title: Uptake of smoking cessation aids by smokers with a mental illness.
abstract: Psychiatric inpatient settings represent an opportunity to initiate the provision of tobacco cessation care to smokers with a mental illness. This study describes the use of evidence-based smoking cessation aids proactively and universally offered to a population of psychiatric inpatients upon discharge, and explores factors associated with their uptake. Data derived from the conduct of a randomised controlled trial were analysed in terms of the proportion of participants (N = 378) that utilised cessation aids including project delivered telephone smoking cessation counselling and nicotine replacement therapy (NRT), and Quitline support. Factors associated with uptake of cessation aids were explored using multivariable logistic regression analyses. A large proportion of smokers utilised project delivered cessation counselling calls (89 %) and NRT (79 %), while 11 % used the Quitline. The majority accepted more than seven project delivered telephone cessation counselling calls (52 %), and reported NRT use during more than half of their accepted calls (70 %). Older age, higher nicotine dependence, irregular smoking and seeing oneself as a non-smoker were associated with uptake of behavioural cessation aids. Higher nicotine dependence was similarly associated with use of pharmacological aids, as was NRT use whilst an inpatient. Most smokers with a mental illness took up a proactive offer of aids to support their stopping smoking. Consideration by service providers of factors associated with uptake may increase further the proportion of such smokers who use evidence-based cessation aids and consequently quit smoking successfully.
authors.affiliation: University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia. alexandra.metse@uon.edu.au.|Hunter Medical Research Institute, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia. alexandra.metse@uon.edu.au.
authors.forename: Alexandra P
authors.initials: AP
authors.lastname: Metse
authors.affiliation: University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.|Hunter Medical Research Institute, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia.|Hunter New England Population Health, Longworth Ave, Wallsend, NSW, 2287, Australia.
authors.forename: John
authors.initials: J
authors.lastname: Wiggers
authors.affiliation: University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.|Hunter Medical Research Institute, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia.|Hunter New England Population Health, Longworth Ave, Wallsend, NSW, 2287, Australia.
authors.forename: Paula
authors.initials: P
authors.lastname: Wye
authors.affiliation: University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.|Hunter Medical Research Institute, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia.|Centre for Translational Neuroscience and Mental Health, Mater Hospital Cnr Edith and Platt Streets, Waratah, NSW, 2298, Australia.
authors.forename: Richard
authors.initials: R
authors.lastname: Clancy
authors.affiliation: University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.
authors.forename: Lyndell
authors.initials: L
authors.lastname: Moore
authors.affiliation: University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.
authors.forename: Maree
authors.initials: M
authors.lastname: Adams
authors.affiliation: University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.
authors.forename: Maryanne
authors.initials: M
authors.lastname: Robinson
authors.affiliation: University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.|Hunter Medical Research Institute, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia.
authors.forename: Jenny A
authors.initials: JA
authors.lastname: Bowman
mesh_terms: D000328:Adult; D003376:Counseling / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders; D008875:Middle Aged; D011788:Quality of Life; D012907:Smoking / Q000523:psychology*; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology*; D013689:Telephone; D014029:Tobacco Use Disorder / Q000517:prevention & control
keywords: Behavioural aids; Mental disorders; Pharmacotherapy; Smoking cessation; Tobacco use; Treatment utilisation