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Effectiveness of the Gold Standard Programme (GSP) for smoking cessation on smokers with and without a severe mental disorder : A Danish cohort study

Rasmussen, Mette; Klinge, Mads; Krogh, Jesper; Nordentoft, Merete and Tønnesen, Hanne LU (2018) In BMJ Open 8(6).
Abstract

Objectives We compared the effectiveness of an intensive smoking cessation intervention among smokers with and without a severe mental disorder (SMD) and identified factors associated with successful quitting. The main hypothesis was that smokers with an SMD would be less likely to stay continuously smoke-free for 6 months. Design A prospective cohort study. Setting In all, 302 smoking cessation clinics in Denmark from municipal clinics, pharmacies, hospitals, midwives, primary care facilities and other private providers who reported data to the national Danish Smoking Cessation Database from 2006 to 2016 participated in this study. Participants A total of 38 293 patients from the Danish Smoking Cessation Database. Patients with an SMD... (More)

Objectives We compared the effectiveness of an intensive smoking cessation intervention among smokers with and without a severe mental disorder (SMD) and identified factors associated with successful quitting. The main hypothesis was that smokers with an SMD would be less likely to stay continuously smoke-free for 6 months. Design A prospective cohort study. Setting In all, 302 smoking cessation clinics in Denmark from municipal clinics, pharmacies, hospitals, midwives, primary care facilities and other private providers who reported data to the national Danish Smoking Cessation Database from 2006 to 2016 participated in this study. Participants A total of 38 293 patients from the Danish Smoking Cessation Database. Patients with an SMD were identified by linking data to the Danish National Patient Register. Diagnoses of organic mental disorders (F0 chapter) or intellectual disabilities (F7 chapter) were not included. Smokers ≥18 years old who were attending a Gold Standard Programme (GSP) with planned follow-up were included. Smokers not wanting contact after 6 months were excluded. Interventions A comprehensive manual-based smoking cessation intervention comprising five meetings over a 6-week period (the GSP). Main outcome measures Self-reported continuous abstinence at the 6-month follow-up. Results In all, 69% of the participants participated in the follow-up after 6 months. The overall rate of successful quitting was high but significantly lower in SMD smokers (29% vs 38%; OR 0.74; 95% CI 0.68 to 0.80). Variables associated with successful quitting were compliance (defined as attending ≥75% of the planned meetings), older age and male gender as well as not being disadvantaged, heavy smoking or recommendation of intervention by health professionals. Conclusions Only 29% of smokers with an SMD successfully quit smoking which was significantly lower than the 38% of smokers without an SMD. Compliance was the most important predictor for successful quitting.

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author
organization
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type
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publication status
published
subject
in
BMJ Open
volume
8
issue
6
publisher
British Medical Journal Publishing Group
external identifiers
  • scopus:85053113762
ISSN
2044-6055
DOI
10.1136/bmjopen-2017-021114
language
English
LU publication?
yes
id
d5ffc725-89bc-4062-ae00-9622baa18d27
date added to LUP
2018-10-19 07:55:50
date last changed
2018-11-21 21:42:35
@article{d5ffc725-89bc-4062-ae00-9622baa18d27,
  abstract     = {<p>Objectives We compared the effectiveness of an intensive smoking cessation intervention among smokers with and without a severe mental disorder (SMD) and identified factors associated with successful quitting. The main hypothesis was that smokers with an SMD would be less likely to stay continuously smoke-free for 6 months. Design A prospective cohort study. Setting In all, 302 smoking cessation clinics in Denmark from municipal clinics, pharmacies, hospitals, midwives, primary care facilities and other private providers who reported data to the national Danish Smoking Cessation Database from 2006 to 2016 participated in this study. Participants A total of 38 293 patients from the Danish Smoking Cessation Database. Patients with an SMD were identified by linking data to the Danish National Patient Register. Diagnoses of organic mental disorders (F0 chapter) or intellectual disabilities (F7 chapter) were not included. Smokers ≥18 years old who were attending a Gold Standard Programme (GSP) with planned follow-up were included. Smokers not wanting contact after 6 months were excluded. Interventions A comprehensive manual-based smoking cessation intervention comprising five meetings over a 6-week period (the GSP). Main outcome measures Self-reported continuous abstinence at the 6-month follow-up. Results In all, 69% of the participants participated in the follow-up after 6 months. The overall rate of successful quitting was high but significantly lower in SMD smokers (29% vs 38%; OR 0.74; 95% CI 0.68 to 0.80). Variables associated with successful quitting were compliance (defined as attending ≥75% of the planned meetings), older age and male gender as well as not being disadvantaged, heavy smoking or recommendation of intervention by health professionals. Conclusions Only 29% of smokers with an SMD successfully quit smoking which was significantly lower than the 38% of smokers without an SMD. Compliance was the most important predictor for successful quitting.</p>},
  articleno    = {e021114},
  author       = {Rasmussen, Mette and Klinge, Mads and Krogh, Jesper and Nordentoft, Merete and Tønnesen, Hanne},
  issn         = {2044-6055},
  language     = {eng},
  month        = {11},
  number       = {6},
  publisher    = {British Medical Journal Publishing Group},
  series       = {BMJ Open},
  title        = {Effectiveness of the Gold Standard Programme (GSP) for smoking cessation on smokers with and without a severe mental disorder : A Danish cohort study},
  url          = {http://dx.doi.org/10.1136/bmjopen-2017-021114},
  volume       = {8},
  year         = {2018},
}