Adaptation of a sustained care cessation intervention for smokers hospitalized for psychiatric disorders: Study protocol for a randomized controlled trial

Jacki Hecht, Nancy A. Rigotti, Haruka Minami, Kimberly Kjome, Erika L. Bloom, Christopher W. Kahler, Lawrence H. Price, Douglas E. Levy, Kelly M. Carpenter, Richard A. Brown

Research output: Contribution to journalArticle

Abstract

Background: Individuals with serious mental illness (SMI) smoke at disproportionately higher rates than those without SMI, have lifespans 25–32 years shorter, and thus bear an especially large burden of tobacco-related morbidity and mortality. Several recent studies demonstrate that smokers with SMI can successfully quit smoking with adequate support. Further evidence shows that using technology to deliver sustained care interventions to hospitalized smokers can lead to smoking cessation up to 6 months after discharge. The current comparative effectiveness trial adapts a technology-assisted sustained care intervention designed for smokers admitted to a general hospital and tests whether this approach can produce higher cessation rates compared to usual care for smokers admitted to a psychiatric inpatient unit. Methods: A total of 353 eligible patients hospitalized for psychiatric illness are randomized by cohort into one of two conditions, Sustained Care (SusC) or Usual Care (UC), and are followed for six months after discharge. Participants assigned to UC receive brief tobacco education delivered by a hospital nurse during or soon after admission. Those assigned to SusC receive a 40-min, in-hospital motivational counseling intervention. Upon discharge, they also receive up to 8 weeks of free nicotine patches, automated interactive voice response (IVR) telephone and text messaging, and access to cessation counseling resources lasting 3 months post discharge. Smoking cessation outcomes are measured at 1-, 3- and 6-months post hospital discharge. Conclusion: Results from this comparative effectiveness trial will add to our understanding of acceptable and effective smoking cessation approaches for patients hospitalized with SMI.

Original languageEnglish (US)
Pages (from-to)18-26
Number of pages9
JournalContemporary Clinical Trials
Volume83
DOIs
StatePublished - Aug 1 2019

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Smoking Cessation
Psychiatry
Randomized Controlled Trials
Tobacco
Counseling
Text Messaging
Tobacco Use Cessation Products
Technology
Telephone
Smoke
General Hospitals
Inpatients
Smoking
Nurses
Morbidity
Education
Mortality

Keywords

  • Comparative effectiveness trial
  • Evidence-based interventions
  • Hospitalized smokers
  • Psychiatric illness
  • Smoking cessation
  • Technology-based interventions

ASJC Scopus subject areas

  • Pharmacology (medical)

Cite this

Adaptation of a sustained care cessation intervention for smokers hospitalized for psychiatric disorders : Study protocol for a randomized controlled trial. / Hecht, Jacki; Rigotti, Nancy A.; Minami, Haruka; Kjome, Kimberly; Bloom, Erika L.; Kahler, Christopher W.; Price, Lawrence H.; Levy, Douglas E.; Carpenter, Kelly M.; Brown, Richard A.

In: Contemporary Clinical Trials, Vol. 83, 01.08.2019, p. 18-26.

Research output: Contribution to journalArticle

Hecht, Jacki ; Rigotti, Nancy A. ; Minami, Haruka ; Kjome, Kimberly ; Bloom, Erika L. ; Kahler, Christopher W. ; Price, Lawrence H. ; Levy, Douglas E. ; Carpenter, Kelly M. ; Brown, Richard A. / Adaptation of a sustained care cessation intervention for smokers hospitalized for psychiatric disorders : Study protocol for a randomized controlled trial. In: Contemporary Clinical Trials. 2019 ; Vol. 83. pp. 18-26.
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