Proactive outreach tobacco treatment for socioeconomically disadvantaged smokers with serious mental illness

Research output: Contribution to journalArticle

Abstract

Smokers with serious mental illness (SMI) face individual, interpersonal, and healthcare provider barriers to cessation treatment utilization and smoking abstinence. Proactive outreach strategies are designed to address these barriers by promoting heightened contact with smokers and facilitating access to evidence-based treatments. The present study examined the effect of proactive outreach among smokers with SMI (n = 939) who were enrolled in the publicly subsidized Minnesota Health Care Programs (MHCP) and compared this effect to that observed among MHCP smokers without SMI (n = 1382). Relative to usual care, the intervention increased treatment utilization among those with SMI (52.1% vs 40.0%, p = 0.002) and without SMI (39.3% vs 25.4%, p < 0.001). The intervention also increased prolonged smoking abstinence among those with SMI (14.9% vs 9.4%, p = 0.010) and without SMI (17.7% vs 13.6%, p = 0.09). Findings suggest that implementation of proactive outreach within publicly subsidized healthcare systems may alleviate the burden of smoking in this vulnerable population. Trial Registration ClinicalTrials.gov identifier: NCT01123967.

Original languageEnglish (US)
JournalJournal of Behavioral Medicine
DOIs
StatePublished - Jan 1 2019

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Vulnerable Populations
Tobacco
Smoking
Delivery of Health Care
Withholding Treatment
Health Personnel
Therapeutics

Keywords

  • Access to health care
  • Intervention studies
  • Mental disorders
  • Smoking cessation
  • Socioeconomic status

PubMed: MeSH publication types

  • Journal Article

Cite this

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title = "Proactive outreach tobacco treatment for socioeconomically disadvantaged smokers with serious mental illness",
abstract = "Smokers with serious mental illness (SMI) face individual, interpersonal, and healthcare provider barriers to cessation treatment utilization and smoking abstinence. Proactive outreach strategies are designed to address these barriers by promoting heightened contact with smokers and facilitating access to evidence-based treatments. The present study examined the effect of proactive outreach among smokers with SMI (n = 939) who were enrolled in the publicly subsidized Minnesota Health Care Programs (MHCP) and compared this effect to that observed among MHCP smokers without SMI (n = 1382). Relative to usual care, the intervention increased treatment utilization among those with SMI (52.1{\%} vs 40.0{\%}, p = 0.002) and without SMI (39.3{\%} vs 25.4{\%}, p < 0.001). The intervention also increased prolonged smoking abstinence among those with SMI (14.9{\%} vs 9.4{\%}, p = 0.010) and without SMI (17.7{\%} vs 13.6{\%}, p = 0.09). Findings suggest that implementation of proactive outreach within publicly subsidized healthcare systems may alleviate the burden of smoking in this vulnerable population. Trial Registration ClinicalTrials.gov identifier: NCT01123967.",
keywords = "Access to health care, Intervention studies, Mental disorders, Smoking cessation, Socioeconomic status",
author = "Hammett, {Patrick J.} and Lando, {Harry A} and Erickson, {Darin J} and Widome, {Rachel L} and Taylor, {Brent C} and Nelson, {David B} and Japuntich, {Sandra J.} and Fu, {Steven S}",
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AU - Hammett, Patrick J.

AU - Lando, Harry A

AU - Erickson, Darin J

AU - Widome, Rachel L

AU - Taylor, Brent C

AU - Nelson, David B

AU - Japuntich, Sandra J.

AU - Fu, Steven S

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N2 - Smokers with serious mental illness (SMI) face individual, interpersonal, and healthcare provider barriers to cessation treatment utilization and smoking abstinence. Proactive outreach strategies are designed to address these barriers by promoting heightened contact with smokers and facilitating access to evidence-based treatments. The present study examined the effect of proactive outreach among smokers with SMI (n = 939) who were enrolled in the publicly subsidized Minnesota Health Care Programs (MHCP) and compared this effect to that observed among MHCP smokers without SMI (n = 1382). Relative to usual care, the intervention increased treatment utilization among those with SMI (52.1% vs 40.0%, p = 0.002) and without SMI (39.3% vs 25.4%, p < 0.001). The intervention also increased prolonged smoking abstinence among those with SMI (14.9% vs 9.4%, p = 0.010) and without SMI (17.7% vs 13.6%, p = 0.09). Findings suggest that implementation of proactive outreach within publicly subsidized healthcare systems may alleviate the burden of smoking in this vulnerable population. Trial Registration ClinicalTrials.gov identifier: NCT01123967.

AB - Smokers with serious mental illness (SMI) face individual, interpersonal, and healthcare provider barriers to cessation treatment utilization and smoking abstinence. Proactive outreach strategies are designed to address these barriers by promoting heightened contact with smokers and facilitating access to evidence-based treatments. The present study examined the effect of proactive outreach among smokers with SMI (n = 939) who were enrolled in the publicly subsidized Minnesota Health Care Programs (MHCP) and compared this effect to that observed among MHCP smokers without SMI (n = 1382). Relative to usual care, the intervention increased treatment utilization among those with SMI (52.1% vs 40.0%, p = 0.002) and without SMI (39.3% vs 25.4%, p < 0.001). The intervention also increased prolonged smoking abstinence among those with SMI (14.9% vs 9.4%, p = 0.010) and without SMI (17.7% vs 13.6%, p = 0.09). Findings suggest that implementation of proactive outreach within publicly subsidized healthcare systems may alleviate the burden of smoking in this vulnerable population. Trial Registration ClinicalTrials.gov identifier: NCT01123967.

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