Department of Health, Seaton, Adelaide, South Australia, Australia.
Aust N Z J Psychiatry. 2010 Nov;44(11):1021-8. doi: 10.3109/00048674.2010.497753.
To evaluate a smoking reduction and cessation intervention tailored for people with significant disability associated with mental illness.
The intervention was a 10 week group programme, which tailored smoking cessation interventions to the needs of people living with mental illness. It was facilitated by mental health workers and peer workers and was promoted through mental health services, general practitioners and the Quitline phone service. Participants were people living with mental illness who had asked for help to quit or reduce their tobacco use. Participants were interviewed before starting the course, twice during the course and at 3, 6 and 12 months post course completion.
Overall, 226 people expressed interest, 183 attended at least one session of the course and 105 attended at least 10 sessions. Of the 183 participants, 79.8% reported they did not smoke for at least 24 hours, with 30.6% stopping for at least 30 days. At the 12 month follow up 16.6% of participants reported they were not smoking. Of the 105 participants who attended at least 10 sessions of the course, 85.7% reported they did not smoke for at least 24 hours and 37.1% stopping for at least 30 days. At 12 month follow up 21.3% reported they were not smoking. Cigarettes smoked per day declined among those who did not quit, and was still significantly lower after 12 months. Motivation to try to quit was high among those still smoking at 12 months, with 83.9% wanting to try again to quit.
This programme has shown many people with significant disability associated with mental illness are motivated to attend a smoking reduction and cessation group programme. A programme tailored to meet the specific needs of this group can be effective in helping many to quit or reduce their tobacco use.
评估针对与精神疾病相关的严重残疾人群的减烟和戒烟干预措施。
该干预措施是一个为期 10 周的小组项目，根据精神疾病患者的需求定制了戒烟干预措施。由心理健康工作者和同伴工作者来促进该项目，并通过心理健康服务、全科医生和戒烟热线服务进行推广。参与者是要求帮助戒烟或减少烟草使用的精神疾病患者。参与者在开始课程前、课程期间两次以及课程结束后 3、6 和 12 个月接受采访。
共有 226 人表示有兴趣，183 人至少参加了一次课程，105 人至少参加了 10 次课程。在 183 名参与者中，79.8%报告说他们至少 24 小时没有吸烟，30.6%至少 30 天没有吸烟。在 12 个月的随访中，16.6%的参与者报告说他们没有吸烟。在参加至少 10 次课程的 105 名参与者中，85.7%报告说他们至少 24 小时没有吸烟，37.1%至少 30 天没有吸烟。在 12 个月的随访中，21.3%的人报告说他们没有吸烟。没有戒烟的人的吸烟量有所减少，12 个月后仍明显较低。在 12 个月时仍在吸烟的人中，尝试戒烟的动机很高，83.9%的人希望再次尝试戒烟。
该计划表明，许多与精神疾病相关的严重残疾人群有动力参加减烟和戒烟小组计划。针对该群体的特定需求定制的计划可以有效地帮助许多人戒烟或减少烟草使用。
