Hostname: page-component-848d4c4894-pjpqr Total loading time: 0 Render date: 2024-06-24T16:52:34.940Z Has data issue: false hasContentIssue false

A group based smoking cessation pilot programme for community mental health clients in Sydney

Published online by Cambridge University Press:  28 August 2013

Erin Devine
Affiliation:
Former Mental Health Promotion Officer, Health Promotion Service, South Western Sydney & Sydney Local Health Districts, NSW Health, Australia
Raquiba Jahan Khan*
Affiliation:
Mental Health Promotion Research & Evaluation Officer, Health Promotion Service, South Western Sydney & Sydney Local Health Districts, NSW Health, Australia
Karen Bedford
Affiliation:
Program Manager Mental Health Promotion, Health Promotion Service, South Western Sydney & Sydney Local Health Districts, NSW Health, Australia
Wei Zhuang Jiang
Affiliation:
Health Promotion Officer -Tobacco Control, Health Promotion Service, South Western Sydney & Sydney Local Health Districts, NSW Health, Australia
Henry Lim
Affiliation:
Mental Health Promotion Officer, Health Promotion Service, South Western Sydney & Sydney Local Health Districts, NSW Health, Australia
*
Address for corresponding: Raquiba Jahan Khan, PhD in Health Promotion, Mental Health Promotion Research & Evaluation Officer, Health Promotion Service, South Western Sydney & Sydney Local Health Districts, NSW Health, Australia; e-mail: Raquiba.Khan@sswahs.nsw.gov.au

Abstract

Introduction: This article describes the process and evaluation of a smoking cessation support programme for mental health clients in Sydney.

Aim: The objective of the study was to assess a group-based smoking cessation support model for community mental health clients.

Methods: Two community mental health services participated; 29 clients received free NRT products and weekly education for 12 weeks on: effects of smoking, nicotine dependence, NRT use, withdrawal process and the benefits of quitting. Evaluation included face-to-face interviews, telephone or postal survey using a semi-structured questionnaire.

Results: The baseline (n = 29) and follow-up (n = 14) surveys showed reduction in the number of cigarettes (30 to 21) smoked a day (55% vs. 36%). At one month 47% (n = 19) were confident about stopping smoking permanently whereas 19% (n = 14) reported the same after six months. Participants reported concerns of health effects, illness, physical symptoms (77% n = 27) and financial cost (93% n = 27) were the motivating factors in quitting. None of the findings was statistically significant.

Conclusions: Community based interventions to address the rate of smoking in this group is needed. Financial and health benefits can be used as motivating factors, and integration of smoking cessation assistance in treatment and rehabilitation of mental health consumers would be useful.

