title: An electronic decision support system to motivate people with severe mental illnesses to quit smoking.
abstract: OBJECTIVE
  Rates of cigarette smoking are high among people with severe mental illnesses compared with the general population (45%-90% versus 20%). The authors developed a Web-based computer decision support system that is tailored for use by people with cognitive deficits and is designed to stimulate motivation to quit smoking by using evidence-based treatment.
  
  
  METHODS
  This initial study used a quasi-experimental design to test the decision support system among a convenience sample of 41 smokers with severe mental illnesses. Researchers interviewed participants at baseline and two months later to assess for behaviors indicative of motivation to quit smoking. A negative binomial regression modeled the outcome and controlled for baseline group differences.
  
  
  RESULTS
  Participants who used the decision support system were significantly more likely to show any behavioral motivation to quit smoking (such as meet with a clinician to discuss cessation, initiate cessation treatment, or otherwise attempt to quit) (67% versus 35%; χ(2)=4.11, df=41, p=.04). Further, using the decision support system increased by a factor of 2.97, or about 300%, the expected number of ways that a participant showed motivation.
  
  
  CONCLUSIONS
  The encouraging results of this pilot study indicate that electronic decision supports may facilitate motivation to quit smoking and use of cessation treatment among people with severe mental illnesses.
authors: Department of Psychiatry, Dartmouth Psychiatric Research Center, Concord, NH 03301, USA. mary.f.brunette@dartmouth.edu
authors: Mary F
authors: MF
authors: Brunette
authors: Joelle C
authors: JC
authors: Ferron
authors: Gregory J
authors: GJ
authors: McHugo
authors: Kristin E
authors: KE
authors: Davis
authors: Timothy S
authors: TS
authors: Devitt
authors: Sandra M
authors: SM
authors: Wilkness
authors: Robert E
authors: RE
authors: Drake
mesh_terms: D000328:Adult; D001741:Black or African American; D003661:Decision Support Techniques; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D001523:Mental Disorders; D008875:Middle Aged; D009042:Motivation; D012720:Severity of Illness Index; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology; D014584:User-Computer Interface