in combination with NRT or pharmacotherapy [ 13 ]. However, it is unclear whether the findings are applicable to adults with SMI, who may require more intensive and tailored support, due to the reasons discussed earlier.…”

Section: Introductionmentioning

confidence: 99%

“…This has not been included in recent reviews (e.g. [ 13 ]) so these new findings, together with other recent studies, should be incorporated to update the review‐level evidence on this topic.…”

Section: Introductionmentioning

confidence: 99%

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A systematic review of behavioural smoking cessation interventions for people with severe mental ill health—what works?

et al. 2021

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Background and Aims: People with severe mental ill health smoke more and suffer greater smoking-related morbidity and mortality. Little is known about the effectiveness of behavioural interventions for smoking cessation in this group. This review evaluated randomized controlled trial evidence to measure the effectiveness of behavioural smoking cessation interventions (both digital and non-digital) in people with severe mental ill health. Design: Systematic review and random-effects meta-analysis. We searched between inception and January 2020 in Medline, EMBASE, PsycINFO, CINAHL, Health Management Information Consortium and CENTRAL databases. Setting and participants: Randomized controlled trials (RCTs) assessing the effects of behavioural smoking cessation and reduction interventions in adults with severe mental ill health, conducted in any country, in either in-patient or community settings and published in English.Measurements: The primary outcome was biochemically verified smoking cessation.Smoking reduction and changes in mental health symptoms and body mass index (BMI) were included as secondary outcomes. Narrative data synthesis and meta-analysis were conducted and the quality of included studies was appraised using the risk of bias 2 (RoB2) tool. Findings: We included 12 individual studies (16 articles) involving 1861 participants. The first meta-analysis (three studies, 921 participants) demonstrated effectiveness of bespoke face-to-face interventions compared with usual care across all time-points [medium-term: relative risk (RR) = 2.29, 95% confidence interval (CI) = 1.38-3.81; long-term: RR = 1.58, 95% CI = 1.09-2.30]. The second (three studies, 275 participants) did not demonstrate any difference in effectiveness of bespoke digital on-line interventions compared with standard digital on-line interventions (medium-term: RR = 0.87, 95% CI = 0.17-4.46). A narrative overview revealed mixed results when comparing bespoke face-to-face interventions with other active interventions. The methodological quality of studies was mixed, with the majority having some concerns mainly around risk of selective reporting. Panagiotis Spanakis and Emily Peckham joint first authors.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

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A systematic review of behavioural smoking cessation interventions for people with severe mental ill health—what works?

et al. 2021

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“…or analyse prostate cancer findings. No studies were excluded for having a high or unclear risk of bias [29]. In total, 18 studies were included in the final analysis.…”

Section: Plos Onementioning

confidence: 99%

A systematic review of disease related stigmatization in patients living with prostate cancer

et al. 2022

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Background Prostate cancer has been shown to be susceptible to significant stigmatisation, because to a large extent it is concealable, it has potentially embarrassing sexual symptoms and has significant impact on the psychosocial functioning. Methods This review included studies that focused on qualitative and/or quantitative data, where the study outcome was prostate cancer and included a measure of stigmatization. Electronic databases (CINAHL, Medline, PubMed, PsycInfo, Cochrane Library, PROSPERO, and the Joanna Briggs Institute) and one database for grey literature Opengrey.eu, were screened. We used thematic analysis, with narrative synthesis to analyse these data. We assessed risk of bias in the included studies using the RoBANS. Results In total, 18 studies met review inclusion criteria, incorporating a total of 2295 participants. All studies recruited participants with prostate cancer, however four studies recruited participants with other cancers such as breast cancer and lung cancer. Of the 18 studies, 11 studies evaluated perceived or felt stigma; four studies evaluated internalised or self-stigma; three studies evaluated more than one stigma domain. Discussion We found that patients living with prostate cancer encounter stigmatisation that relate to perception, internalisation, and discrimination experiences. We also identified several significant gaps related to the understanding of prostate cancer stigmatization, which provides an opportunity for future research to address these important public health issues. Registration This systematic review protocol is registered with PROSPERO, the international prospective register of systematic reviews in health and social care. Registration number: CRD42020177312.

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“…68 Psychological interventions with demonstrated efficacy in smoking cessation include cognitive behavioral therapy, motivational interviewing, and support groups. 74,75…”

Section: Lifestyle Modificationsmentioning

confidence: 99%

Practical Guidelines for Managing Patients With Hidradenitis Suppurativa: An Update

et al. 2022

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Hidradenitis suppurativa (HS) is a chronic, inflammatory skin disease that is characterized by the formation of comedones, papules, nodules, abscesses and sinus tracts in the axillary, inframammary, groin, and gluteal areas. Up to 3.8% of the Canadian population has HS, though due to a lack of awareness of HS, many patients are initially misdiagnosed and do not receive adequate treatment early on in the disease course. Once a diagnosis of HS is made, developing an effective management plan can be a dilemma for many providers. There is significant variability in response to any given therapy within the HS patient population and many HS patients have other medical comorbidities which must be taken into consideration. The aim of this review is to provide a practical approach for all healthcare providers to diagnose and manage HS and its associated comorbidities. A sample electronic medical record template for HS management was developed by the Canadian Hidradenitis Suppurativa Foundation Executive Board and is intended for use in clinical settings. This will help to increase collaboration between primary healthcare providers, dermatologists, and other medical specialists and ultimately improve the quality of care that HS patients receive.

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Effectiveness of psychological interventions for smoking cessation in adults with mental health problems: A systematic review

Cited by 17 publications

References 41 publications

A systematic review of behavioural smoking cessation interventions for people with severe mental ill health—what works?

A systematic review of behavioural smoking cessation interventions for people with severe mental ill health—what works?

A systematic review of disease related stigmatization in patients living with prostate cancer

Practical Guidelines for Managing Patients With Hidradenitis Suppurativa: An Update

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