2021 AM Posters-Use of Multicomponent, Sustained Care Smoking Cessation

Use of Multicomponent, Sustained Care Smoking Cessation

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This study aimed to compare the smoking cessation rates between individuals with a history of substance abuse and serious mental illness (SMI) and the general population. It also sought to determine the differences between a sustained care smoking cessation model and usual care provided in an inpatient psychiatric unit, as well as assess the effectiveness of a brief, sustained care smoking cessation intervention for adults with SMI following hospital discharge.<br /><br />The study included 342 participants with SMI aged 18 and older who were smokers. They were randomly assigned to either a usual care program or a sustained care intervention program. Usual care involved brief smoking cessation education, self-help materials, and an offer of nicotine replacement therapy during hospitalization. Sustained care participants received usual care plus a 40-minute counseling session tailored to SMI patients, four weeks of nicotine patches upon discharge, and post-discharge support through telephone, text, and web-based counseling.<br /><br />The results showed that participants in the sustained care group had higher rates of engagement in smoking cessation treatment and seven-day abstinence at the six-month follow-up compared to the usual care group. The sustained care group had an 8.9% abstinence rate compared to 3.5% in the usual care group. They were also more likely to report using smoking cessation treatment in the six months following hospital discharge (74.6% vs. 40.5% in the usual care group). The rates of missing data at the six-month follow-up did not differ significantly between the groups.<br /><br />The study concluded that a multicomponent sustained care smoking cessation treatment program tailored to individuals with SMI had higher rates of engagement and abstinence compared to usual care treatment. The findings suggest that proactive resources like text or web-based reminders can aid adherence to the sustained care intervention following hospital discharge. This multicomponent approach demonstrated nearly double the long-term abstinence rate compared to current inpatient treatment programs. Overall, the study highlights the efficacy of a sustained care smoking cessation treatment plan for individuals hospitalized for psychiatric disorders.

Keywords

smoking cessation rates

substance abuse

serious mental illness

general population

sustained care smoking cessation model

usual care

inpatient psychiatric unit

brief intervention

hospital discharge

engagement in treatment

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