A Pilot Feasibility Study of Delivering a Quit & Win Tobacco-Free Contest in Community Mental Health Programs.

Chizimuzo T C Okoli, Bassema Abufarsakh, Sarret Seng, Wanqing Xie, Christy McGovern, Tiffany Arrows, Emily Koyagi, Heather Robertson
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Abstract

Objective: Quit & Win contests are a community-based tobacco cessation strategy that has demonstrated success in supporting tobacco cessation efforts in the general population. However, such contests have not been implemented and evaluated among people living with mental illnesses (MIs). This pilot study aimed to evaluate the feasibility of implementing Quit & Win contests in terms of program delivery, engagement, and cessation outcomes among people with MIs.

Methods: A single-group posttest design to evaluate the feasibility of Quit & Win contests conducted at three community mental health programs.

Results: Flyers introducing the contest were posted at study sites 2 weeks prior to recruitment. Recruitment occurred on 2 days over a 2-week period. Eligible participants received a pamphlet with information about tobacco treatment resources. At the follow-up, postsurveys and expired CO levels were obtained. Participants (N = 28) were mostly male, Non-Hispanic White, with a high school or higher education, unemployed, and 46.4% had a primary substance use disorder diagnosis. Among those who engaged in the program, seven (25.0%) returned for the follow-up, of which three (42.9%) successfully stopped cigarette use. Four (57.1%) described using nicotine replacement therapy in their attempt to stop using cigarettes. Challenges to cessation included difficulty finding available tobacco treatment programs, limited access to treatment medications, and experiencing nicotine withdrawal symptoms.

Conclusions: Our findings suggest the feasibility of Quit & Win interventions in community mental health settings. Further efforts are required to enhance recruitment, engagement, and retention, and to support access to community-based tobacco treatment resources.

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在社区心理健康项目中开展 "戒烟赢大奖 "比赛的试点可行性研究。
目的:戒烟赢大奖 "比赛是一种基于社区的戒烟策略,在支持普通人群戒烟方面取得了成功。然而,此类竞赛尚未在精神病患者(MIs)中实施和评估。这项试点研究旨在评估在精神病患者中开展 "戒烟赢大奖 "竞赛活动在项目实施、参与度和戒烟效果方面的可行性:在三个社区心理健康项目中采用单组后测试设计,评估戒烟赢大奖竞赛的可行性:在招募前两周,在研究地点张贴了介绍比赛的传单。招募活动在两周内分两天进行。符合条件的参与者收到了一本小册子,上面介绍了有关烟草治疗资源的信息。在随访中,我们对参与者进行了问卷调查,并采集了他们呼出的一氧化碳水平。参与者(N = 28)多为男性,非西班牙裔白人,高中或以上学历,失业,46.4% 的人被诊断出患有药物使用障碍。在参与该计划的人中,有 7 人(25.0%)返回接受随访,其中 3 人(42.9%)成功戒烟。四人(57.1%)在尝试戒烟的过程中使用了尼古丁替代疗法。戒烟面临的挑战包括难以找到可用的烟草治疗项目、获得治疗药物的途径有限以及出现尼古丁戒断症状:我们的研究结果表明,"戒烟赢 "干预措施在社区心理健康环境中是可行的。需要进一步努力加强招募、参与和保留,并支持获取社区烟草治疗资源。
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来源期刊
CiteScore
5.30
自引率
0.00%
发文量
65
期刊介绍: The Journal of the American Psychiatric Nurses Association (JAPNA) is a peer-reviewed bi-monthly journal publishing up-to-date information to promote psychiatric nursing, improve mental health care for culturally diverse individuals, families, groups, and communities, as well as shape health care policy for the delivery of mental health services. JAPNA publishes both clinical and research articles relevant to psychiatric nursing. This journal is a member of the Committee on Publication Ethics (COPE).
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