Meijer Eline
Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, PO Box 9600, 2300 RC, Leiden, The Netherlands.
Stichting VALK, Sandifortdreef 1a, 2333 ZZ, Leiden, The Netherlands.
Discov Ment Health. 2025 Jan 23;5(1):7. doi: 10.1007/s44192-025-00135-3.
Smoking is highly prevalent and persistent among people with mental illness, but implementation of smoking cessation care by mental healthcare professionals (MHCPs) is lagging behind. This study took a broad approach to understanding implementation of stop smoking support (SSS) by MHCPs (N = 220 for main analyses), incorporating background characteristics, psychosocial factors, client factors, and organizational/environmental factors. Variable selection was based on previous work and the Consolidated Framework for Implementation Research. Cross-sectional survey data were collected online in the Netherlands from 2021 to 2022, and analyzed using logistic regression and regression tree analyses. Participants were 81 nurses, 74 psychologists, 40 psychiatrists, 12 child psychologists and 13 other MHCPs; aged 42 on average, 24% male, 14% currently smoked and 32% quit smoking. Results show that most MHCPs do not ask about smoking, do not advise or motivate clients to quit smoking, and do not refer clients motivated to quit to SSS. In order to improve this situation, proactive efforts should be undertaken to target MHCPs' perceptions of clients' responsibility and quit success, preferably through strategies that reach MHCPs regardless of their affinity with SSS, taking MHCPs' profession and own smoking status into account.
吸烟在患有精神疾病的人群中非常普遍且持续存在，但精神卫生保健专业人员（MHCPs）实施戒烟护理的工作却滞后了。本研究采用广泛的方法来了解MHCPs提供戒烟支持（SSS）的情况（主要分析样本量N = 220），纳入了背景特征、心理社会因素、客户因素以及组织/环境因素。变量选择基于先前的研究工作和整合性实施研究框架。2021年至2022年在荷兰通过网络收集横断面调查数据，并使用逻辑回归和回归树分析进行分析。参与者包括81名护士、74名心理学家、40名精神科医生、12名儿童心理学家和13名其他MHCPs；平均年龄42岁，24%为男性，14%目前吸烟，32%已戒烟。结果表明，大多数MHCPs不询问吸烟情况，不建议或激励客户戒烟，也不将有戒烟意愿的客户转介至SSS。为改善这种情况，应积极采取措施，针对MHCPs对客户责任和戒烟成功的认知，最好通过能触及所有MHCPs的策略，无论其对SSS的亲和力如何，并考虑MHCPs的职业和自身吸烟状况。
