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The value of compassionate support to address smoking: A qualitative study with people who experience severe mental illness
journal contribution
posted on 2023-02-10, 00:25 authored by K McCarter, ML McKinlay, N Cocks, C Brasier, L Hayes, AL Baker, D Castle, R Borland, B Bonevski, C Segan, PJ Kelly, Alyna TurnerAlyna Turner, J Williams, J Attia, R Sweeney, S Filia, D Baird, L BrophyIntroductionPeople experiencing severe mental illness (SMI) smoke at much higher rates than the general population and require additional support. Engagement with existing evidence-based interventions such as quitlines and nicotine replacement therapy (NRT) may be improved by mental health peer worker involvement and tailored support. This paper reports on a qualitative study nested within a peer researcher-facilitated tobacco treatment trial that included brief advice plus, for those in the intervention group, tailored quitline callback counseling and combination NRT. It contextualizes participant life experience and reflection on trial participation and offers insights for future interventions.MethodsQualitative semi-structured interviews were conducted with 29 participants in a randomized controlled trial (intervention group n = 15, control group n = 14) following their 2-month (post-recruitment) follow-up assessments, which marked the end of the “Quitlink” intervention for those in the intervention group. Interviews explored the experience of getting help to address smoking (before and during the trial), perceptions of main trial components including assistance from peer researchers and tailored quitline counseling, the role of NRT, and other support received. A general inductive approach to analysis was applied.ResultsWe identified four main themes: (1) the long and complex journey of quitting smoking in the context of disrupted lives; (2) factors affecting quitting (desire to quit, psychological and social barriers, and facilitators and reasons for quitting); (3) the perceived benefits of a tailored approach for people with mental ill-health including the invitation to quit and practical resources; and (4) the importance of compassionate delivery of support, beginning with the peer researchers and extended by quitline counselors for intervention participants. Subthemes were identified within each of these overarching main themes.DiscussionThe findings underscore the enormity of the challenges that our targeted population face and the considerations needed for providing tobacco treatment to people who experience SMI. The data suggest that a tailored tobacco treatment intervention has the potential to assist people on a journey to quitting, and that compassionate support encapsulating a recovery-oriented approach is highly valued.Clinical trial registrationThe Quitlink trial was registered with ANZCTR (www.anzctr.org.au): ACTRN12619000244101 prior to the accrual of the first participant and updated regularly as per registry guidelines.
History
Journal
Frontiers in PsychiatryVolume
13Article number
ARTN 868032Location
SwitzerlandPublisher DOI
ISSN
1664-0640eISSN
1664-0640Language
EnglishPublication classification
C1 Refereed article in a scholarly journalPublisher
FRONTIERS MEDIA SAUsage metrics
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Keywords
Science & TechnologyLife Sciences & BiomedicinePsychiatrytobacco treatmentquitlinepeer workermental illnesssevere mental illnesshealth disparitiesCESSATIONSMOKERSSCHIZOPHRENIAATTITUDESINTERVENTIONMETAANALYSISRECRUITMENTINTERVIEWRELAPSEBehavioral and Social SciencePreventionClinical ResearchTobacco Smoke and HealthTobaccoMental HealthClinical Trials and Supportive ActivitiesSerious Mental Illness7.1 Individual care needs7 Management of diseases and conditionsMental healthCancer3 Good Health and Well BeingPublic Health and Health Services not elsewhere classifiedClinical Sciences not elsewhere classifiedPsychology not elsewhere classified
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