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

Greenhalgh, Elizabeth; Brennan, Emily; Segan, Catherine; Scollo, Michelle

doi:10.1111/1753-6405.13185

Cited by 5 publications

(4 citation statements)

References 37 publications

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“…Conversely, smoking and associated withdrawal symptoms cause stress and emotional disturbances. Lastly, those with more severe symptoms might have difficulties in stopping smoking or decreasing the number of cigarettes smoked per day ( 49 , 50 ).…”

Section: Discussionmentioning

confidence: 99%

Differential trajectories of tobacco smoking in people at ultra-high risk for psychosis: Associations with clinical outcomes

Schirmbeck

Ven²,

Boyette³

et al. 2022

Front. Psychiatry

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ObjectivePeople at ultra-high risk (UHR) for psychosis have a high prevalence of tobacco smoking, and rates are even higher among the subgroup that later develop a psychotic disorder. However, the longitudinal relationship between the course of tobacco smoking and clinical outcomes in UHR subjects is unknown.MethodsWe investigated associations between tobacco smoking and clinical outcomes in a prospective study of UHR individuals (n = 324). Latent class mixed model analyses were used to identify trajectories of smoking severity. Mixed effects models were applied to investigate associations between smoking trajectory class and the course of attenuated psychotic symptoms (APS) and affective symptoms, as assessed using the CAARMS.ResultsWe identified four different classes of smoking trajectory: (i) Persistently High (n = 110), (ii) Decreasing (n = 29), (iii) Persistently Low (n = 165) and (iv) Increasing (n = 20). At two-year follow-up, there had been a greater increase in APS in the Persistently High class than for both the Persistently Low (ES = 9.77, SE = 4.87, p = 0.046) and Decreasing (ES = 18.18, SE = 7.61, p = 0.018) classes. There were no differences between smoking classes in the incidence of psychosis. There was a greater reduction in the severity of emotional disturbance and general symptoms in the Decreasing class than in the High (ES = −10.40, SE = 3.41, p = 0.003; ES = −22.36, SE = 10.07, p = 0.027), Increasing (ES = −11.35, SE = 4.55, p = 0.014; ES = −25.58, SE = 13.17, p = 0.050) and Low (ES = −11.38, SE = 3.29, p = 0.001; ES = −27.55, SE = 9.78, p = 0.005) classes, respectively.ConclusionsThese findings suggests that in UHR subjects persistent tobacco smoking is associated with an unfavorable course of psychotic symptoms, whereas decrease in the number of cigarettes smoked is associated with improvement in affective symptoms. Future research into smoking cessation interventions in the early stages of psychoses is required to shine light on the potential of modifying smoking behavior and its relation to clinical outcomes.

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Section: Discussionmentioning

confidence: 99%

Differential trajectories of tobacco smoking in people at ultra-high risk for psychosis: Associations with clinical outcomes

Schirmbeck

Ven²,

Boyette³

et al. 2022

Front. Psychiatry

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“…Mosdøl and colleagues’ review19 highlighted the need for studies of people in more disadvantaged contexts and ethnic minority populations with a different first language than the general population. Compared with smokers in lower prevalence communities, smokers in disadvantaged and high prevalence communities tend to be motivated and attempt to quit at the same rates as those in less disadvantaged communities, but their quit success rates are lower 76 89–93. This suggests a need for research on targeted messages to build quitting confidence and skills, to address common barriers to seeking cessation help in these groups and to deal with the personal, social and environmental contexts that promote smoking.…”

Section: Campaign Message Impactmentioning

confidence: 99%

Optimising tobacco control campaigns within a changing media landscape and among priority populations

