Proactive outreach tobacco treatment for socioeconomically disadvantaged smokers with serious mental illness.
Access to health care
Intervention studies
Mental disorders
Smoking cessation
Socioeconomic status
Journal
Journal of behavioral medicine
ISSN: 1573-3521
Titre abrégé: J Behav Med
Pays: United States
ID NLM: 7807105
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
received:
05
03
2019
accepted:
16
07
2019
pubmed:
1
8
2019
medline:
7
2
2021
entrez:
1
8
2019
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 31363948
doi: 10.1007/s10865-019-00083-8
pii: 10.1007/s10865-019-00083-8
pmc: PMC7525931
mid: NIHMS1065196
doi:
Banques de données
ClinicalTrials.gov
['NCT01123967']
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
493-502Subventions
Organisme : HSRD VA
ID : I50 HX001228
Pays : United States
Organisme : NCI NIH HHS
ID : T32 CA163184
Pays : United States
Organisme : NCI NIH HHS
ID : R01 CA141527
Pays : United States
Organisme : HSRD VA
ID : I01 HX002455
Pays : United States
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