Staff representations and tobacco‐related practices in a psychiatric hospital with an indoor smoking ban

Keizer, Ineke; Gex‐Fabry, Marianne; Bruegger, Aurélia; Croquette, Patrice; Khan, Aqal Nawaz

doi:10.1111/inm.12030

Cited by 10 publications

(19 citation statements)

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“…The majority of the 38 studies were conducted in either Australia (14)(Stanley and Laugharne, 2013; Bartlem et al, 2015; Bartlem et al, 2014a; Happell et al, 2013a; Anderson et al, 2013; Ashton et al, 2010; Siru et al, 2010; Stanton et al, 2015; Stockings et al, 2015; Stockings et al, 2014; Tso et al, 2017; Wye et al, 2010; Wye et al, 2009; Wye et al, 2017) or the USA (11) (Price et al, 2007; Schacht et al, 2012; Chwastiak et al, 2013; Williams et al, 2015; Bolton et al, 2016; Himelhoch et al, 2014; Kilbourne et al, 2011; Leyro et al, 2013; Maki and Bjorklund, 2013; Prochaska et al, 2006; Sarna et al, 2009). Eight described client reported receipt of preventive care, (Bartlem et al, 2015; Etter et al, 2008; Siru et al, 2010; Stockings et al, 2015; Stockings et al, 2014; Leyro et al, 2013; Prochaska et al, 2006; Etter and Etter, 2007) 21 described clinician reported provision of care, (Bartlem et al, 2014a; Happell et al, 2013a; Price et al, 2007; Etter et al, 2008; Schacht et al, 2012; Zabeen et al, 2015; Anderson et al, 2013; Chwastiak et al, 2013; Williams et al, 2015; Ashton et al, 2010; Stanton et al, 2015; Wye et al, 2009; Bolton et al, 2016; Himelhoch et al, 2014; Sarna et al, 2009; Johnson et al, 2009; Haddad et al, 2016; Keizer et al, 2014; Ballbe et al, 2012; Guo et al, 2015; Robson et al, 2013a) and 12 described medical record audit data; (Stanley and Laugharne, 2013; Howard and Gamble, 2011; Williams et al, 2015; Tso et al, 2017; Wye et al, 2010; Wye et al, 2017; Kilbourne et al, 2011; Maki and Bjorklund, 2013; Prochaska et al, 2006; <...>…”

Section: Resultsmentioning

confidence: 99%

Systematic review and meta-analysis of the provision of preventive care for modifiable chronic disease risk behaviours by mental health services

Bailey

Bartlem

Wiggers

et al. 2019

Preventive Medicine Reports

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People with mental illness experience increased chronic disease burden, contributed to by a greater prevalence of modifiable chronic disease risk behaviours. Policies recommend mental health services provide preventive care for such risk behaviours. Provision of such care has not previously been synthesised. This review assessed the provision of preventive care for modifiable chronic disease risk behaviours by mental health services. Four databases were searched from 2006 to 2017. Eligible studies were observational quantitative study designs conducted in mental health services, where preventive care was provided to clients for tobacco smoking, harmful alcohol consumption, inadequate nutrition, or inadequate physical activity. Two reviewers independently screened studies, conducted data extraction and critical appraisal. Results were pooled as proportions of clients receiving or clinicians providing preventive care using random effects meta-analyses, by risk behaviour and preventive care element (ask/assess, advise, assist, arrange). Subgroup analyses were conducted by mental health service type (inpatient, outpatient, other/multiple). Narrative synthesis was used where meta-analysis was not possible. Thirty-eight studies were included with 26 amenable to meta-analyses. Analyses revealed that rates of assessment were highest for smoking (78%, 95% confidence interval [CI]:59%–96%) and lowest for nutrition (17%, 95% CI:1%–35%); with variable rates of care provision for all behaviours, care elements, and across service types, with substantial heterogeneity across analyses. Findings indicated suboptimal and variable provision of preventive care for modifiable chronic disease risk behaviours in mental health services, but should be considered with caution due to the very low quality of cumulative evidence. PROSPERO registration: CRD42016049889.

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Section: Resultsmentioning

confidence: 99%

Systematic review and meta-analysis of the provision of preventive care for modifiable chronic disease risk behaviours by mental health services

Bailey

Bartlem

Wiggers

et al. 2019

Preventive Medicine Reports

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“…Rates of 36.1% 13 , 53% 14 or 67% 15 are described in patients with schizophrenia or non-affective psychosis. Although this population accounts for a growing proportion of all smokers 13,16 , barriers prevent optimal interventions 17,18 . The assumption that smoking cessation may be a risk factor for increased psychopathology in psychiatric patients is widespread 19,20 , although most recent studies emphasize the benefits of cessation 21 and the selfmedication hypothesis of smoking is questioned 22 .…”

Section: Introductionmentioning

confidence: 99%

Tobacco craving and withdrawal symptoms in psychiatric patients during a motivational enhancement intervention based on a 26-hour smoking abstinence period