2022

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Reviews published over the past decade confirm tobacco control campaigns can be effective for influencing adult and youth tobacco use behaviours, with strengthening evidence for high cost-effectiveness. Evidence is also accumulating for positive campaign effects on interpersonal discussions, social norms and policy support that can help motivate and sustain quitting and reduce uptake. Research needs over the next decade centre on the rapidly changing media environment and the equity of campaign effects among high smoking prevalence communities. The field needs specific evidence on: how to measure total campaign reach and frequency across the diverse range of media platforms and channels; the optimum mix of traditional, digital and social media to achieve behaviour change, especially among high smoking prevalence communities; the relative reach and impact of the wide variety of integrated, digital and social media message delivery methods; the relative effectiveness of messages that aim to build capacity to quit and optimum methods for combining motivational and capacity-building messages, especially for high prevalence groups who face additional barriers to staying quit; the ongoing effectiveness of traditional versus new versions of messages highlighting tobacco industry practices; the influence of e-cigarette use on tobacco control campaign effects; and the effectiveness of different types of campaigns aiming to prevent e-cigarette uptake and motivate e-cigarette cessation. Research is also needed to investigate the potential for campaigns to influence the public’s understanding and support for endgame tobacco control policies and for campaign elements that may influence the social and environmental contexts surrounding smokers that support and maintain behaviour change.

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“…In existing randomised controlled trials (RCTs) in smokers with mental health conditions, tailoring of quitline interventions has included adding a mood management component among people with a past history of depression ( Van der Meer et al, 2010 ); community-based group counselling focussing on smoking cessation among people attending community mental health centres ( Morris et al, 2011 ) and more post-quit sessions for veterans attending mental health clinics ( Rogers et al, 2016 ). Despite this accumulating evidence, few people who smoke, including those with mental health conditions, contact quitlines ( Berg, 2021 ; Greenhalgh et al, 2022 ). To address this, we developed a tailored quitline intervention (known as ‘Quitlink’).…”

Section: Introductionmentioning

confidence: 99%

‘Quitlink’: Outcomes of a randomised controlled trial of peer researcher facilitated referral to a tailored quitline tobacco treatment for people receiving mental health services

Baker

McCarter

Turner

et al. 2023

Aust N Z J Psychiatry

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Objective: The aim of this study was to test the effectiveness of a tailored quitline tobacco treatment (‘Quitlink’) among people receiving support for mental health conditions. Methods: We employed a prospective, cluster-randomised, open, blinded endpoint design to compare a control condition to our ‘Quitlink’ intervention. Both conditions received a brief intervention delivered by a peer researcher. Control participants received no further intervention. Quitlink participants were referred to a tailored 8-week quitline intervention delivered by dedicated Quitline counsellors plus combination nicotine replacement therapy. The primary outcome was self-reported 6 months continuous abstinence from end of treatment (8 months from baseline). Secondary outcomes included additional smoking outcomes, mental health symptoms, substance use and quality of life. A within-trial economic evaluation was conducted. Results: In total, 110 participants were recruited over 26 months and 91 had confirmed outcomes at 8 months post baseline. There was a difference in self-reported prolonged abstinence at 8-month follow-up between Quitlink (16%, n = 6) and control (2%, n = 1) conditions, which was not statistically significant (OR = 8.33 [0.52, 132.09] p = 0.131 available case). There was a significant difference in favour of the Quitlink condition on 7-day point prevalence at 2 months (OR = 8.06 [1.27, 51.00] p = 0.027 available case). Quitlink costs AU$9231 per additional quit achieved. Conclusion: The Quitlink intervention did not result in significantly higher rates of prolonged abstinence at 8 months post baseline. However, engagement rates and satisfaction with the ‘Quitlink’ intervention were high. While underpowered, the Quitlink intervention shows promise. A powered trial to determine its effectiveness for improving long-term cessation is warranted.

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

Cited by 5 publications

References 37 publications

Differential trajectories of tobacco smoking in people at ultra-high risk for psychosis: Associations with clinical outcomes

Differential trajectories of tobacco smoking in people at ultra-high risk for psychosis: Associations with clinical outcomes

Optimising tobacco control campaigns within a changing media landscape and among priority populations

‘Quitlink’: Outcomes of a randomised controlled trial of peer researcher facilitated referral to a tailored quitline tobacco treatment for people receiving mental health services

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