Type
Articles
Copyright
Copyright © The Author(s), published by Cambridge University Press on behalf of Australian Academic Press Pty Ltd 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ajzen, I. & Fishbein, M. (1980). Understanding Attitudes and Predicting Social Behaviour. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
Ashton, M., Miller, C. L., Bowden, J. A. & Bertossa, S. (2010). People with mental illness can tackle tobacco. Australian and New Zealand Journal of Psychiatry, 44, 10211028.Google ScholarPubMed
Australian Bureau of Statistics (ABS) (2008). National Survey of Mental Health and Wellbeing: Summary of Results. Cat. No. 4326.0. Canberra, Australia: Australian Bureau of Statistics. Available at: http://www.ausstats.abs.gov.au/Ausstats/subscriber.nsf/0/6AE6DA447F985FC2CA2574EA00122BD6/$File/43260_2007.pdf, accessed 20/1/11Google Scholar
Australian Institute of Health and Welfare (AIHW) (2008). 2007 National Drug Strategy Household Survey: first results. Drug Statistics Series number 20. Cat. No. PHE., Canberra, Australia: AIHW, available at: http://www.aihw.gov.au/publications/phe/ndshs07-fr/ndshs07-fr-no-questionnaire.pdf accessed 20/1/11Google Scholar
Bittoun, R. (2006). A combination nicotine replacement therapy algorithm for hard-to-treat smokers. Journal of Smoking Cessation, 1 (1), 36.Google Scholar
Bryant, J., Bonevski, B., Paul, C., O'Brien, J., & Oakes, W. (2010). Delivering smoking cessation support to disadvantaged groups: a qualitative study of the potential of community organisations. Health Education Res, 25, 979990.Google Scholar
Currie, S. R., Karltyn, J., Lussier, D., de Denus, E., Brown, D. & el-Guebaly, N. (2008). Outcome from a community-based smoking cessation program for persons with serious mental illness. Community Mental Health Journal, 44, 187194.Google Scholar
Eccles, J., Knowlden, S., Rich, D., Perusco, A., Mathews, D., Grootemaat, P. & Williams, M. (2006). Report on The Clean Air for All Project: Managing nicotine dependence in two mental health units in Sydney South West. Sydney: NSW Department of Health.Google Scholar
el-Guebaly, N., Cathcart, J., Currie, S., Brown, D. & Gloster, S. (2002). Smoking cessation approaches for persons with mental illness or addictive disorders. Psychiatric Services, 53, 11661170.Google Scholar
Elkins, K., Curry, C., Harrigan, S., & McGorry, P. (1997). Cigarette smoking and psychosis: the first episode experience. Mental illness and smoking cessation: an urgent public health issue. Forum proceedings 19 November 1996. Carlton South, Vic: Victoria Smoking and Health Program 1997.Google Scholar
Fagerstrom, K. O. (1978). Measuring degree of physical dependence to tobacco smoking with reference to individualization of treatment. Addictive Behaviors, 3, 235241.Google Scholar
Farkas, A. J., Gilpin, E. A., Distefan, J. M., & Pierce, J. P. (1999). The effects of household and workplace smoking restrictions on quitting behaviours. Tobacco Control, 8, 261265.Google Scholar
Hill, D. & White, V. (1995). Australian adult smoking prevalence in 1992. Australian Journal of Public Health, 19, 305308.Google Scholar
Krueger, R. A. (1998). Analyzing and reporting focus group results. Focus Group Kit 6. Thousand Oaks, CA: Sage Publications.Google Scholar
Lawn, S. J., Pols, R. G. & Barber, J. G. (2002). Smoking and quitting: a qualitative study with community-living psychiatric clients. Social Science and Medicine, 54, 93104.Google Scholar
Lawrence, D., Mitrou, F. & Zubrick, S. (2009). Smoking and mental illness: results from population surveys in Australia and United States. BMC Public Health 2009, 9:285 (doi: 10.1186/1471-2458-9-285)Google Scholar
Pizacani, B. A., Martin, D. P., Stark, M. J., Koepsell, T. D., Thompson, B. & Diehr, P. (2004). A prospective study of household smoking bans and subsequent cessation related behaviour: the role of stage of change. Tobacco Control, 13 (1), 2328.CrossRefGoogle ScholarPubMed
Polgar, S., McGartland, M. & Hales, T. (1996). Cigarette smoking and schizophrenia: a public health issue. Australian Journal of Primary Health Interchange, 2, 2128.Google Scholar
Prochaska, J. O., DiClemente, C. C. & Norcross, J. C. (1992). In search of how people change: applications to the addictive behaviours. American Psychologist 47, 11021114.Google Scholar
Ragg, M. & Ahmed, T. (2008). Smoke and mirrors: a review of the literature on smoking and mental illness. Tackling Tobacco Program Research Series No. 1. Sydney, Australia: Cancer Council NSW.Google Scholar
Saxon, A. J., Baer, J. S., Davis, T. M., Sloan, K. L., Malte, C. A., Fitzgibbons, K. & Kivlahan, D. R. (2003). Smoking cessation treatment among dually diagnosed individuals: preliminary evaluation of different pharmacotherapies, Nicotine & Tobacco Research, 5 (4), 589596.Google Scholar
Stead, L. F. and Lancaster, T. (2009). Group behaviour therapy programmes for smoking cessation (review), the Cochrane collaboration, The Cochrane Library 2009, issue 1.Google Scholar
Steven, A. & Schroeder, M. D. (2004). Tobacco control in the wake of the 1998 Master Settlement Agreement. The New England Journal of Medicine, 350, 293301.Google Scholar
Tsoi, D. T., Porwal, M. & Webster, A. C. (2010). Interventions for smoking cessation and reduction in individuals with schizophrenia. Cochrane Database of Systematic Reviews, Issue 6. Art. No.: CD007253, DOI: 10.1002/14651858.CD007253.pub2.Google Scholar