Impact of Tobacco Quitlines on Smoking Cessation in Persons With Mental Illness: A Systematic Review

Schwindt, Rhonda; Hudmon, Karen Suchanek; Knisely, Mitchell R.; Davis, Lorie L.; Pike, Caitlin

doi:10.1177/0047237918762104

Cited by 14 publications

(11 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Victorian Quitline clients received an average of 2.7 calls in 2019 (personal communication with L. Whelan, Quitline manager, September 2021). In Australia, Quitline is the most readily available and cheapest multi‐session behavioural intervention, and such services can have positive impacts on smoking cessation among people with mental illness 37 and are just as effective as face‐to‐face interventions 38 . Many quitline services offer coordinated care with clinicians, and some have introduced monitoring of nicotine withdrawal symptoms and common medication side effects for people with mental illness 39 …”

Section: Discussionmentioning

confidence: 99%

Monitoring changes in smoking and quitting behaviours among Australians with and without mental illness over 15 years

Greenhalgh

Brennan

Segan

et al. 2022

Australian and New Zealand Journal of Public Health

View full text Add to dashboard Cite

Objective: This study examines smoking prevalence and quitting behaviours among Australians with and without mental illness.Methods: Analysis of data from Australia's triennial National Drug Strategy Household Surveys 2004-2019. The prevalence of regular smokers, never smokers, the quit proportion, cigarette consumption, and use of cessation aids were examined for those with and without mental illness.Results: Among Australians with mental illness, there was a significant decrease in regular smokers and significant increases in never smokers and in the proportion of ever smokers who had quit between 2004 and 2019. Smokers with mental illness were generally as likely to attempt to quit and more likely to use cessation support; however, they were also more likely to report unsuccessful quit attempts. Smokers with mental illness who had quit reported lower levels of psychological distress than those still smoking. Conclusion:Since 2004, there have been some encouraging trends in reducing tobacco use among people with mental illness; however, smoking rates remain substantially higher than among those without mental illness.Implications for public health: Findings highlight the importance of routinely identifying smokers with mental illness and improving access and adherence to best practice smoking cessation treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

Monitoring changes in smoking and quitting behaviours among Australians with and without mental illness over 15 years

Greenhalgh

Brennan

Segan

et al. 2022

Australian and New Zealand Journal of Public Health

View full text Add to dashboard Cite

show abstract

“…(e.g., lack of paid time off for medical appointments) ( 11 ). One unique treatment that overcomes several of these noted barriers and has been demonstrated to be effective with smokers (including smokers with MHDs) are state tobacco quitline services ( 12 , 13 ).…”

Section: Introductionmentioning

confidence: 99%

Unique cessation tools in the box: Quitline utilization and effectiveness trends among a large sample of tobacco users reporting mental health disorders

2022

View full text Add to dashboard Cite

It is estimated that the prevalence of smoking among adults with MHDs ranges between 40-60%, as compared to about 17% among those without an MHD. In addition, smokers with MHDs smoke more cigarettes, are more nicotine dependent, and experience more difficulty quitting, compared to other smokers. The uniquely high smoking prevalence among the MHD population is a serious public health concern; unfortunately, a majority of individuals experiencing difficulty receive no treatment. The US Public Health Service guidelines, as well as the National Cancer Institute, strongly recommend quitlines as an evidence-based treatment strategy to reduce barriers to cessation treatment, especially among smokers with MHDs; however, the literature is sparse on quitline engagement trends and associated outcomes for quitline participants with MHDs. This study sought to contribute to this gap with the largest sample to-date of MHD-endorsing tobacco quitline (Oklahoma Tobacco Helpline, OTH) participants. From 2015 to 2020, ~65,000 registrants (45-50% of total registered participants) with the OTH identified as having one or more MHDs in addition to their tobacco use. This study tested for the presence of significant differences between groups with and without MHDs (as well as within the MHD-identified group) on program enrollment selections, the intensity of engagement with chosen services, NRT utilization, and quit rates. It also tested for the existence of differences and moderating effects of demographic variables associated with the comparison groups. Statistically significant differences were found between these two groups with regard to: sex, age, racial identity, education level, annual income and insurance status. Significant differences were also found with tobacco use patterns reported by individuals (e.g., timing and daily use amounts). Differences in quitline program selection were demonstrated, such that the MHD-endorsing sample were more likely to participate and agree to the most robust service available. Significantly higher rates of service intensity (number of services engaged) were demonstrated, and MHD individuals were also significantly more likely to receive NRT as a part of their treatment. This study suggests a simplistic “more is better” quitline services approach may suffer in effectiveness because it neglects barriers common to this population. Important information is provided on these unique variables associated with MHD-endorsing individuals trying to quit their tobacco use. These results can help tobacco quitlines conceptualize the unique difficulties experienced by individuals with MHDs and then tailor their approach to respond supportively and constructively to this high need group.

show abstract

“…We hypothesized that high quality goal setting would be associated with increased odds of making a quit attempt. Recognizing that smokers with mental health conditions (MHC) have historically smoked at higher rates and experienced greater difficulty in quitting 9 , we also examined whether having an MHC modifies the influence of high quality goal setting.…”

Section: Introductionmentioning

confidence: 99%

Higher quality quit-date goal setting enhances quit attempts among quitline callers

Brady

Nair

Gerald

et al. 2019

Tob. Prev. Cessation

View full text Add to dashboard Cite

INTRODUCTION At tobacco quitlines, coaching and cessation medications are commonly structured around setting a date for making a quit attempt. However, limited literature evaluating this practice suggests that callers do not routinely set quit-date goals. High quality goal setting may increase the frequency of caller quit attempts. In this study, we examine the quality of quit-date goal setting and its association with in-program quit attempts and the timing of callers' first quit attempt. METHODS Using call recordings, we scored the quality of quit-date goal setting among 90 callers enrolled at Arizona Smokers' Helpline between August and December 2017. The primary exposure was quality of quit-date goal setting assessed using the Lorencatto et al. rating scale. Coding reliability was assessed using Cohen's kappa. Multivariable logistic regression was used to examine the association between quality of goal setting and in-program quit attempts (>24 h tobacco free). RESULTS The mean quality goal setting score was 3.1 (range: -3 to 7). Sixty-nine callers (77%) set a quit date and 39 (43%) made a quit attempt. Compared to callers who experienced low-quality goal setting, the adjusted odds of in-program quitting for high quality goal setting was AOR=3.98 (95% CI: 1.55-10.20) and for making a quit attempt within two weeks OR=6.23 (95% CI: 1.52-25.49). CONCLUSIONS Quit-date goal setting is an important element of quitline services and callers benefit from high quality quit-date goal setting. Quitlines should establish quality improvement measures to ensure that coaches are trained to provide high quality quit-date goal setting opportunities to all callers. AFFILIATION

show abstract

Impact of Tobacco Quitlines on Smoking Cessation in Persons With Mental Illness: A Systematic Review

Cited by 14 publications

References 21 publications

Monitoring changes in smoking and quitting behaviours among Australians with and without mental illness over 15 years

Monitoring changes in smoking and quitting behaviours among Australians with and without mental illness over 15 years

Unique cessation tools in the box: Quitline utilization and effectiveness trends among a large sample of tobacco users reporting mental health disorders

Higher quality quit-date goal setting enhances quit attempts among quitline callers

Contact Info

Product

Resources

About