A qualitative study of using nicotine products for smoking cessation after discharge from residential drug and alcohol treatment in Australia.

alcohol and other drugs nicotine replacement therapy smoking cessation vaping withdrawal treatment

Journal

Drug and alcohol review
ISSN: 1465-3362
Titre abrégé: Drug Alcohol Rev
Pays: Australia
ID NLM: 9015440

Informations de publication

Date de publication:
23 Apr 2024
Historique:
revised: 08 03 2024
received: 06 03 2023
accepted: 03 04 2024
medline: 24 4 2024
pubmed: 24 4 2024
entrez: 23 4 2024
Statut: aheadofprint

Résumé

Tobacco smoking is highly prevalent among alcohol and other drugs (AOD) service clients and, despite interest in quitting, abstinence is rarely sustained. Nicotine products may assist after discharge from residential treatment services, but little is known about client receptivity to them. This study examined AOD withdrawal service clients' experiences of two types of nicotine products for smoking cessation post-discharge, combination nicotine replacement therapy (cNRT) and nicotine vaping products (NVP). We held semi-structured telephone interviews with 31 Australian AOD service clients in a clinical trial of a 12-week smoking cessation intervention using Quitline support plus cNRT or NVP delivered post-discharge from a smoke-free residential service. We asked about health and social factors, nicotine cravings, Quitline experience, and barriers and facilitators to cNRT or NVP, then thematically analysed data. cNRT and NVP were described by participants as feasible and acceptable for smoking cessation. For most participants, cost limited cNRT access post study, as did difficulty navigating NVP prescription access. Quitline support was valued, but not consistently used, with participants noting low assistance with NVP-facilitated cessation. Participants considered both cessation methods acceptable and socially supported, and sought information on decreasing nicotine use via NVP. AOD service clients highly valued receiving cNRT or NVP with behavioural support for smoking reduction or abstinence. Both interventions were acceptable to service clients. Findings suggest a potential need to examine both whether NVP use should be permitted in this context, and guidance on the individual suitability of cNRT or NVP.

Identifiants

pubmed: 38653554
doi: 10.1111/dar.13850
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : National Health and Medical Research Council
ID : GNT1160245
Organisme : National Health and Medical Research Council
ID : GNT1198301

Informations de copyright

© 2024 The Authors. Drug and Alcohol Review published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs.

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Auteurs

Joshua Trigg (J)

Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, Australia.

Jane Rich (J)

School of Medicine and Public Health, College of Medicine, Health and Wellbeing, University of Newcastle, Newcastle, Australia.

Edwina Williams (E)

School of Medicine and Public Health, College of Medicine, Health and Wellbeing, University of Newcastle, Newcastle, Australia.

Amanda Baker (A)

National Drug and Alcohol Research Centre, UNSW Sydney, Sydney, Australia.

Linda Bauld (L)

Usher Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, United Kingdom.

Ron Borland (R)

School of Psychological Sciences and Honorary Professor, School of Population and Global Health, University of Melbourne, Melbourne, Australia.

Chris Bullen (C)

The National Institute for Health Innovation, School of Population Health, The University of Auckland, Auckland, New Zealand.

Mark Daglish (M)

Faculty of Medicine, University of Queensland, and Royal Brisbane and Women's Hospital, Brisbane, Australia.

Adrian Dunlop (A)

School of Medicine and Public Health, College of Medicine, Health and Wellbeing, University of Newcastle, Newcastle, Australia.
Drug and Alcohol Clinical Services, Hunter New England Local Health District, Newcastle, Australia.

Coral Gartner (C)

School of Public Health, University of Queensland, Brisbane, Australia.

David Jacka (D)

Department of Drug and Alcohol Treatment, Monash Health, Melbourne, Australia.

Dan Lubman (D)

Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia.
Turning Point, Eastern Health, Monash University, Melbourne, Australia.

Victoria Manning (V)

Turning Point, Eastern Health, Monash University, Melbourne, Australia.

Rose McCrohan (R)

Uniting Care ReGen, Melbourne, Australia.

Cathy Segan (C)

Quit Victoria, Melbourne, Australia.

Natalie Walker (N)

The National Institute for Health Innovation, School of Population Health, The University of Auckland, Auckland, New Zealand.

Billie Bonevski (B)

Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, Australia.
School of Medicine and Public Health, College of Medicine, Health and Wellbeing, University of Newcastle, Newcastle, Australia.

Classifications MeSH