Tobacco cessation strategies are needed to improve health outcomes among individuals with serious mental illnesshttps://knowledgeconnection.mainehealth.org/lambrew-retreat-2021/1055/thumbnail.jp

Styron, Thomas

Weiss, David M

English

MaineHealth Knowledge Connection

MaineHealth MaineHealth Knowledge Connection Costas T. Lambrew Research Retreat 2021 Costas T. Lambrew Research Retreat 2021 Process Evaluation of a Smoking Cessation Group for Adults with Serious Mental Illness David M. Weiss Maine Medical Center Thomas Styron Follow this and additional works at: https://knowledgeconnection.mainehealth.org/lambrew-retreat-2021  Part of the Behavioral Medicine Commons, and the Psychiatry Commons Recommended Citation Weiss, David M. and Styron, Thomas, "Process Evaluation of a Smoking Cessation Group for Adults with Serious Mental Illness" (2021). Costas T. Lambrew Research Retreat 2021. 53. https://knowledgeconnection.mainehealth.org/lambrew-retreat-2021/53 This Book is brought to you for free and open access by the Costas T. Lambrew Research Retreat at MaineHealth Knowledge Connection. It has been accepted for inclusion in Costas T. Lambrew Research Retreat 2021 by an authorized administrator of MaineHealth Knowledge Connection. Introduction• Pervasive tobacco use in adults w/ serious mental illness (SMI). • Prevalence rates as high as 70%.• Half of all deaths attributed to tobacco use.• Limited cessation strategies implemented within this population (See Figure 1 for service delivery gaps). • This quality improvement project aimed to evaluate the implementation of a 10-session group-based smoking cessation intervention. Implementation• Ten, 45-60 minute sessions (See Table 1 for content).• Open-ended group sessions at community mental health center clubhouse.• Content derived from previously-published smoking-cessation therapy manual (Stritzke et al. 2009).• Addressed ways mental health symptoms impacted smoking behavior and cessation attempts.• 9-question quality improvement survey.• Process notes written after each session.Tobacco cessation strategies are needed to improve health outcomes among individuals with serious mental illnessProcess Evaluation of a Smoking Cessation Group for Adults with Serious Mental IllnessDavid M. Weiss1, Thomas Styron21. Maine Medical Center Research Institute2. Yale UniversityProcess Evaluation• 7 out of 10 sessions delivered before COVID restrictions.• Varied attendance (M = 4.43, range = 2-11).• Identified smoking triggers: peers/family who use, meal-times, morning rituals, boredom, stress.• Survey responses (n=5) on 5-point Likert:• Agreed or strongly agreed group increased knowledge & confidence.• Two respondents felt unsure if they felt supported by other group members.• All attempted to quit or reduce tobacco use.Discussion• Tobacco cessation groups are feasible and acceptable to adults with SMI.• Future implementation efforts should emphasize group cohesion.• Cessation strategies can increase knowledge and skill building even among those who experience severe mental health symptoms.Figure 1: Biobehavioral model of psychosis/SMI with current service delivery gaps.Table 1: Tobacco cessation content with special considerations for adults with SMI

Process Evaluation of a Smoking Cessation Group for Adults with Serious Mental Illness

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Process Evaluation of a Smoking Cessation Group for Adults with Serious Mental Illness

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