University of Kentucky College of Nursing, Lexington, KY, USA.
University of Kentucky College of Social Work, Lexington, KY, USA.
Public Health Nurs. 2021 May;38(3):517-527. doi: 10.1111/phn.12865. Epub 2021 Jan 11.
People with mental illnesses (MI) benefit from incentives to promote tobacco cessation. "Quit and Win" contests are community-based approaches that incentivize cessation. However, little is known about "Quit and Win" contest effectiveness among people with MI.
To examine the utility of "Quit and Win" contests among people with MI.
This study had two phases: (a) a systematic literature review to explore the potential effectiveness of "Quit and Win" contests for people with MI and (b) a pilot feasibility study of implementing a "Quit and Win" contest among people with MI from a community mental health program (CMHP).
In phase 1, no reviewed study specifically included people with MI in their sample. Of the four cohort and five randomized controlled studies in the review, the mean reported participant quit rates at the end of "Quit and Win" contests were 76.8% and 28.3%, respectively. In phase 2, within a CMHP, four out of seven participants completed a "Quit and Win" contest, and one individual achieved cessation.
People with MI may benefit from incentive-based tobacco cessation programs. Implementing a "Quit and Win" contests within a CMHP is important and requires more studies to determine feasibility and effectiveness.
精神疾病患者（MI）从激励措施中受益，以促进戒烟。“戒烟赢大奖”竞赛是一种基于社区的方法，通过激励来促进戒烟。然而，对于 MI 患者的“戒烟赢大奖”竞赛的有效性知之甚少。
检验“戒烟赢大奖”竞赛在 MI 患者中的效用。
本研究分为两个阶段：（a）系统文献综述，探讨“戒烟赢大奖”竞赛对 MI 患者的潜在有效性；（b）对社区心理健康项目（CMHP）中的 MI 患者实施“戒烟赢大奖”竞赛的试点可行性研究。
在第 1 阶段，没有研究专门在其样本中纳入 MI 患者。在综述中的四项队列研究和五项随机对照研究中，报告的“戒烟赢大奖”竞赛结束时参与者的平均戒烟率分别为 76.8%和 28.3%。在第 2 阶段，在一个 CMHP 中，七名参与者中有四人完成了“戒烟赢大奖”竞赛，有一人成功戒烟。
激励性的戒烟计划可能使 MI 患者受益。在 CMHP 中实施“戒烟赢大奖”竞赛很重要，需要更多的研究来确定其可行性和有效性。
