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Low-Burden Strategies to Promote Smoking Cessation Treatment Among Patients With Serious Mental Illness

Year: 2018
Type: article
Study design: Clinical Trial
Abstract: Patients with serious mental illness have high smoking prevalence and early mortality. Inadequate implementation of evidence-based smoking cessation treatment in community mental health centers (CMHCs) contributes to this disparity. This column describes a study of the effects of quality improvement strategies on treatment and cessation outcomes among patients with serious mental illness at four CMHCs. Two low-burden strategies, decision support and academic detailing with data-driven feedback, were implemented in the CMHCs' clinics from 2014 to 2016. Pre- and postimplementation data from pharmacy and medical records were analyzed. The percentage of patients receiving cessation medication increased from 5% to 18% (p≤.001), and smoking prevalence decreased from 57% to 54% (p≤.001). This quality improvement approach holds great potential for increasing the level of smoking cessation care for patients treated in CMHC settings. Decision support and academic detailing with feedback may be effective strategies to promote best practices.
DOI: 10.1176/appi.ps.201700399
Authors: Li-Shiun Chen, Timothy B. Baker, Jeanette M. Korpecki, Kelly E. Johnson, Jaime P. Hook, Ross C. Brownson, Laura J. Bierut
Language: English
Subfield: Physiology
Field: Medicine
Open Access status: bronze
Funders: University of Wisconsin-Madison, Washington University in St. Louis, Alvin J. Siteman Cancer Center, School of Medicine and Public Health, University of Wisconsin-Madison, Washington University School of Medicine in St. Louis, National Institute on Drug Abuse, National Cancer Institute
Awards: G1389837536, G1756984421, G4086371180, Genetically Informed Smoking Cessation Trial, G8790190034, Cancer Center Support Grant
OpenAlex ID: W2806314626
FWCI: 1.186
Cites: 10
Cited by: 14
Related to: 10