Influence Of Parental And Sibling Smoking On Incident Smoking In Adolescence: A Systematic Review And Meta-analysis

Leonardi‐Bee, Jo; Jere, Mirriam Lisa; Britton, John

doi:10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a6805

Cited by 1 publication

(4 citation statements)

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“…The emergence of health and money as important motivators is consistent with previous research in relation to the enablers of smoking cessation among individuals with severe mental illness (37, 38), and is similar to other populations (39–41). The use of carbon monoxide monitors makes use of biofeedback, which is arguably one of the strongest behavior change techniques (42), and appeared to be a powerful, and appropriate, aspect of this programme also, spurring cessation efforts as well as reinforcing those already quit.…”

Section: Discussionsupporting

confidence: 87%

“…In line with previous research, barriers relating to MHDs including smoking as a coping mechanism (44, 54–57); lack of self-belief (29, 54, 56); lack of consistent motivation (30, 38, 44); prevalence of smoking among peers and the culture within mental health settings (37, 44, 58); and lack of structure or alternative activities (59–61), also emerged from the data. Timing was also perceived to be an important factor by facilitators and some service users felt an inpatient stay was the wrong time for cessation.…”

Section: Discussionsupporting

confidence: 86%

“…Conflicting priorities and a lack of prioritizing smoking cessation support as part of staff workload has previously emerged as a barrier among HCPs in Ireland and internationally (46–48). As well as in relation to mental health services more specifically especially in the context of outpatient settings (38).…”

Section: Discussionmentioning

confidence: 99%

“…Including the 16 sites meant contextual factors were well accounted for and barriers and enablers that emerged were truly cross-site. Previous qualitative studies of smoking cessation and other lifestyle interventions in individuals with serious or severe mental illness have at times involved very small samples of service users (66, 67), while others have failed to include the service user voice at all (38, 44).…”

Section: Discussionmentioning

confidence: 99%

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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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