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The value of compassionate support to address smoking: A qualitative study with people who experience severe mental illness
INTRODUCTION: People 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 wo...
Autores principales: | , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9583161/ https://www.ncbi.nlm.nih.gov/pubmed/36276321 http://dx.doi.org/10.3389/fpsyt.2022.868032 |
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author | McCarter, Kristen McKinlay, Melissa L. Cocks, Nadine Brasier, Catherine Hayes, Laura Baker, Amanda L. Castle, David Borland, Ron Bonevski, Billie Segan, Catherine Kelly, Peter J. Turner, Alyna Williams, Jill Attia, John Sweeney, Rohan Filia, Sacha Baird, Donita Brophy, Lisa |
author_facet | McCarter, Kristen McKinlay, Melissa L. Cocks, Nadine Brasier, Catherine Hayes, Laura Baker, Amanda L. Castle, David Borland, Ron Bonevski, Billie Segan, Catherine Kelly, Peter J. Turner, Alyna Williams, Jill Attia, John Sweeney, Rohan Filia, Sacha Baird, Donita Brophy, Lisa |
author_sort | McCarter, Kristen |
collection | PubMed |
description | INTRODUCTION: People 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. METHODS: Qualitative 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. RESULTS: We 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. DISCUSSION: The 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 REGISTRATION: The 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. |
format | Online Article Text |
id | pubmed-9583161 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-95831612022-10-21 The value of compassionate support to address smoking: A qualitative study with people who experience severe mental illness McCarter, Kristen McKinlay, Melissa L. Cocks, Nadine Brasier, Catherine Hayes, Laura Baker, Amanda L. Castle, David Borland, Ron Bonevski, Billie Segan, Catherine Kelly, Peter J. Turner, Alyna Williams, Jill Attia, John Sweeney, Rohan Filia, Sacha Baird, Donita Brophy, Lisa Front Psychiatry Psychiatry INTRODUCTION: People 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. METHODS: Qualitative 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. RESULTS: We 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. DISCUSSION: The 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 REGISTRATION: The 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. Frontiers Media S.A. 2022-10-06 /pmc/articles/PMC9583161/ /pubmed/36276321 http://dx.doi.org/10.3389/fpsyt.2022.868032 Text en Copyright © 2022 McCarter, McKinlay, Cocks, Brasier, Hayes, Baker, Castle, Borland, Bonevski, Segan, Kelly, Turner, Williams, Attia, Sweeney, Filia, Baird and Brophy. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychiatry McCarter, Kristen McKinlay, Melissa L. Cocks, Nadine Brasier, Catherine Hayes, Laura Baker, Amanda L. Castle, David Borland, Ron Bonevski, Billie Segan, Catherine Kelly, Peter J. Turner, Alyna Williams, Jill Attia, John Sweeney, Rohan Filia, Sacha Baird, Donita Brophy, Lisa The value of compassionate support to address smoking: A qualitative study with people who experience severe mental illness |
title | The value of compassionate support to address smoking: A qualitative study with people who experience severe mental illness |
title_full | The value of compassionate support to address smoking: A qualitative study with people who experience severe mental illness |
title_fullStr | The value of compassionate support to address smoking: A qualitative study with people who experience severe mental illness |
title_full_unstemmed | The value of compassionate support to address smoking: A qualitative study with people who experience severe mental illness |
title_short | The value of compassionate support to address smoking: A qualitative study with people who experience severe mental illness |
title_sort | value of compassionate support to address smoking: a qualitative study with people who experience severe mental illness |
topic | Psychiatry |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9583161/ https://www.ncbi.nlm.nih.gov/pubmed/36276321 http://dx.doi.org/10.3389/fpsyt.2022.868032 |
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