Making the journey with me: a qualitative study of experiences of a bespoke mental health smoking cessation intervention for service users with serious mental illness

BMC Psychiatry

Research Article

Emily Peckham¹  Simon Gilbody¹  Sarah Knowles²  Claire Planner²  Tim Bradshaw³  Mei-See Man⁴ 

[1] Department of Health Sciences, University of York, YO10 5DD, York, UK;NIHR School for Primary Care Research and Manchester Academic Health Science Centre, University of Manchester, M13 9PL, Manchester, UK;School of Nursing, Midwifery and Social Work, University of Manchester, M13 9PL, Manchester, UK;School of Social and Community Medicine, University of Bristol, BS8 2PS, Bristol, UK;

关键词: Mental Health;    Mental Illness;    Smoking Cessation;    Mental Health Problem;    Service User;   

DOI  :  10.1186/s12888-016-0901-y

 received in 2015-06-30, accepted in 2016-06-02,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundSmoking is one of the major modifiable risk factors contributing to early mortality for people with serious mental illness. However, only a minority of service users access smoking cessation interventions and there are concerns about the appropriateness of generic stop-smoking services for this group. The SCIMITAR (Smoking Cessation Intervention for Severe Mental Ill-Health Trial) feasibility study explored the effectiveness of a bespoke smoking cessation intervention delivered by mental health workers. This paper reports on the nested qualitative study within the trial.MethodsQualitative semi-structured interviews were conducted with 13 service users receiving the intervention and 3 of the MHSCPs (mental health smoking cessation practitioners) delivering the intervention. Topic guides explored the perceived acceptability of the intervention particularly in contrast to generic stop-smoking services, and perceptions of the implementation of the intervention in practice. Transcripts were analysed using the Constant Comparative Method.ResultsGeneric services were reported to be inappropriate for this group, due to concerns over stigma and a lack of support from health professionals. The bespoke intervention was perceived positively, with both practitioners and service users emphasising the benefits of flexibility and personalisation in delivery. The mental health background of the practitioners was considered valuable not only due to their increased understanding of the service users’ illness but also due to the more collaborative relationship style they employed. Challenges involved delays in liaising with general practitioners and patient struggles with organisation and motivation, however the MHSCP was considered to be well placed to address these problems.ConclusionThe bespoke smoking cessation intervention was acceptable to service users and the both service users and practitioners reported the value of a protected mental health worker role for delivering smoking cessation to this group. The results have wider implications for understanding how to achieve integrated and personalised care for this high-risk population and further underscore the need for sensitised smoking cessation support for people with serious mental illness.Trial registrationCurrent Controlled Trials ISRCTN79497236. Registered 3rd July 2009.

【 授权许可】

CC BY   
© The Author(s). 2016