title: Impact of a postdischarge smoking cessation intervention for smokers admitted to an inpatient psychiatric facility: a randomized controlled trial.
abstract: BACKGROUND
  Persons with a mental disorder smoke at higher rates and suffer disproportionate tobacco-related burden compared with the general population. The aim of this study was to determine if a smoking cessation intervention initiated during a psychiatric hospitalization and continued postdischarge was effective in reducing smoking behaviors among persons with a mental disorder.
  
  
  METHODS
  A randomized controlled trial was conducted at an Australian inpatient psychiatric facility. Participants were 205 patient smokers allocated to a treatment as usual control (n = 101) or a smoking cessation intervention (n = 104) incorporating psychosocial and pharmacological support for 4 months postdischarge. Follow-up assessments were conducted at 1 week, 2, 4, and 6 months postdischarge and included abstinence from cigarettes, quit attempts, daily cigarette consumption, and nicotine dependence.
  
  
  RESULTS
  Rates of continuous and 7-day point prevalence abstinence did not differ between treatment conditions at the 6-month follow-up; however, point prevalence abstinence was significantly higher for intervention (11.5%) compared with control (2%) participants at 4 months (OR = 6.46, p = .01). Participants in the intervention condition reported significantly more quit attempts (F[1, 202.5] = 15.23, p = .0001), lower daily cigarette consumption (F[4, 586] = 6.5, p < .001), and lower levels of nicotine dependence (F[3, 406] = 8.5, p < .0001) compared with controls at all follow-up assessments.
  
  
  CONCLUSIONS
  Postdischarge cessation support was effective in encouraging quit attempts and reducing cigarette consumption up to 6 months postdischarge. Additional support strategies are required to facilitate longer-term cessation benefits for smokers with a mental disorder.
authors.affiliation: University of Newcastle, Callaghan, New South Wales, Australia; Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia; e.stockings@unsw.edu.au.
authors.forename: Emily A L
authors.initials: EA
authors.lastname: Stockings
authors.affiliation: University of Newcastle, Callaghan, New South Wales, Australia; Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia;
authors.forename: Jenny A
authors.initials: JA
authors.lastname: Bowman
authors.affiliation: University of Newcastle, Callaghan, New South Wales, Australia; Centre for Translational Neuroscience and Mental Health, Mater Hospital, Waratah, New South Wales, Australia;
authors.forename: Amanda L
authors.initials: AL
authors.lastname: Baker
authors.affiliation: Mental Health and Substance Use Service, Mater Hospital, Waratah, New South Wales, Australia;
authors.forename: Margarett
authors.initials: M
authors.lastname: Terry
authors.affiliation: University of Newcastle, Callaghan, New South Wales, Australia; Centre for Translational Neuroscience and Mental Health, Mater Hospital, Waratah, New South Wales, Australia;
authors.forename: Richard
authors.initials: R
authors.lastname: Clancy
authors.affiliation: University of Newcastle, Callaghan, New South Wales, Australia; Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia; Hunter New England Population Health, Wallsend, New South Wales, Australia.
authors.forename: Paula M
authors.initials: PM
authors.lastname: Wye
authors.affiliation: Hunter New England Population Health, Wallsend, New South Wales, Australia.
authors.forename: Jenny
authors.initials: J
authors.lastname: Knight
authors.affiliation: University of Newcastle, Callaghan, New South Wales, Australia;
authors.forename: Lyndell H
authors.initials: LH
authors.lastname: Moore
authors.affiliation: University of Newcastle, Callaghan, New South Wales, Australia;
authors.forename: Maree F
authors.initials: MF
authors.lastname: Adams
authors.affiliation: University of Newcastle, Callaghan, New South Wales, Australia;
authors.forename: Kim
authors.initials: K
authors.lastname: Colyvas
authors.affiliation: University of Newcastle, Callaghan, New South Wales, Australia; Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia; Hunter New England Population Health, Wallsend, New South Wales, Australia.
authors.forename: John H
authors.initials: JH
authors.lastname: Wiggers
mesh_terms: D000328:Adult; D001315:Australia / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy; D008875:Middle Aged; D010343:Patient Admission / Q000639:trends; D010351:Patient Discharge / Q000639:trends; D011567:Psychiatric Department, Hospital / Q000639:trends; D016037:Single-Blind Method; D012907:Smoking / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy; D016540:Smoking Cessation / Q000379:methods / Q000523:psychology*