Proactive outreach tobacco treatment for socioeconomically disadvantaged smokers with serious mental illness

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)493-502
Number of pages10
JournalJournal of Behavioral Medicine
Volume43
Issue number3
DOIs
StatePublished - Jun 1 2020

Bibliographical note

Funding Information:
Primary funding provided by NCI Grant R01CA141527-01. Additional support provided by NCI Grant 2T32CA163184 and the Center for Care Delivery and Outcomes Research, VA, Minneapolis, MN.

Publisher Copyright:
© 2019, This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.

Keywords

  • Access to health care
  • Intervention studies
  • Mental disorders
  • Smoking cessation
  • Socioeconomic status

PubMed: MeSH publication types

  • Journal Article
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

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