Proactive tobacco treatment for individuals with and without a mental health diagnosis: Secondary analysis of a pragmatic randomized controlled trial

Japuntich, Sandra J.; Sherman, Scott E.; Joseph, Anne M.; Clothier, Barbara; Noorbaloochi, Siamak; Danan, Elisheva; Burgess, Diana J.; Rogers, Erin; Fu, Steven S.

doi:10.1016/j.addbeh.2017.07.024

Cited by 5 publications

(4 citation statements)

References 18 publications

(22 reference statements)

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“…Finally, SOC, or level of readiness to stop smoking, was not associated with treatment engagement, and in fact smokers from various stages engaged in treatment. This is consistent with findings of other recent studies (Japuntich et al, 2017) and highlights the value of encouraging all smokers across stages of change to utilize smoking cessation treatment.…”

Section: Discussionsupporting

confidence: 92%

Predicting Engagement in Smoking Cessation Treatment Following a Brief Telephone Evaluation and Referral Session

et al. 2018

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Introduction: Smoking cessation treatment combining medication and counselling yields the best outcomes; however, few smokers employ both modalities.Aims: The purpose of this study was to examine variables predicting treatment attendance.Methods: This was a chart review of US military Veterans (N = 340; 89% male, 59% non-Hispanic white) referred for smoking cessation, who completed a telephone call to encourage treatment utilization. Treatment engagement was defined as attending a smoking cessation session within 30 days following telephone contact. A logistic regression analysis examined predictors (demographics, smoking variables, and psychiatric diagnoses) of treatment engagement.Results/Findings: Greater age (Odds Ratio [OR] = 1.04, 95% confidence interval [CI] 1.01–1.06), more cigarettes (OR = 1.03, 95% CI 1.00–1.06), and higher perceived importance of quitting (OR = 1.11, 95% CI 1.00–1.23) predicted engaging in treatment within 30 days (all p values < 0.05).Conclusion: Veterans who attended treatment were older, smoked more cigarettes, and perceived quitting as more important than those who did not attend. These findings are consistent with prior studies examining factors associated with treatment utilization. Results highlight the need to identify strategies for engaging into treatment smokers who are younger, smoke fewer cigarettes, and view quitting as less important.

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Section: Discussionsupporting

confidence: 92%

Predicting Engagement in Smoking Cessation Treatment Following a Brief Telephone Evaluation and Referral Session

et al. 2018

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“…The present study adds to the body of evidence indicating that smokers with mental health disorders benefit from proactive outreach (Hammett et al, 2019; Japuntich et al, 2018; Rogers, Fu, et al, 2018), demonstrating that veteran smokers with PTSD utilize cessation treatments at high rates when they are offered and that increasing engagement in evidence-based treatments can boost abstinence rates. Certain components of proactive outreach, including direct outreach by trained cessation counselors to stimulate interest in treatment and the use of personalized quit plans, may be particularly beneficial for smokers with PTSD.…”

Section: Discussionmentioning

confidence: 68%

Proactive tobacco treatment for veterans with posttraumatic stress disorder.

Hammett¹,

Japuntich²,

Sherman³

et al. 2021

Psychological Trauma: Theory, Research, Practice, and Policy

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Individuals with posttraumatic stress disorder (PTSD) smoke at higher rates compared to the general population and experience significant barriers to initiating cessation treatment. Proactive outreach addresses these barriers by directly engaging with smokers and facilitating access to treatment. The objective of the present study was to evaluate a proactive outreach intervention for increasing rates of treatment utilization and abstinence among veteran smokers with and without PTSD. Method: This is a secondary analysis of a randomized controlled trial conducted from 2013 to 2017 that demonstrated the effectiveness of proactive outreach among veterans using Veterans Affairs mental health care services. Electronic medical record data were used to identify participants with (n ϭ 355) and without (n ϭ 1,583) a diagnosis of PTSD. Logistic regressions modeled cessation treatment utilization (counseling, nicotine replacement therapy [NRT], and combination treatment) and abstinence (7-day point prevalence and 6-month prolonged at 6-and 12-month follow-ups) among participants randomized to proactive outreach versus usual care in the PTSD and non-PTSD subgroups, respectively. Results: Compared to usual care, proactive outreach increased combined counseling and NRT utilization among participants with PTSD (odds ratio [OR] ϭ 26.25, 95% confidence interval [3.43, 201.17]) and without PTSD (OR ϭ 10.20, [5.21, 19.98]). Proactive outreach also increased 7-day point prevalence abstinence at 12 months among participants with PTSD (OR ϭ 2.62, [1.16, 5.91]) and without PTSD (OR ϭ 1.61, [1.11, 2.34]). Conclusions: Proactive outreach increased treatment utilization and abstinence among smokers with and without PTSD. Smokers with PTSD may need additional facilitation to initiate cessation treatment but are receptive when it is offered proactively.

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“…Therefore, in patients with a VP shunt, the intracranial pressure is almost always negative . Another hypothesis proposed the involvement of a ball‐valve mechanism in TP formation . However, this hypothesis is debatable because establishing a mechanical ball‐valve system at the sella floor after EETS is difficult.…”

Section: Discussionmentioning

confidence: 99%

“…a ball-valve mechanism in TP formation. 6 However, this hypothesis is debatable because establishing a mechanical ball-valve system at the sella floor after EETS is difficult.…”

Section: Discussionmentioning

confidence: 99%

Unexpected prominent tension pneumosella five years after endoscopic endonasal transsphenoidal surgery

et al. 2017

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Tension pneumosella (TP) is a rare entity reported as the invagination of the sphenoid sinus mucosa into the skull base after endonasal transsphenoidal surgery. Few studies have reported on TP, and in these studies, invagination is confined to either the intrasellar or suprasellar area. We encountered a case of unexpected prominent TP toward the intracranial space 5 years after endoscopic endonasal transsphenoidal surgery (EETS) for a nonfunctioning pituitary adenoma. In addition, we present a hypothesis of the underlying mechanism by a pressure gradient change between the extracranial and intracranial space in TP formation. For repair, a pedicled nasal septal flap was fabricated from the remaining part of the septal mucosa, and a pedicled inferior turbinate flap was created. Moreover, the nasal septal cartilage was used as a rigid support for reconstruction, which was useful for preventing TP recurrence. This is the first report of an unexpected prominent TP after EETS. It is important for otorhinolaryngologists and neurosurgeons to be aware of the possibility of TP following EETS. Laryngoscope, 1798-1801, 2018.

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Proactive tobacco treatment for individuals with and without a mental health diagnosis: Secondary analysis of a pragmatic randomized controlled trial

Cited by 5 publications

References 18 publications

Predicting Engagement in Smoking Cessation Treatment Following a Brief Telephone Evaluation and Referral Session

Predicting Engagement in Smoking Cessation Treatment Following a Brief Telephone Evaluation and Referral Session

Proactive tobacco treatment for veterans with posttraumatic stress disorder.

Unexpected prominent tension pneumosella five years after endoscopic endonasal transsphenoidal surgery

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