“Holding on to Hope”: follow up qualitative findings of a tobacco treatment intervention for people experiencing mental health conditions
BackgroundMental health service users are more likely to smoke tobacco and are as likely to make quit attempts as people not experiencing SMI, but they are less likely to succeed. Quitting tobacco can be harder for people experiencing SMI due to higher levels of nicotine dependence, more severe with...
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Frontiers Media S.A.
2025-01-01
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| author | Tessa-May Zirnsak Kristen McCarter Melissa L. McKinlay Ashleigh Guillaumier Nadine Cocks Catherine Brasier Laura Hayes Amanda L. Baker Donita E. Baird Billie Bonevski Ron Borland Ron Borland David Castle Erin Forbes Peter J. Kelly Catherine Segan Catherine Segan Rohan Sweeney Alyna Turner Alyna Turner Jill M. Williams Lisa Brophy Lisa Brophy |
| author_facet | Tessa-May Zirnsak Kristen McCarter Melissa L. McKinlay Ashleigh Guillaumier Nadine Cocks Catherine Brasier Laura Hayes Amanda L. Baker Donita E. Baird Billie Bonevski Ron Borland Ron Borland David Castle Erin Forbes Peter J. Kelly Catherine Segan Catherine Segan Rohan Sweeney Alyna Turner Alyna Turner Jill M. Williams Lisa Brophy Lisa Brophy |
| author_sort | Tessa-May Zirnsak |
| collection | DOAJ |
| description | BackgroundMental health service users are more likely to smoke tobacco and are as likely to make quit attempts as people not experiencing SMI, but they are less likely to succeed. Quitting tobacco can be harder for people experiencing SMI due to higher levels of nicotine dependence, more severe withdrawal, and many other complex factors. The Quitlink study was a randomized controlled trial combining a tailored 8-week Quitline intervention delivered by dedicated Quitline counsellors plus combination nicotine replacement therapy for people who experience SMI. The purpose of this paper is to report on the medium- and longer-term findings from interviews conducted at 5 and 8 months.MethodsAs a part of the broader Quitlink study, participants were invited to qualitative interviews at 2, 5 and 8 months following recruitment, in line with quantitative follow-up time points. Interviews were conducted with 28 participants in the Quitlink trial (intervention group n = 12, control group n = 16). Interviews were transcribed and analyzed with a thematic analysis methodology using NVivo 12. Key themes were determined using inductive coding.ResultsSix key themes were identified. These included: internal/external attributions for tobacco smoking, social relationships and relapse, the role of hopefulness in quitting, the role of clinicians in initiating and maintaining a quit attempt, increasing cessation literacy, and efficacy of the study intervention. Overall, findings suggested that participants’ quit attempts were often precarious and vulnerable, but active support and feelings of social connectedness were key to supporting participants to initiate a quit attempt and maintain gains.ConclusionsPeople who experience SMI can make attempts to quit smoking tobacco with support from clinicians and social networks. Connectedness and hope are significant enablers of making and sustaining quit attempts.Trial registrationThe Quitlink trial was registered with ANZCTR (www.anzctr.org.au): ACTRN12619000244101 prior to the accrual of the first participant and updated regularly as per registry guidelines. |
| format | Article |
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| institution | Kabale University |
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| publishDate | 2025-01-01 |
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| spelling | doaj-art-f84a9b5c56e2447385e6b5239f747cdd2025-01-30T06:22:31ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-01-011510.3389/fpsyt.2024.12571121257112“Holding on to Hope”: follow up qualitative findings of a tobacco treatment intervention for people experiencing mental health conditionsTessa-May Zirnsak0Kristen McCarter1Melissa L. McKinlay2Ashleigh Guillaumier3Nadine Cocks4Catherine Brasier5Laura Hayes6Amanda L. Baker7Donita E. Baird8Billie Bonevski9Ron Borland10Ron Borland11David Castle12Erin Forbes13Peter J. Kelly14Catherine Segan15Catherine Segan16Rohan Sweeney17Alyna Turner18Alyna Turner19Jill M. Williams20Lisa Brophy21Lisa Brophy22Social Work and Social Policy, School of Allied Health, Human Services and Sport, La Trobe University Melbourne, Melbourne, VIC, AustraliaSchool of Psychological Sciences, College of Engineering, Science and Environment, University of Newcastle, Callaghan, NSW, AustraliaDepartment of Mental Health, St Vincent’s Hospital Melbourne, Fitzroy, VIC, AustraliaSchool of Psychological Sciences, College of Engineering, Science and Environment, University of Newcastle, Callaghan, NSW, AustraliaResearch, Advocacy and Policy Development, Mind Australia Limited, Heidelberg, VIC, AustraliaSocial Work and Social Policy, School of Allied Health, Human Services and Sport, La Trobe University Melbourne, Melbourne, VIC, AustraliaResearch, Advocacy and Policy Development, Mind Australia Limited, Heidelberg, VIC, AustraliaSchool of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW, AustraliaSchool of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW, AustraliaFlinders Health