Keizer¹,

Gex‐Fabry²,

Croquette³

et al. 2019

Tob. Prev. Cessation

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INTRODUCTION In psychiatric patients, tobacco withdrawal symptoms are frequently seen as a barrier to smoking cessation; however, further studies are warranted in this specific population. METHODS Patients receiving in-or outpatient mental health care participated in a motivational enhancement program including a 26-hour tobacco abstinence experience with professional support and optional nicotine replacement therapy. The study included 174 subjects, of whom 159 were evaluated 1 week before and at the end of the 26-hour abstinence period. Repeated assessments included the Minnesota Nicotine Tobacco Withdrawal Scale Revised (MNWS-R), two items of the Mood and Physical Symptoms Scale (MPSS) regarding craving, the State-Trait Anxiety Inventory (STAI-S), the Beck Depression Inventory (BDI-21), and the World Health Organization Well-Being Index (WHO-5). RESULTS More than half the participants (52.3%) succeeded in 26-hour smoking abstinence. Craving was the most frequent MNWS-R withdrawal symptom (28.3% scored ≥3 on a 0-4 scale). Comparison of pre-and post-intervention data revealed significant improvements in 13 of 16 MNWS-R symptoms as well as craving (MPSS) and well-being, and significant decreases in anxiety and depression. Increasing MNWS-R craving scores and greater depression were both significantly associated with lower success in the 26-hour smoking abstinence period. CONCLUSIONS The negative effects of tobacco withdrawal symptoms in psychiatric patients may be substantially overestimated. Participation in a supportive structured motivational intervention with a 26-hour smoking cessation experience was well tolerated and contributed to temporary improvements in mental state. Craving is an interesting symptom to evaluate during smoking cessation attempts.

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“…Son varias las barreras que interfieren en estas intervenciones; la primera se encuentra en los mismos profesionales al tener presente una idea generalizada de que estos individuos tienen más dificultades para conseguir la abstinencia al tabaco, por lo que no se le aconseja o recomienda dejar de fumar (7) . Otra barrera encontrada es la creencia de que la intervención podría interferir en la abstinencia de otras sustancias (8) a pesar, de que en la literatura se ha descrito que presentan una buena evolución en el pronóstico del tratamiento (9,10) . Una idea muy extendida es que los individuos que abusan de otras sustancias no muestran interés en un tratamiento de desintoxicación del tabaco.…”

Section: Introductionunclassified

Effectiviness of a Brief Intervention on anti-smoking motivation in drug addict patients staying in a UHD

et al. 2019

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Nº 54 Abril 2019Página 63 ORIGINALES Efectividad de una Intervención Breve sobre motivación antitabáquica en usuarios drogodependientes ingresados en una UHD Justificación: Existe una asociación entre tabaquismo y TUS, especialmente con alcohol y cannabis. Sin embargo, las intervenciones sanitarias parecen no ir encaminadas a su enfoque. Objetivo: Evaluar el grado de motivación para el abandono tabáquico tras realizar una intervención psicoeducativa breve sobre abordaje del tabaquismo. Metodología: Se trata de una investigación cuantitativa de tipo analítico cuasiexperimental que se lleva a cabo mediante dos cohortes experimentales, del tipo pre-y post-intervención. Se aplica una intervención breve educativa y se evalúan las diferencias en la motivación para el abandono tabáquico en un grupo antes de la intervención y en otro grupo después de la misma. Resultados: Existe una diferencia de 1,27 puntos en el grado de motivación encontrado en los individuos respecto a los grupos experimentales. Conclusiones: Las personas drogodependientes son fumadoras con altos grados de dependencia nicotínica por lo que es preciso diseñar estrategias de cesación adecuadas.Palabras clave: tabaco; drogodependencia; hospitalización; intervención; enfermería.. ABSTRACT:Justification: There is a connection between smoking and substances use disorder, especially alcohol and cannabis. Nevertheless, health interventions seem not to be addressed to this approach. Objective: Evaluation of the motivation degree for the smoking quit after developing a brief psychoeducational intervention on smoking. Enfermería GlobalNº 54 Abril 2019 Página 64Methodology: It is a quantitative research of analytical type, almost experimental, developed by means of two experimental series, of the types pre-and post-intervention. A brief educational intervention is applied and there is an evaluation of the differences in the motivation for the smoking quit in a group before the intervention and in another one after the intervention. Results: There is a difference of 1,27 points in the degree of motivation found in the individuals regarding the experimental groups. Conclusions: Drug addict people are smokers with a high degree of nicotinic dependence, so it is necessary to design suitable strategies of quitting. .

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Staff representations and tobacco‐related practices in a psychiatric hospital with an indoor smoking ban

Cited by 10 publications

References 65 publications

Systematic review and meta-analysis of the provision of preventive care for modifiable chronic disease risk behaviours by mental health services

Systematic review and meta-analysis of the provision of preventive care for modifiable chronic disease risk behaviours by mental health services

Tobacco craving and withdrawal symptoms in psychiatric patients during a motivational enhancement intervention based on a 26-hour smoking abstinence period

Effectiviness of a Brief Intervention on anti-smoking motivation in drug addict patients staying in a UHD

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