and Medical Research Institute (FHMRI), College of Medicine and Public Health, Flinders University, Bedford Park, SA, AustraliaMelbourne School of Psychological Sciences, The University of Melbourne, Melbourne, VIC, AustraliaTobacco Control Unit, Cancer Council Victoria, Melbourne, VIC, AustraliaDepartment of Psychiatry, University of Tasmania; and Centre for Mental Health Service Innovation, Hobart, TAS, AustraliaSchool of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW, Australia0School of Psychology, University of Wollongong, Wollongong, NSW, AustraliaTobacco Control Unit, Cancer Council Victoria, Melbourne, VIC, Australia1Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia2Centre for Health Economics, Monash Business School, Monash University, Melbourne, VIC, AustraliaSchool of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW, Australia3School of Medicine, IMPACT, Institute for Innovation in Physical and Mental Health and Clinical Translation, Deakin University, Geelong, VIC, Australia4Division of Addiction Psychiatry, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, United StatesSocial Work and Social Policy, School of Allied Health, Human Services and Sport, La Trobe University Melbourne, Melbourne, VIC, Australia5Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, AustraliaBackgroundMental health service users are more likely to smoke tobacco and are as likely to make quit attempts as people not experiencing SMI, but they are less likely to succeed. Quitting tobacco can be harder for people experiencing SMI due to higher levels of nicotine dependence, more severe withdrawal, and many other complex factors. The Quitlink study was a randomized controlled trial combining a tailored 8-week Quitline intervention delivered by dedicated Quitline counsellors plus combination nicotine replacement therapy for people who experience SMI. The purpose of this paper is to report on the medium- and longer-term findings from interviews conducted at 5 and 8 months.MethodsAs a part of the broader Quitlink study, participants were invited to qualitative interviews at 2, 5 and 8 months following recruitment, in line with quantitative follow-up time points. Interviews were conducted with 28 participants in the Quitlink trial (intervention group n = 12, control group n = 16). Interviews were transcribed and analyzed with a thematic analysis methodology using NVivo 12. Key themes were determined using inductive coding.ResultsSix key themes were identified. These included: internal/external attributions for tobacco smoking, social relationships and relapse, the role of hopefulness in quitting, the role of clinicians in initiating and maintaining a quit attempt, increasing cessation literacy, and efficacy of the study intervention. Overall, findings suggested that participants’ quit attempts were often precarious and vulnerable, but active support and feelings of social connectedness were key to supporting participants to initiate a quit attempt and maintain gains.ConclusionsPeople who experience SMI can make attempts to quit smoking tobacco with support from clinicians and social networks. Connectedness and hope are significant enablers of making and sustaining quit attempts.Trial registrationThe Quitlink trial was registered with ANZCTR (www.anzctr.org.au): ACTRN12619000244101 prior to the accrual of the first participant and updated regularly as per registry guidelines.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1257112/fulltobacco treatmentquitlinepeer workermental illnesssevere mental illnesssmoking cessation |
| spellingShingle | Tessa-May Zirnsak Kristen McCarter Melissa L. McKinlay Ashleigh Guillaumier Nadine Cocks Catherine Brasier Laura Hayes Amanda L. Baker Donita E. Baird Billie Bonevski Ron Borland Ron Borland David Castle Erin Forbes Peter J. Kelly Catherine Segan Catherine Segan Rohan Sweeney Alyna Turner Alyna Turner Jill M. Williams Lisa Brophy Lisa Brophy “Holding on to Hope”: follow up qualitative findings of a tobacco treatment intervention for people experiencing mental health conditions Frontiers in Psychiatry tobacco treatment quitline peer worker mental illness severe mental illness smoking cessation |
| title | “Holding on to Hope”: follow up qualitative findings of a tobacco treatment intervention for people experiencing mental health conditions |
| title_full | “Holding on to Hope”: follow up qualitative findings of a tobacco treatment intervention for people experiencing mental health conditions |
| title_fullStr | “Holding on to Hope”: follow up qualitative findings of a tobacco treatment intervention for people experiencing mental health conditions |
| title_full_unstemmed | “Holding on to Hope”: follow up qualitative findings of a tobacco treatment intervention for people experiencing mental health conditions |
| title_short | “Holding on to Hope”: follow up qualitative findings of a tobacco treatment intervention for people experiencing mental health conditions |
| title_sort | holding on to hope follow up qualitative findings of a tobacco treatment intervention for people experiencing mental health conditions |
| topic | tobacco treatment quitline peer worker mental illness severe mental illness smoking cessation |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1257112/full |
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